Health Care System Accessibility
dc.contributor.author | Steinberg, Annie G. | en_US |
dc.contributor.author | Barnett, Steven | en_US |
dc.contributor.author | Meador, Helen E. | en_US |
dc.contributor.author | Wiggins, Erin A. | en_US |
dc.contributor.author | Zazove, Philip | en_US |
dc.date.accessioned | 2010-06-01T19:34:43Z | |
dc.date.available | 2010-06-01T19:34:43Z | |
dc.date.issued | 2006-03 | en_US |
dc.identifier.citation | Steinberg, Annie G.; Barnett, Steven; Meador, Helen E.; Wiggins, Erin A.; Zazove, Philip (2006). "Health Care System Accessibility." Journal of General Internal Medicine 21(3): 260-266. <http://hdl.handle.net/2027.42/72715> | en_US |
dc.identifier.issn | 0884-8734 | en_US |
dc.identifier.issn | 1525-1497 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/72715 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16499543&dopt=citation | en_US |
dc.description.abstract | People who are deaf use health care services differently than the general population; little research has been carried out to understand the reasons. OBJECTIVE : To better understand the health care experiences of deaf people who communicate in American Sign Language. DESIGN : Qualitative analyses of focus group discussions in 3 U.S. cities. PARTICIPANTS : Ninety-one deaf adults who communicate primarily in American Sign Language. MEASUREMENTS : We collected information about health care communication and perceptions of clinicians' attitudes. We elicited stories of both positive and negative encounters, as well as recommendations for improving health care. RESULTS : Communication difficulties were ubiquitous. Fear, mistrust, and frustration were prominent in participants' descriptions of health care encounters. Positive experiences were characterized by the presence of medically experienced certified interpreters, health care practitioners with sign language skills, and practitioners who made an effort to improve communication. Many participants acknowledged limited knowledge of their legal rights and did not advocate for themselves. Some participants believed that health care practitioners should learn more about sociocultural aspects of deafness. CONCLUSIONS : Deaf people report difficulties using health care services. Physicians can facilitate change to improve this. Future research should explore the perspective of clinicians when working with deaf people, ways to improve communication, and the impact of programs that teach deaf people self-advocacy skills and about their legal rights. | en_US |
dc.format.extent | 110424 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.rights | © 2006 by the Society of General Internal Medicine. All rights reserved | en_US |
dc.subject.other | Deafness | en_US |
dc.subject.other | Sign Language | en_US |
dc.subject.other | Physician-patient Relations | en_US |
dc.subject.other | Hearing Impaired Persons | en_US |
dc.subject.other | Communication | en_US |
dc.title | Health Care System Accessibility | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Family Medicine, University of Michigan Health System, Ann Arbor, MI, USA ; | en_US |
dc.contributor.affiliationother | Departments of Psychiatry and Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA ; | en_US |
dc.contributor.affiliationother | Department of Family Medicine, University of Rochester, Rochester, NY, USA ; | en_US |
dc.contributor.affiliationother | Deafness and Family Communication Center, Children's Seashore House of The Children's Hospital of Philadelphia, PA, USA. | en_US |
dc.identifier.pmid | 16499543 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/72715/1/j.1525-1497.2006.00340.x.pdf | |
dc.identifier.doi | 10.1111/j.1525-1497.2006.00340.x | en_US |
dc.identifier.source | Journal of General Internal Medicine | en_US |
dc.identifier.citedreference | Barnett S, Franks P. Deaf adults and healthcare utilization: relationship with age at onset of deafness. Health Services Res. 2002; 37: 105 – 20. | en_US |
dc.identifier.citedreference | Zazove P, Niemann LC, Gorenflo DW, et al. The health status and health care utilization of deaf and hard-of-hearing persons. Arch Fam Med. 1993; 2: 745 – 52. | en_US |
dc.identifier.citedreference | Steinberg A, Sullivan V, Loew R. Cultural and linguistic barriers to mental health service access: the deaf consumer's perspective. Am J Psychiatry. 1998; 155: 982 – 4. | en_US |
dc.identifier.citedreference | Witte TN, Kuzel AJ. Elderly deaf patients' health care experiences. J Am Board Fam Pract. 2000; 13: 17 – 22. | en_US |
dc.identifier.citedreference | Barnett S. Clinical and cultural issues in caring for deaf people. Fam Med. 1999; 31: 17 – 22. | en_US |
dc.identifier.citedreference | Padden C. The deaf community and the culture of deaf people. In: Wilcox S, ed. American Deaf Culture: An Anthology. Burtonsville, MD: Linstok Press; 1989: 1 – 16. | en_US |
dc.identifier.citedreference | Holt JA. Stanford Achievement Test—8th edition: reading comprehension subgroup results. Am Ann Deaf. 1993; 138: 172 – 5. | en_US |
dc.identifier.citedreference | 8. Folio VIEWS. Provo, UT: Folio Corp; 1995. | en_US |
dc.identifier.citedreference | McEwen E, Anton-Culver H. The medical communication of deaf patients. J Fam Pract. 1988; 26: 289 – 91. | en_US |
dc.identifier.citedreference | Ebert DA, Heckerling PS. Communication with deaf patients: knowledge, beliefs, and practices of physicians. JAMA. 1995; 273: 227 – 9. | en_US |
dc.identifier.citedreference | Steinberg A. Issues in providing mental health services to hearing-impaired persons. Hosp Community Psychiatry. 1991; 42: 380 – 9. | en_US |
dc.identifier.citedreference | Hammer SG. The cost of treating deaf and hard-of-hearing patients [letter]. Am Fam Physician. 1998; 58: 659. | en_US |
dc.identifier.citedreference | Kulback S. Communicating with deaf patients [letter]. JAMA. 1995; 274: 795. | en_US |
dc.identifier.citedreference | Novak D. And you thought the CLIA regs were absurd. Med Econ. 1995; 72: 93. | en_US |
dc.identifier.citedreference | MacKinney TG, Walters D, Bird GL, Nattinger AB. Improvements in preventive care and communication for deaf patients: results of a novel primary health care program. J Gen Intern Med. 1995; 10: 133 – 7. | en_US |
dc.identifier.citedreference | Ralston E, Zazove P, Gorenflo DW. Physicians' attitudes and beliefs about deaf patients. J Am Board Fam Pract. 1996; 9: 167 – 73. | en_US |
dc.identifier.citedreference | Culhane-Pera K, Reif C, Egli E, Baker N, Kassenkert R. A curriculum for multicultural education in family medicine. Fam Med. 1997; 29: 719 – 23. | en_US |
dc.identifier.citedreference | Richards J, Harmer L, Pollard P, Pollard RQ. Deaf Strong Hospital: an exercise in cross-cultural communication for first year medical students. J Univ Rochester Med Center. 1999; 10: 5 – 7. | en_US |
dc.identifier.citedreference | Smith M, Hasnip H. The lessons of deafness: deafness awareness and communication skills training with medical students. Med Educ. 1991; 25: 319 – 21. | en_US |
dc.identifier.citedreference | Barnett S. Cross cultural communication with patients who use American Sign Language. Fam Med. 2002; 34: 376 – 82. | en_US |
dc.identifier.citedreference | Barnett S. Communication with deaf and hard-of-hearing people: a guide for medical education. Acad Med. 2002; 77: 694 – 700. | en_US |
dc.identifier.citedreference | Lock E. A workshop for medical students on deafness and hearing impairments. Acad Med. 2003; 78: 1229 – 34. | en_US |
dc.identifier.citedreference | Barnett S, Franks P. Telephone ownership and deaf people: implications for telephone surveys. Am J Public Health. 1999; 89: 1754 – 6. | en_US |
dc.identifier.citedreference | Parsons JA, Baum S, Johnson TP. Inclusion of disabled populations in social surveys: review and recommendations. University of Illinois at Chicago, Survey Research Laboratory, December 2000. | en_US |
dc.identifier.citedreference | Iezzoni LI, O'Day BL, Killeen M, Harker H. Communicating about health care: observations from persons who are deaf or hard of hearing. Ann Intern Med. 2004; 140: 356 – 62. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.