Improving Health Care Experiences of Persons Who Are Blind or Have Low Vision: Suggestions From Focus Groups

O’Day, Bonnie; Killeen, Mary B.; Iezzoni, Lisa I.

doi:10.1177/106286060401900503

Cited by 80 publications

(68 citation statements)

References 17 publications

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“…Our statistical adjustments may not have fully accounted for all of the health and pregnancy risks that could be associated with vision disabilities. Additionally, women with vision disabilities may face challenges in navigating the healthcare system and obtaining information in accessible formats (O’Day, Kileen, & Iezzoni, 2004), and these challenges may compromise their childbirth preparation and outcomes.…”

Section: Discussionmentioning

confidence: 99%

Primary Cesarean Delivery Patterns among Women with Physical, Sensory, or Intellectual Disabilities

Darney

Biel

Quigley

et al. 2017

Women's Health Issues

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INTRODUCTION Little is known about the relationship between disability and mode of delivery. Prior research has indicated elevated risk of cesarean delivery among women with certain disabilities, but has not examined patterns across multiple types of disability or by parity. OBJECTIVE To determine whether physical, sensory, or intellectual and developmental disabilities are independently associated with primary cesarean delivery. METHODS We conducted a retrospective cohort study of all deliveries in California 2000–2010 using linked birth certificate and hospital discharge data. We identified physical, sensory, and intellectual and developmental disabilities using ICD-9 codes. We used logistic regression to examine the association of these disabilities and primary cesarean delivery, controlling for socio-demographic characteristics and co-morbidities and stratified by parity. RESULTS In our sample, 0.45% (20,894/4,610,955) of deliveries were to women with disabilities. A larger proportion of women with disabilities were nulliparous, had public insurance, and had co-morbidities (e.g., gestational diabetes) compared with women without disabilities (p<0.001 for all). The proportion of primary cesarean in women with disabilities was twice that in women without disabilities (32.7% versus 16.3%, p<0.001; aOR = 2.05; 95% CI = 1.94–2.17). The proportion of deliveries by cesarean was highest among women with physical disabilities due to injuries compared with women without disabilities (57.8% versus 16.3%, p<0.001; aOR = 6.83; 95%CI = 5.46–8.53). CONCLUSION Women across disability subgroups have higher odds of cesarean delivery, and there is heterogeneity by disability type. More attention is needed to this population to ensure better understanding of care practices that may impact maternal and perinatal outcomes.

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Section: Discussionmentioning

confidence: 99%

Primary Cesarean Delivery Patterns among Women with Physical, Sensory, or Intellectual Disabilities

Darney

Biel

Quigley

et al. 2017

Women's Health Issues

View full text Add to dashboard Cite

show abstract

“…Challenges in obtaining safe, effective, and timely care have been reported; common courtesy and an approach to communication tailored to the individual could improve patients' experiences. 12 People who lose their vision, especially in later life, may attempt to conceal it, although their ability to do so may vary. They may develop good social support networks, with family members or friends on whom they depend as a confidante for information, directions, and treatment details.…”

Section: What Effect Does Visual Impairment Have On the Individual?mentioning

confidence: 99%

Improving healthcare access for people with visual impairment and blindness

Cupples

Hart

Johnston

et al. 2012

BMJ

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“…). People who are blind or have low vision have reported problems with receiving health care information in inaccessible formats (O'Day, Killeen, and Iezzoni ). The variations in barriers experienced by people with different types of disabilities may have important implications for receipt of needed health care.…”

mentioning

confidence: 99%

Disparities in Health Care Access and Receipt of Preventive Services by Disability Type: Analysis of the Medical Expenditure Panel Survey

et al. 2014

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Objective. To examine differences in access to health care and receipt of clinical preventive services by type of disability among working-age adults with disabilities. Data Source. Secondary analysis of Medical Expenditure Panel Survey (MEPS) data from 2002 to 2008. Study Design. We conducted cross-sectional logistic regression analyses comparing people with different types of disabilities on health insurance status and type; presence of a usual source of health care; delayed or forgone care; and receipt of dental checkups and cancer screening. Data Collection. We pooled annualized MEPS data files across years. Our analytic sample consisted of adults (18-64 years) with physical, sensory, or cognitive disabilities and nonmissing data for all variables of interest. Principal Findings. Individuals with hearing impairment had better health care access and receipt than people with other disability types. People with multiple types of limitations were especially likely to have health care access problems and unmet health care needs.Conclusions. There are differences in health care access and receipt of preventive care depending on what type of disability people have. More in-depth research is needed to identify specific causes of these disparities and assess interventions to address health care barriers for particular disability groups. Key Words. People with disabilities, health care disparities, insurance coverage, adult, population surveillance Timely receipt of appropriate health care plays a key role in facilitating wellness, preventing injury and illness, promoting optimal recovery when injuries and illness do occur, and managing chronic health conditions (Agency for

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Improving Health Care Experiences of Persons Who Are Blind or Have Low Vision: Suggestions From Focus Groups

Cited by 80 publications

References 17 publications

Primary Cesarean Delivery Patterns among Women with Physical, Sensory, or Intellectual Disabilities

Primary Cesarean Delivery Patterns among Women with Physical, Sensory, or Intellectual Disabilities

Improving healthcare access for people with visual impairment and blindness

Disparities in Health Care Access and Receipt of Preventive Services by Disability Type: Analysis of the Medical Expenditure Panel Survey

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