了解残疾有益于自我报告工作残疾的成年人之间的决策:一种定性研究
Lila Rabinovich1, Doerte Junghaenel1, Tabasa Ozawa1
1Center for Economic and Social Research, University of Southern California, Washington, USA.
Disability and health journal
|August 19, 2024
概括
高昂的成本和低的认可率阻碍了许多有工作残疾的有资格的成年人申请社会保障福利. 了解这些障碍是改善获得残疾保险和收入支持的关键.
科学领域:
- 社会老年学 社会老年学
- 公共卫生政策 公共卫生政策
- 关于残疾人的研究.
背景情况:
- 美国安全网计划中存在显著的"采用差距",影响了计划的公平性和有效性.
- 超过2000万美国成年人报告工作残疾,但只有1100万人获得社会保障残疾保险 (SSDI) 或补充安全收入 (SSI).
研究的目的:
- 调查那些从未申请过残疾福利的自我报告工作残疾的成年人的决策过程.
- 在这一群体中确定申请残疾福利的关键障碍和抑制因素.
主要方法:
- 与没有申请福利的劳动残疾成年人进行了39次深入采访.
- 采用专题分析来识别与福利申请有关的反复出现的主题和障碍.
主要成果:
- 高的"交易成本"和被认为低的批准率大大阻碍了申请.
- 在残疾开始后的不确定性和漫长的医疗评估经常被认为是威因素.
- 耻辱不是主要障碍;然而,与接受受益人身份相关的"自我概念变化"构成了挑战.
结论:
- 调查结果与现有关于福利申请信息,交易和社会成本的研究一致.
- 定性数据提供了对影响应用程序决策的因素及其相互作用的细微了解.
- 洞察力可以为减少障碍和改善有资格的残疾成年人享受福利的干预措施提供信息.
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