Difficulty in securing treatment for degenerative hip disease in a patient with Down syndrome: The gap remains open

Chandler E. Gill, Henry M. Taylor, K. T. Lin, Bimal B. Padaliya, William J. Newman, Anna I. Abramovitch, CaraLee R. Richardson, P. David Charles

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

In 2002, the office of the U.S. surgeon general published a report detailing the discrepancies between the quality of healthcare afforded to persons with and without mental retardation. This article examines the case of a female resident of a developmental center with profound mental retardation due to Down syndrome and degenerative hip disease. Although she was in urgent need of a total hip replacement, the operation was denied or delayed by several different surgeons. Using a survey of physician attitudes, we examine several possible motivations behind the surgeons' reluctance to perform the procedure and conclude that these reasons were not appropriate in this case. Finally, we reiterate the surgeon general's call to eradicate preconceptions held in the medical community about the population of persons with mental retardation that result in similar failures to provide adequate care.

Original languageEnglish (US)
Pages (from-to)93-96
Number of pages4
JournalJournal of the National Medical Association
Volume98
Issue number1
StatePublished - Jan 2006
Externally publishedYes

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Keywords

  • Degenerative hip disease
  • Healthcare disparities
  • Mental retardation
  • Prejudice

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gill, C. E., Taylor, H. M., Lin, K. T., Padaliya, B. B., Newman, W. J., Abramovitch, A. I., Richardson, C. R., & Charles, P. D. (2006). Difficulty in securing treatment for degenerative hip disease in a patient with Down syndrome: The gap remains open. Journal of the National Medical Association, 98(1), 93-96.