Table 2.

Barriers to the Provision of Care

	Not a barrier (%)	Minor barrier (%)	Major barrier (%)
Inaccessible office location and equipment	76.3	18.8	4.2
Limited insurance reimbursement for extra time and care provided*	39.9	32.5	27.3
Difficulty with positioning during examinations	27.6	54.5	17.5
Fear of autonomic dysreflexia or other autonomic reactions to the examination	51.1	41.4	6.3
Fear of causing patients discomfort, pain, or embarrassment	56.5	36.0	7.1
Inadequate knowledge about specific disabilities and special needs*	31.5	54.2	14.0
Uncertainty regarding appropriate sexual and reproductive recommendations	56.3	34.7	9.0
Difficulty communicating with patients who have visual, hearing, or cognitive disabilities*	28.2	48.1	23.7
Uncertainty about decision-making capacities or consent to medical procedures with patients who have intellectual or developmental disabilities	28.6	50.0	21.4

Responses to the question stem: “in your practice, what are the barriers to the provision of healthcare for women with disabilities?” (N=308). Each item was rated as “not a barrier,” a “minor barrier,” or a “major barrier”. Italicized items were not included on the abbreviated survey (N=268). Starred items were more likely to be endorsed as major barriers by ob-gyns in private practice or a partnership/group.