农村成年人因残疾状况而面临的医疗保健障碍
Alexis Swendener1, Mariana Tuttle1, Ingrid Jacobson1
1Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
概括
农村残疾成年人比没有残疾的人面临更多的医疗保健接入障碍,包括成本和运输问题. 这凸显了这个弱势群体的严重差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 关于残疾人的研究.
背景情况:
- 获得医疗保健对个人和人口健康至关重要.
- 现有研究强调了农村居民和残疾人进入障碍.
- 在了解农村和残疾对医疗保健准入的影响方面存在差距.
研究的目的:
- 检查农村成年人获得医疗保健的金融和非金融障碍.
- 根据残疾状况来比较这些障碍.
- 解决农村和残疾在医疗保健获取方面的交叉问题.
主要方法:
- 利用了2022年全国健康访谈调查的农村成年人的数据 (n=4,703).
- 进行了后勤回归分析,以根据残疾状况对比11个进入障碍.
- 计算调整预测概率,控制社会人口统计学因素.
主要成果:
- 与没有残疾的农村成年人相比,在11个进入障碍中的8个中,残疾人面临的调整后预测概率明显更高.
- 常见的障碍包括由于成本而延迟护理,无法负担的处方,医院工作时间,保险接受,运输和旅行时间.
- 农村的残疾人更有可能报告有一个通常的护理场所.
结论:
- 农村残疾人比他们的非残疾同行面临更大的医疗保健接入挑战.
- 这些障碍,包括护理延迟,可能会对健康结果产生负面影响.
- 调查结果为决策者提供了关键的见解,旨在改善农村和残疾的交叉点上的医疗保健准入.
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