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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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Health Care Utilization Among Adults With CKD and Psychological Distress
Namkee G Choi1, John E Sullivan1, Diana M DiNitto1
1The University of Texas at Austin Steve Hicks School of Social Work, Houston, TX.
Kidney Medicine
|August 1, 2020
Summary
Financial barriers to health care access significantly increase psychological distress in individuals with chronic kidney disease (CKD). Improving access to care and providing support services are crucial for managing distress in this population.
Area of Science:
- Public Health
- Health Services Research
- Psychology
Background:
- Chronic kidney disease (CKD) affects millions, with existing research focusing on healthcare access.
- The link between healthcare access barriers and psychological distress in CKD patients remains under-researched.
Purpose of the Study:
- To investigate the association between barriers to healthcare access and psychological distress among individuals with CKD.
- To identify specific barriers contributing to psychological distress in the CKD population.
Main Methods:
- Utilized data from the 2013-2017 US National Health Interview Survey, including 3,923 adult CKD patients.
- Employed multinomial logistic regression to analyze the relationship between healthcare access barriers (insurance, usual source of care, financial) and psychological distress (Kessler Psychological Distress Scale - K6).
Main Results:
- 15% reported mild to moderate, and 11% reported serious psychological distress.
- Financial barriers to healthcare access were significantly associated with both mild to moderate and serious psychological distress.
- Individuals experiencing distress were younger, less likely to have worked, had more comorbidities, and used emergency services more frequently.
Conclusions:
- Financial barriers, often linked to lack of insurance, are a significant factor in psychological distress for CKD patients.
- Recommendations include improving access to sick, preventive, and routine care.
- Suggests systematic assessment and treatment of psychological distress, alongside case management and social services, for CKD patients.
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