Accessibility of primary care physician practice sites in South Carolina for people with disabilities.
BACKGROUND
Quality and level of health care provided for people with disabilities at primary care physician's offices can be drastically impacted by the level of accessibility of the practice. The study goal was to assess the accessibility of primary care physician practices sites in South Carolina for people with mobility or sensory disabilities.


METHODS
Primary care offices were contacted through two different networks, and 68 agreed to a modified accessibility assessment. Prior to each visit, practice characteristics were gathered. The rehabilitation engineer assessed the sites for 93 specific accessibility items using a tape measure, inclinometer, and weight scale. The survey items were taken from the American with Disabilities Act Accessibility Guidelines (ADAAG).


RESULTS
The level of accessibility varied substantially; the average practice was deemed adequate on 70% of the items assessed. The strongest predictor of overall accessibility was the year of construction or most recent renovation. Hospital-owned buildings were significantly more accessible (P = 0.04) when controlling for year built. Key aspects of accessibility that were often lacking included car- and van-accessible parking, lever door handles, clear floor space and grab bars in the restroom, TTY telephone or a hearing aid-compatible telephone, wheelchair accessible scale, and an adjustable-height examination table.


CONCLUSIONS
The accessibility of primary care practice sites in South Carolina is suboptimal. Research is needed to identify effective approaches for encouraging primary care practices to make their practices fully accessible.
Department of Family and Preventive Medicine, Interagency Office on Disability and Health, University of South Carolina, School of Medicine, Columbia, SC 29203, USA. Catherine.graham@palmettohealth.org
Catherine Leigh
CL
Graham
Joshua R
JR
Mann
D003142:Communication; D006233:Persons with Disabilities / Q000523:psychology* / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D016014:Linear Models; D015999:Multivariate Analysis; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D013022:South Carolina; D013223:Statistics as Topic; D011795:Surveys and Questionnaires