{"title":"无障碍：为残疾人提供更公平的远程医疗","authors":"Mahrokh M. Kobeissi, Colleen A. Manning","doi":"10.1016/j.nurpra.2025.105451","DOIUrl":null,"url":null,"abstract":"<div><div>Telehealth accessibility remains a significant challenge affecting many of the 70 million Americans with disabilities. Although telehealth <em>access</em> refers to service availability, <em>accessibility</em> involves intentional design enabling meaningful participation in remote care. This review presents the ACCESS framework (Accommodations, Communication, Customization, Education, Support, and Security) as a systematic approach to addressing fragmented accessibility guidance. Developed through an analysis of regulations, empirical studies, and established guidelines, ACCESS presents disability-specific strategies across ambulatory, cognitive, hearing, and visual impairments. This framework offers health care organizations actionable steps for implementing accessible telehealth while supporting compliance with legal and ethical requirements to advance health equity for all.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105451"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ACCESS Enabled: More Equitable Telehealth for People with Disabilities\",\"authors\":\"Mahrokh M. Kobeissi, Colleen A. Manning\",\"doi\":\"10.1016/j.nurpra.2025.105451\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Telehealth accessibility remains a significant challenge affecting many of the 70 million Americans with disabilities. Although telehealth <em>access</em> refers to service availability, <em>accessibility</em> involves intentional design enabling meaningful participation in remote care. This review presents the ACCESS framework (Accommodations, Communication, Customization, Education, Support, and Security) as a systematic approach to addressing fragmented accessibility guidance. Developed through an analysis of regulations, empirical studies, and established guidelines, ACCESS presents disability-specific strategies across ambulatory, cognitive, hearing, and visual impairments. This framework offers health care organizations actionable steps for implementing accessible telehealth while supporting compliance with legal and ethical requirements to advance health equity for all.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 8\",\"pages\":\"Article 105451\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1555415525001345\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001345","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
ACCESS Enabled: More Equitable Telehealth for People with Disabilities
Telehealth accessibility remains a significant challenge affecting many of the 70 million Americans with disabilities. Although telehealth access refers to service availability, accessibility involves intentional design enabling meaningful participation in remote care. This review presents the ACCESS framework (Accommodations, Communication, Customization, Education, Support, and Security) as a systematic approach to addressing fragmented accessibility guidance. Developed through an analysis of regulations, empirical studies, and established guidelines, ACCESS presents disability-specific strategies across ambulatory, cognitive, hearing, and visual impairments. This framework offers health care organizations actionable steps for implementing accessible telehealth while supporting compliance with legal and ethical requirements to advance health equity for all.
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