BOX 4-3Features of Disability-Competent Chronic Care Systems

  • “Gate-opener” mechanisms, for example, standard protocols for specific health situations that allow the bypassing of “gatekeeper” procedures that control specialty referrals and access to other expensive specialized services
  • Extended appointment times, for example, for individuals who use augmented communications tools or technologies or who need assistance in getting ready for an examination
  • Benefit management mechanisms that facilitate waivers of benefit restrictions when the provision of additional services would likely reduce a health plan’s overall costs for a person’s care
  • Care that considers the whole person and his or her environment, including needs for social services or home modifications
  • Specialized health education and behavior modification programs, for example, programs suitable for individuals with bipolar disorder
  • Accessible websites and other communications tools
  • Information systems that support the integration of clinical and social services as well as quality monitoring and improvement activities appropriate to this array of services
  • Providers with accessible facilities and equipment
  • Clinicians and other personnel who have the appropriate knowledge, skills, attitudes, and organizational support (e.g., communications training and access to specialized expertise) to serve people with disabilities, including expertise in assessing the needs and options for assistive technology, general-use technologies, and home modifications

SOURCE: Palsbo and Kailes (2006).

From: 4, Health Care Transitions for Young People

Cover of The Future of Disability in America
The Future of Disability in America.
Institute of Medicine (US) Committee on Disability in America; Field MJ, Jette AM, editors.
Washington (DC): National Academies Press (US); 2007.
Copyright © 2007, National Academy of Sciences.

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