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Accessibility of Medical Diagnostic Equipment for Patients With Disability: Observations From Physicians

Published:March 25, 2019DOI:https://doi.org/10.1016/j.apmr.2019.02.007

      Abstract

      Objective

      To explore attitudes and practices of physicians relating to accessible medical diagnostic equipment in serving patients with mobility disability.

      Design

      Open-ended individual telephone interviews, which reached data saturation. Interview recordings were transcribed verbatim for qualitative conventional content analysis.

      Setting

      Massachusetts, the United States, October 2017-January 2018.

      Participants

      Practicing physicians from 5 clinical specialties (N=20).

      Interventions

      Not applicable.

      Main Outcome Measures

      Common themes concerning physical accessibility.

      Results

      Mean ± SD time in practice was 27.5±12.5 years; 14 practices had height-adjustable examination tables; and 7 had wheelchair-accessible weight scales. The analysis identified 6 broad themes: height-adjustable examination tables have advantages; height-adjustable examination tables have drawbacks; transferring patients onto examination tables is challenging; rationale for examining patients in their wheelchairs; perceptions of wheelchair-accessible weight scales; and barriers and facilitators to improving physical accessibility. Major barriers identified by participants included costs of equipment, limited space, and inadequate payment for extra time required to care for persons with disability. Even physicians with accessible examination tables sometimes examined patients seated in their wheelchairs.

      Conclusions

      Even if physicians have accessible equipment, they do not always use it in examining patients with disability. Future efforts will need to consider ways to eliminate these access barriers in clinical practice. Given small sample size, results are not generalizable to physicians nationwide and globally.

      Keywords

      List of abbreviations:

      ADA (Americans with Disabilities Act), OB/GYN (obstetrics and gynecology)
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