Abstract
In this chapter, we will explore a case involving patients with multiple sclerosis (MS). The case focuses on topics related to disability including defining disability, characterizing some aspects of the Americans with Disabilities Act (ADA), and noting how environment and disability interact. There is also consideration of issues related to treating physician-patients and of physicians with disability practicing medicine. At the conclusion of the case, learners will be able to describe the healthcare system as it relates to disability and appreciate that people with disability should not be identified by their limitations. Learners will also be able to recognize skills needed to provide high-quality care for people with disability and how those skills apply to all patients. Finally, they will be able to analyze the role of the ADA and the issues of access to care for people with disability.
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References
Centers for Disease Control and Prevention. Key findings: prevalence of disability and disability type among adults, United States – 2013. In: Disability and health [Internet]. Atlanta (GA): CDC; 2015 [cited 2018 Jun 20]. Available from: https://www.cdc.gov/ncbddd/disabilityandhealth/features/key-findings-community-prevalence.html.
Okoro CA, Hollis ND, Cyrus AC, Griffin-Blake S. Prevalence of disabilities and health care access by disability status and type among adults — United States, 2016. MMWR Morb Mortal Wkly Rep. 2018 [cited 2018 Dec 31];67:882–7. https://doi.org/10.15585/mmwr.mm6732a3.
Information and technical assistance on the Americans with Disabilities Act. Introduction to the ADA [Internet]. Washington, D.C.: United States Department of Justice Civil Rights Division. Available from: https://www.ada.gov/ada_intro.htm.
Merriam-Webster. Definition of disability [Internet]. 2018 [cited 2018 Jun 20]. Available from: https://www.merriam-webster.com/dictionary/disability.
Johnson WG. There is a difference between differences and disparities. Disabil Health J. 2008;1:181–3.
Krahn GL, Walker DK, Correa-De-Araujo R. Persons with disabilities as an unrecognized health disparity population. Am J Public Health. 2015:e1–9. https://doi.org/10.2105/AJPH.2014.302182.
U.S. Department of Justice: Civil Rights Division. Americans with Disabilities Act: access to medical care for individuals with mobility disabilities [Internet]. Washington, D.C.: U.S. Department of Health and Human Services: Office for Civil Rights; 2010 [cited 2018 Jan 10]. Available from: https://www.ada.gov/medcare_mobility_ta/medcare_ta.pdf.
Iezzoni LI, Pendo E. Accessibility of medical diagnostic equipment — implications for people with disability. N Engl J Med. 2018;378:1371–3.
Practical recommendations for enhancing the care of patients with disability. In: Web-based continuing education [Internet]. Syracuse (NY): Upstate Medical University. [cited 2018 Jun 20]. Available from: http://www.upstate.edu/pmr/education/disability/index.php.
Disabilities, opportunities, internetworking, and technology (DO-IT). What is universal design? [Internet]. Seattle (WA): University of Washington; 2017 Jun 29 [cited 2018 Jun 12]. Available from: https://www.washington.edu/doit/what-universal-design-0.
Centers for Disease Control and Prevention. Social ecological model [Internet]. Atlanta (GA): CDC; 2015. Available from: https://www.cdc.gov/cancer/crccp/sem.htm.
Turk MA, Mudrick NR. Rehabilitation interventions. Los Angeles: SAGE Publishing; 2013.
Olek MJ. Clinical course and classification of multiple sclerosis [Internet]. In: González-Scarano F, editor. UpToDate. Waltham (MA): UpToDate Inc. [cited 2018 Jun 5]. Available from: http://www.uptodate.com.
McKee M, Case B, Fausone M, Zazove P, Ouellette A, Fetters MD. Medical schools willingness to accommodate medical students with sensory and physical disabilities: ethical foundations of a functional challenge to “organic” technical standards. AMA J Ethics. 2016;18:993–1002.
Kezar LB, Kirschner KL, Clinchot DM, Laird-Metke E, Zazove P, Curry RH. Leading practices and future directions for technical standards in medical education. Acad Med. 2018; https://doi.org/10.1097/ACM.0000000000002517.
Institute of Medicine. In: Pope AM, Brandt Jr EN, editors. Enabling America: assessing the role of rehabilitation science and engineering. Washington, DC: National Academies Press; 1997.
LaPierre TA, Zimmerman MK, Hall JP. “Paying the price to get there”: motherhood and the dynamics of pregnancy deliberations among women with disabilities. Disabil Health J. 2017;10(3):419–25.
UpToDate. About us [Internet]. Waltham (MA): UpToDate, Inc. [cited 2018 Jun 20]. Available from: https://www.uptodate.com/home/about-us?&redirect=true.
Cifu DX. Braddom’s physical medicine and rehabilitation. 5th ed. Philadelphia, PA: Elsevier; 2016.
Frumovitz M. Invasive cervical cancer: epidemiology, risk factors, clinical manifestations, and diagnosis. In: Goff B, Dizon DS, editors. UpToDate. Waltham (MA): UpToDate Inc.; updated 2018 Dec 7 [cited 2018 Jun 19]. Available from: http://www.uptodate.com.
Centers for Disease Control and Prevention. Understanding health literacy [Internet]. Washington, D.C.: U.S. Department of Health and Human Services; 2016 [cited 2018 Jan 9]. Available from: www.cdc.gov/healthliteracy/learn/Understanding.html.
Agency for Healthcare Research and Quality. Health literacy measurement tools (revised) [Internet]. Rockville (MD): AHRQ; 2016 Feb [cited 2018 Jun 20]. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.html.
Ward AL, Sanjak M, Duffy K, Bravver E, Williams N, Nichols M, Brooks BR. Power wheelchair prescription, utilization, satisfaction, and cost for patients with amyotrophic lateral sclerosis: preliminary data for evidence-based guidelines. Arch Phys Med Rehabil. 2010;91:268–72.
U.S. Department of Health & Human Services. Costs of care [Internet]. Washington, D.C.: Administration on Aging; 2017 [cited 2018 Jun 20]. Available from: https://longtermcare.acl.gov/costs-how-to-pay/costs-of-care.html.
United States Department of Labor. FMLA (Family & Medical Leave) [Internet] Washington, D.C.: DOL. [cited 2018 Jun 20]. Available from: https://www.dol.gov/general/topic/benefits-leave/fmla.
Devi G. Alzheimer’s disease in physicians — assessing professional competence and tempering stigma. N Engl J Med. 2018;378:1073–5.
Whitehead CR, Kuper A, Hodges B, Ellaway R. Conceptual and practical challenges in the assessment of physician competencies. Med Teach. 2014;37:245–51.
Donnon T, Ansari AA, Alawi SA, Violato C. The reliability, validity, and feasibility of multisource feedback physician assessment. Acad Med. 2014;89:511–6.
Cervero RM, Gaines JK. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015;35:131–8.
Kupfer JM. The graying of US physicians: implications for quality and the future supply of physicians. JAMA. 2016;315:341–2.
Jefferies A, Simmons B, Regehr G. The effect of candidate familiarity on examiner OSCE scores. Med Educ. 2007;41:888–91.
Madrazo L, Lee CB, McConnell M, Khamisa K. Self-assessment differences between genders in a low-stakes objective structured clinical examination (OSCE). BMC Res Notes. 2018;11(1):393.
Davis DA, Mazmanian PE, Fordis M, Harrison RV, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence. JAMA. 2006;296:1094.
Levinson W, Ginsburg S. Is it time to retire? JAMA. 2017;317(15):1570–1.
Domeyer-Klenske A, Rosenbaum M. When doctor becomes patient: challenges and strategies in caring for physician-patients. Fam Med. 2012;44(7):471–7.
Further Reading on This Topic
Iezzoni LI, Pendo E. Accessibility of medical diagnostic equipment — implications for people with disability. N Engl J Med. 2018;378:1371–3.
Practical recommendations for enhancing the care of patients with disability. In: Web-based continuing education. Syracuse (NY): Upstate Medical University. [cited 2018 Jun 20]. Available from: http://www.upstate.edu/pmr/education/disability/index.php.
U.S. Department of Justice: Civil Rights Division. Americans with Disabilities Act: access to medical care for individuals with mobility disabilities [Internet]. Washington, D.C.: U.S. Department of Health and Human Services, Office for Civil Rights; 2010 July. Available from: https://www.ada.gov/medcare_mobility_ta/medcare_ta.pdf.
Young, Stella. Stella Young: I’m not your inspiration, thank you very much. TEDxSydney [web streaming video]. 2014 Apr. Available from: https://www.ted.com/talks/stella_young_i_m_not_your_inspiration_thank_you_very_much.
Acknowledgments
The authors and editors wish to thank Burk Jubelt, who provided expert knowledge on multiple sclerosis; Martha Wojtowycz, who provided expert knowledge on Medicare, Medicaid, and the health system; and Michael Ioerger, who provided expert knowledge related to self-other overlap and disability; as well as Rebecca Garden, for her contributions to earlier cases which inspired this chapter.
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French-Lawyer, J., Turk, M.A. (2019). “Please Look Beyond My Disability”. In: Caruso Brown, A., Hobart, T., Morrow, C. (eds) Bioethics, Public Health, and the Social Sciences for the Medical Professions. Springer, Cham. https://doi.org/10.1007/978-3-030-03544-0_15
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