Disability dilemmas and rehabilitation tensions: A twentieth century inheritance

Greenwood, J

doi:10.1016/0277-9536(85)90377-6

Cited by 16 publications

(9 citation statements)

References 32 publications

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“…Rehabilitation services reach less than 2 percent of the population with disabilities and are usually based in large urban areas (Frye, 1993). Greenwood (1985) underscores the need for primary health care to prevent disability and deterioration resulting from a disabling condition. Poor access to primary care services in turn may delay access to needed hospital services until a crisis occurs.…”

Section: Overviewmentioning

confidence: 99%

“…D espite the prevalence of disabilities among people living in rural areas, scarce data exist on their health care needs (Burns, Batavia, Smith, & DeJong, 1990;Dana, Tielsch, Enger, Joyce, Santoli, & Taylor, 1990;Greenwood, 1985). Many individuals with severe disabilities suffer from associated health problems, yet few programs address their primary or acute health care needs (Burns, Batavia, Smith, & DeJong, 1990).…”

mentioning

confidence: 99%

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Access to Primary Health Care Among Persons With Disabilities in Rural Areas: A Summary of the Literature

Lishner¹,

Richardson²,

Levine³

et al. 1996

The Journal of Rural Health

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Despite the prevalence of disabilities among persons living in rural areas, scarce data exist on their health care needs. While rural residents generally experience barriers to access to primary health care, these problems are further exacerbated for people with disabilities. This article summarizes findings from the published literature on access to primary health care among people with disabilities living in rural locations. A comprehensive computerized literature search turned up 86 articles meeting the study criteria, focused on the following rural populations affected by disabilities: children and adolescents, working-age adults, the elderly the mentally ill, and people with AIDS. For each of these populations, substantial problems in accessing appropriate health care have been documented. The literature consistently emphasizes the failure of local health care systems in nonmetropolitan areas to adequately address the complex medical and related needs of individuals with disabilities. In the absence of specialized expertise, facilities, and primary care providers trained specifically to care for disabled persons, local programs rely heavily on the use of indigenous paraprofessionals and alternative models of care. Further research is needed to identify and test the efficacy of innovative service delivery strategies to improve health care access for this population.

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Section: Overviewmentioning

confidence: 99%

mentioning

confidence: 99%

Access to Primary Health Care Among Persons With Disabilities in Rural Areas: A Summary of the Literature

Lishner¹,

Richardson²,

Levine³

et al. 1996

The Journal of Rural Health

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“…37 This stress in turn may lead to greater dissatisfaction with life. Given that persons with SCI often experience economic strain, 38,39 living in a highly advantaged community could lead to diminished well-being in the long-term for individuals who are less affluent relative to their friends and neighborhoods. Persons living in urban communities may perceive less support than persons with SCI living in less densely populated areas.…”

Section: Discussionmentioning

confidence: 99%

Do Communities Matter After Rehabilitation? The Effect of Socioeconomic and Urban Stratification on Well-Being After Spinal Cord Injury

Botticello

Chen

Cao

et al. 2011

Archives of Physical Medicine and Rehabilitation

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Do communities matter after rehabilitation? The effect of socioeconomic and urban stratification on well-being after spinal cord injury. Objective To assess the influence of community-level socioeconomic status (SES) and urban composition on well-being after spinal cord injury (SCI) rehabilitation. Design Retrospective analysis of cross-sectional survey data. Setting Two participating centers in the SCI Model Systems (SCIMS) program. Participants Persons (N=1454) with traumatic SCI from New Jersey and Alabama enrolled in the SCIMS database in 2000 to 2009. Intervention Not applicable. Main Outcome Measures Dichotomous measures of perceived health (ill vs good health), life satisfaction (dissatisfied vs satisfied), and depressive symptoms (presence of a syndrome vs not) to assess well-being. Results Multilevel logistic regression was used to model community effects on each indicator of well-being. The likelihood of ill health and dissatisfaction with life in people with SCI, but not depressive symptoms, varied across communities. Community SES was related inversely to the odds of reporting ill health. However, the odds for dissatisfaction were higher in persons with SCI living in high SES and urban communities. Associations between community predictors and dissatisfaction with life were sustained after controlling for individual differences in injury severity, SES, and demographics, whereas individual SES was a stronger predictor of ill health than community SES. Conclusion This research suggests that community stratification influences the likelihood for diminished well-being for persons with SCI after rehabilitation. Understanding the contribution of communities in long-term outcomes after SCI rehabilitation is needed to inform future interventions aimed at preventing disability in this population.

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“…Consumers have expressed concern that priority is increasingly being placed upon short-term and 'cost effective' programmes for transport accident and worker compensation clients who can achieve a quick return to work; that less attention is being paid to other aspects of rehabilitation such as psycho-social adjustment, the special needs of minority (for example, ethnic) groups, and persons with non-compensable disabilities. Greenwood (1985) and Thorn and Wilbe (1987) provide an excellent overview of this trend, recent policy and philosophical issues, and to a lesser extent, the implications for rehabilitation professionals.…”

Section: * Ross Crisp Is a Rehabilitation Counsellor With The Commonwmentioning

confidence: 97%

Consumer Participation in Rehabilitation: An Unresolved Issue

Crisp¹

1989

Australian Social Work

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Disability dilemmas and rehabilitation tensions: A twentieth century inheritance

Cited by 16 publications

References 32 publications

Access to Primary Health Care Among Persons With Disabilities in Rural Areas: A Summary of the Literature

Access to Primary Health Care Among Persons With Disabilities in Rural Areas: A Summary of the Literature

Do Communities Matter After Rehabilitation? The Effect of Socioeconomic and Urban Stratification on Well-Being After Spinal Cord Injury

Consumer Participation in Rehabilitation: An Unresolved Issue

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