Pragmatic Reasonable Accommodation in Everyday Medicine for People with Intellectual Disabilities: A Qualitative Study of Non-Psychiatric Physicians in Japan
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| Title: | Pragmatic Reasonable Accommodation in Everyday Medicine for People with Intellectual Disabilities: A Qualitative Study of Non-Psychiatric Physicians in Japan |
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| Language: | English |
| Authors: | Masaki Shoji (ORCID |
| Source: | Journal of Applied Research in Intellectual Disabilities. 2026 39(4). |
| Availability: | Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us |
| Peer Reviewed: | Y |
| Page Count: | 9 |
| Publication Date: | 2026 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Foreign Countries, Intellectual Disability, Accessibility (for Disabled), Medical Services, Physicians, Hospitals |
| Geographic Terms: | Japan |
| DOI: | 10.1111/jar.70276 |
| ISSN: | 1360-2322 1468-3148 |
| Abstract: | Background: In Japan, providing reasonable accommodation for people with intellectual disabilities became mandatory on 1 April 2024, but evidence from non-psychiatric hospital care is limited. Method: We conducted semi-structured interviews with nine hospital-based non-psychiatric physicians in Japan (October 2023-March 2024) and analysed data using inductive thematic analysis. Results: Physicians described accommodations in (1) medication management tailored to understanding, preferences, and home support; (2) relationship-centred communication to elicit symptoms and confirm comprehension; and (3) flexible care processes, including time, environment, and team roles. They mitigated risks through witnessed explanations, clear documentation, and proactive coordination with nurses and family members. Conclusions: Practical, workflow-embedded accommodations are common in non-psychiatric settings and could be strengthened by structured communication supports and systematic information sharing. |
| Abstractor: | As Provided |
| Entry Date: | 2026 |
| Accession Number: | EJ1516112 |
| Database: | ERIC |
| Abstract: | Background: In Japan, providing reasonable accommodation for people with intellectual disabilities became mandatory on 1 April 2024, but evidence from non-psychiatric hospital care is limited. Method: We conducted semi-structured interviews with nine hospital-based non-psychiatric physicians in Japan (October 2023-March 2024) and analysed data using inductive thematic analysis. Results: Physicians described accommodations in (1) medication management tailored to understanding, preferences, and home support; (2) relationship-centred communication to elicit symptoms and confirm comprehension; and (3) flexible care processes, including time, environment, and team roles. They mitigated risks through witnessed explanations, clear documentation, and proactive coordination with nurses and family members. Conclusions: Practical, workflow-embedded accommodations are common in non-psychiatric settings and could be strengthened by structured communication supports and systematic information sharing. |
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| ISSN: | 1360-2322 1468-3148 |
| DOI: | 10.1111/jar.70276 |
