Inverted triangle with 4 sections: Health Environment level; Absence of disability standards in provider training, Insufficient data on the health of people with disabilities, Lack of inclusive health promotion programs; Health Care System level; Scheduling constraints, Payment/Reimbursement issues, Lack of age appropriate services and supports; Clinical Practice level; Inaccessible office and equipment, Lack of staff training, Communication barriers; Provider level; Lack of disability training, Poor attitudes, Incomplete knowledge of care coordination
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