MDisability Clinical Care

Primary care for people with disabilities across the lifespan.

Dr. Philip Zazove with young patient

Disparities in health persist for people with disabilities (PWD). Physical access to medical facilities and equipment continues to be a significant barrier for equitable health care for patients with mobility and physical limitations. For example, only 8.4% to 17.5% of clinics had examination tables that could be lowered to the wheelchair height, requiring dangerous manual transfer by staff and patient (Mudrick, 2011; Sanchez, 2000). Even worse, only 3.6% of primary care clinics had a scale that was accessible for wheelchairs (Mudrick, 2011). Accommodations are rarely provided for many patients with disabilities. In one study, it was found only 17% of visits involving Deaf signers were with a sign language interpreter. This is despite a legal mandate to ensure effective communication (Alexander et al., 2015). Individuals with later onset of hearing loss also have a doubling or even tripling of their risk for developing cognitive impairment (Livingston et al, 2017) yet many providers fail to ask patients about their hearing loss. Many health care professional programs have limited opportunities for students and trainees to learn how to effectively care for this population. MDisability within the Department of Family Medicine (DFM) intends to tackle these issues under the clinical aim. Our DFM clinicians have expertise in a variety of disability health topics.

Deaf Health Clinic

Michigan Medicine's Deaf Health Clinic offers primary care facilitated by ASL fluent providers including a physician and master social worker. 

Locations
7300 Dexter-Ann Arbor Rd.
Dexter, MI  48130
734-539-5000

Family Medicine Disability Friendly Providers

MDisability has developed the following list for patients to find Family Medicine providers who either have experience or interest in providing primary care to patients with a disability.

Areas of Disability
  • Deaf and Hard of Hearing Children and Adults, Women and Pregnancy
  • Developmental Disabilities - Children, Adults, Geriatrics
  • Hearing Loss Intellectual Disability/Neurodiversity - Children, Adults, Geriatrics
  • Physical Disability - Children, Adults, Geriatrics Reproductive Health and Family Planning for Adolescents with Disabilities
  • Reproductive Health and Family Planning for Adults with Disabilities
  • Vision Loss
Additional Patient Care Interests and expertise:
  • LGBTQIA+ patients
Areas of Disability
  • Deaf and Hard of Hearing Children and Adults, Women and Pregnancy
  • Developmental Disabilities – Children, Adults, Geriatrics
  • Hearing Loss
  • Intellectual Disability/Neurodiversity – Children, Adults, Geriatrics Physical Disability – Children, Adults, Geriatrics
Areas of Disability
  • COVID-19 and Disabilities
  • Deaf and Hard of Hearing Children and Adults, Women and Pregnancy
  • Developmental Disabilities – Children, Adults
  • Hearing Loss
  • Intellectual Disability/Neurodiversity - Children, Adults
  • Physical Disability - Children, Adults
  • Reproductive Health and Family Planning for Adolescents with Disabilities
  • Reproductive Health and Family Planning for Adults with Disabilities
  • Vision Loss
Areas of Disability
  • Developmental Disabilities - Geriatrics
  • Physical Disability - Geriatrics
Areas of Disability
  • Deaf and Hard of Hearing Women and Pregnancy
  • Developmental Disabilities - Adults
  • Intellectual Disability/Neurodiversity - Children, Adults
  • Reproductive Health and Family Planning for Adolescents with Disabilities
  • Reproductive Health and Family Planning for Adults with Disabilities