Inclusion of People With Disabilities in Community Health Needs Assessments in Florida,United States

Abstract

Community health needs assessments (CHNAs) play a crucial role in identifying health needs of communities. Yet, unique health needs of people with disabilities (PWDs) are often underrecognized in public health practice. In 2010, the Patient Protection and Affordable Care Act (ACA) required the implementation of standardized data collection guidelines, including disability status, among federal agencies. The extent to which guidance from ACA and the U.S. Centers for Disease Control and Prevention has impacted disability inclusion in CHNAs is unknown. This study used a content analysis approach to review CHNAs conducted by local health councils and the top 11 nonprofit hospitals in Florida (n = 77). We coded CHNAs based on mentioning disability in CHNA reports, involving disability-related stakeholders, and incorporating data on disability indicators. Findings indicate that PWDs are widely not included in CHNAs in Florida, emphasizing the need for equitable representation and comprehensive understanding of PWDs in community health planning.

Keywords

people with disabilities community health needs assessment Patient Protection and Affordable Care Act community health planning

Get full access to this article

View all access options for this article.

References

Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, & Division of Human Development and Disability (n.d.). Disability and Health Data System (DHDS) data. https://dhds.cdc.gov

Fischer

K. R.

Schwimmer

Purtle

Roman

Cosgrove

Current

J. J.

Greene

M. B.

(2018). A content analysis of hospitals’ community health needs assessments in the most violent U.S. cities. Journal of Community Health, 43(2), 259–262. https://doi.org/10.1007/s10900-017-0413-9

Florida Legislature. (2023). The 2023 Florida statutes: 408.033 Local and state health planning. http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.033.html

Friedman

(2021). Social determinants of health, emergency department utilization, and people with intellectual and developmental disabilities. Disability and Health Journal, 14(1), Article 100964. https://doi.org/10.1016/j.dhjo.2020.100964

Garberoglio

C. L.

Palmer

J. L.

Cawthon

Sales

(2019). Deaf people and employment in the United States: 2019. U.S. Department of Education, Office of Special Education Programs, National Deaf Center on Postsecondary Outcome. https://nationaldeafcenter.org/wp-content/uploads/2019/10/Deaf-People-and-Employment-in-the-United-States_-2019-7.26.19ENGLISHWEB.pdf

Green

L. W.

Carlson-Gielen

Ottoson

J. M.

Peterson

D. V.

Kreuter

M. W.

(2022). Health program planning, implementation, and evaluation: Creating behavioral, environmental, and policy change. Johns Hopkins University Press.

Krahn

G. L.

Walker

D. K.

Correa-De-Araujo

(2015). Persons with disabilities as an unrecognized health disparity population. American Journal of Public Health, 105(Suppl. 2), S198–206. https://doi.org/10.2105/AJPH.2014.302182

Krieger

(1992). The making of public health data: Paradigms, politics, and policy. Journal of Public Health Policy, 13(4), 412–427. https://doi.org/10.2307/3342531

Mitra

Long-Bellil

Moura

Miles

Kaye

H. S.

(2022). Advancing health equity and reducing health disparities for people with disabilities in the United States. Health Affairs, 41(10), 1379–1386. https://doi.org/10.1377/hlthaff.2022.00499

10.

Pennel

C. L.

McLeroy

K. R.

Burdine

J. N.

Matarrita-Cascante

(2015). Nonprofit hospitals’ approach to community health needs assessment. American Journal of Public Health, 105(3), e103–e113. https://doi.org/10.2105/AJPH.2014.302286

11.

Rimmer

J. H.

(2022). Addressing disability inequities: Let’s stop admiring the problem and do something about it. International Journal of Environmental Research and Public Health, 19(19), Article 11886. https://doi.org/10.3390/ijerph191911886

12.

U.S. Department of Health and Human Services. (2011, October 30). Implementation guidance on data collection standards for race, ethnicity, sex, primary language, and disability status. https://aspe.hhs.gov/sites/default/files/migrated_legacy_files//43681/index.pdf

13.

Varadaraj

Deal

J. A.

Campanile

Reed

N. S.

Swenor

B. K.

(2021). National prevalence of disability and disability types among adults in the US, 2019. JAMA Network Open, 4(10), Article e2130358. https://doi.org/10.1001/jamanetworkopen.2021.30358

14.

WellFlorida Council. (2019). Columbia county community health assessment. https://www.wellflorida.org/wp-content/uploads/2019/04/CHA-Columbia-3-27-2019-Final-Copy.pdf

15.

World Health Organization. (2022, December 2). Global report on health equity for persons with disabilities. https://www.who.int/publications/i/item/9789240063600

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.03 MB