United States Medicaid home and community-based services for people with intellectual and developmental disabilities: A scoping review.
J Appl Res Intellect Disabil
; 34(3): 684-694, 2021 May.
Article
em En
| MEDLINE
| ID: mdl-33247520
ABSTRACT
Emerging research tests the impact of United States Medicaid home and community-based (HCBS) waiver policy on outcomes for people with intellectual and developmental disabilities; however, this body of work has yet to be synthesized. We conducted a scoping review to establish what is known about the impact of Medicaid HCBS policy on the lives of people with intellectual and developmental disabilities. Seven studies met final inclusion criteria. Their findings contribute to preliminary evidence that Medicaid HCBS waivers provide economic benefit at the state and federal level, reduce unmet healthcare needs, increase the likelihood that parents will be able to continue working, and reduce racial disparities in access to care. Additional work should compare HCBS waiver programmes, and their causal pathways, as well as draw international comparisons to similar programming, to determine essential infrastructure needed for a successful HCBS programme.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços de Assistência Domiciliar
/
Deficiência Intelectual
Tipo de estudo:
Diagnostic_studies
/
Systematic_reviews
Limite:
Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Appl Res Intellect Disabil
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos