Health

promotion for Americans with disabilities is a national priority.1,2 Adults with disabilities, however, routinely experience problems with primary care ser-vices, including inadequate preventive care,3 financial barriers,4 and dissatisfaction with care.5,6 The research literature offers clinicians and educators only limited insights into these problems. Existing data identify gaps in primary care services for people with disabilities. Adults with major lower extremity disabilities, for instance, often miss needed preventive services.7 Insurance and financial barriers4,8 and scant disability training for generalist physicians9,10 compound such problems. Not all studies, however, suggest that people with disabilities uniformly lack preventive care.11 Relatively few research efforts have approached the complex relationships between disability and quality of care, and fewer still have addressed medical education. Our literature review revealed few relevant studies,12 most of which used focus groups to target consumers with only one type of disabling condition.13-15 Because most generalist clinicians care for patients with a va-riety of disabling conditions, we hoped to add to the literature what might be learned from a cross-disability perspective. Our study’s objectives were to learn, first, how con-sumers with a variety of physical disabilities perceive needs and recommendations regarding their primary care. Second, we sought to learn how perceptions of primary care professionals and educators compared with those of consumers