کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4197529 1278926 2011 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Uninsured persons with disability confront substantial barriers to health care services
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Uninsured persons with disability confront substantial barriers to health care services
چکیده انگلیسی

BackgroundDespite social “safety net” programs, many U.S. residents with disabilities lack insurance coverage and thus risk financial barriers to accessing care. The study objectives were to characterize working-age adults with disabilities who lack health insurance and to examine their self-reported barriers to care.MethodsThe authors conducted analyses of nationally representative Medical Expenditure Panel Survey data from 2000 through 2006.ResultsDuring this time period, 14.8% of working-age U.S. residents lacked health insurance, including 11.6% of persons with disabilities. Focusing only on uninsured individuals, persons with disabilities were significantly (p = .001) more likely than those without disabilities to have a usual source of care. However, on 6 other access measures (those that comprised our composite indicator of access barriers), uninsured persons with disabilities reported barriers significantly (p = .001) more often than did individuals without disabilities: 36.0% of uninsured persons with disabilities reported being unable to get necessary medical care, compared with 9.5% of uninsured, nondisabled persons; and 26.9% of uninsured persons with disabilities reported being unable to get necessary medications, compared with 5.3% of uninsured individuals without disabilities. Having a cognitive impairment produced the largest adjusted odds ratio (AOR) of reporting any access barrier (1.64, 95% CI 144-1.87), while having lower body functional limitations or hearing deficits also produced relatively high AORs (1.47, 1.32-1.65 and 1.48, 1.11-1.98, respectively).ConclusionsUninsured individuals with disabilities confront significantly more barriers to accessing care than do nondisabled persons without health insurance. Certain types of disabilities appear especially associated with experiencing access barriers, suggesting areas requiring particular attention.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Disability and Health Journal - Volume 4, Issue 4, October 2011, Pages 238–244
نویسندگان
, , ,