Disability Stages and Trouble Getting Needed Health Care Among Medicare Beneficiaries.
Am J Phys Med Rehabil
; 96(6): 408-416, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-27754997
ABSTRACT
OBJECTIVE:
The aim of this study was to examine whether activity limitation stages were associated with patient-reported trouble getting needed health care among Medicare beneficiaries.DESIGN:
This was a population-based study (n = 35,912) of Medicare beneficiaries who participated in the Medicare Current Beneficiary Survey for years 2001-2010. Beneficiaries were classified into an activity limitation stage from 0 (no limitation) to IV (complete) derived from self-reported or proxy-reported difficulty performing activities of daily living and instrumental activities of daily living. Beneficiaries reported whether they had trouble getting health care in the subsequent year. A multivariable logistic regression model examined the association between activity limitation stages and trouble getting needed care.RESULTS:
Compared with beneficiaries with no limitations (activities of daily living stage 0), the adjusted odds ratios (ORs) (95% confidence intervals [CIs]) for stage I (mild) to stage IV (complete) for trouble getting needed health care ranged from OR = 1.53 (95% CI, 1.32-1.76) to OR = 2.86 (95% CI, 1.97-4.14). High costs (31.7%), not having enough money (31.2%), and supplies/services not covered (24.2%) were the most common reasons for reporting trouble getting needed health care.CONCLUSION:
Medicare beneficiaries at higher stages of activity limitations reported trouble getting needed health care, which was commonly attributed to financial barriers.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pessoas com Deficiência
/
Avaliação da Deficiência
/
Acessibilidade aos Serviços de Saúde
/
Necessidades e Demandas de Serviços de Saúde
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article