印第安纳州老年人和残疾人的健康评级和未满足的交通需求 家庭和社区服务豁免计划
Margaret Bielski1, Aaron Zych2, Lilian Yahng3
1Indiana University School of Medicine, Indianapolis, Indiana, USA.
Journal of aging & social policy
|October 6, 2025
概括
交通障碍影响了老年人获得医疗保健的机会. 身体健康不佳和女性身份增加了印第安纳州未满足的交通需求.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 交通是老年人家庭和社区服务 (HCBS) 的关键组成部分.
- 印第安纳州的老年和残疾人 (A&D) 豁免为60岁及以上的医疗补助注册人提供HCBS.
- 医疗保健提供者和系统的消费者评估 (CAHPS) 调查收集了包括运输在内的HCBS数据.
研究的目的:
- 在印第安纳州的A&D豁免参与者中确定与未满足的运输需求相关的因素.
- 为HCBS运输服务提供质量改善计划提供信息.
主要方法:
- 来自4,199名A&D豁免参与者的年度HCBS CAHPS调查数据的分析 (2021年以来收集).
- 调查加权后勤回归以检查参与者特征与未满足的运输需求之间的关联.
- 包括人口统计数据,自我报告的健康评级和未满足的需求.
主要成果:
- 22.1%的受访者报告说,他们还没有满足到医生预约的运输需求.
- 身体健康评级较差和女性性别与更高的未满足的交通需求有显著的关联.
- 黑人/非裔美国人种族与较少的未满足的交通需求有关,可能是由于城市居住.
结论:
- 参与者的健康状况和人口特征是了解未满足的运输需求的关键因素.
- 考虑到患者特征的有针对性的干预措施是必要的,以改善HCBS中老年人的交通机会.
- 解决交通障碍对于促进老年人独立生活和获得医疗保健至关重要.
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