Barriers exist for patients, caregivers, and the health care providers who serve them. Appropriate health care service delivery models, training and funding can eliminate or reduce these barriers.
- Communication barriers.
- Extra time needed for appointments.
- Extra time needed for care coordination.
- Fragmentation of medical system.
- Health care provider attitudes towards people with disabilities.
- Inaccessible office design (physical, social, and programmatic).
- Lack of mechanism for interdisciplinary team members to work together.
- Lack of trained, educated, and stable direct caregiver and health professions workforce.
- Logistical and caregiver resources required to arrange appointments.
- Medical and educational records unavailable or too poorly organized, summarized, and voluminous to be of clinical use.
- Offices that require long waiting room stays.
- Patient anxiety during changes in routine or environment.
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