Prevalence and reasons for delaying and foregoing necessary care by the presence and type of disability among working-age adults

Reichard, Amanda; Stransky, Michelle L.; Phillips, Kimberly G.; McClain, Monica R.; Drum, Charles E.

doi:10.1016/j.dhjo.2016.08.001

Cited by 36 publications

(32 citation statements)

References 28 publications

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“…People with disabilities are also more likely to have unmet health needs in a wide variety of contexts [45,46,47], which is likely to increase the risk of NCD incidence, progression and mortality. Evidence from high-income settings suggests that people with disabilities are less likely to access cancer-screening, even when free of charge, and the difference remains after adjustment for multiple confounders such as age, socio-economic status, and education level [48].…”

Section: What Is the Association Between Ncds And Disability?mentioning

confidence: 99%

Perspectives on Disability and Non-Communicable Diseases in Low- and Middle-Income Countries, with a Focus on Stroke and Dementia

Prynn

Kuper

2019

IJERPH

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Non-communicable diseases (NCD) and disability are both common, and increasing in magnitude, as a result of population ageing and a shift in disease burden towards chronic conditions. Moreover, disability and NCDs are strongly linked in a two-way association. People living with NCDs may develop impairments, which can cause activity limitations and participation restriction in the absence of supportive personal and environmental factors. In other words, NCDs may lead to disabilities. At the same time, people with disabilities are more vulnerable to NCDs, because of their underlying health condition, and vulnerability to poverty and exclusion from healthcare services. NCD programmes must expand their focus beyond prevention and treatment to incorporate rehabilitation for people living with NCDs, in order to maximize their functioning and well-being. Additionally, access to healthcare needs to be improved for people with disabilities so that they can secure their right to preventive, curative and rehabilitation services. These changes may require new innovations to overcome existing gaps in healthcare capacity, such as an increasing role for mobile technology and task-sharing. This perspective paper discusses these issues, using a particular focus on stroke and dementia in order to clarify these relationships.

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Section: What Is the Association Between Ncds And Disability?mentioning

confidence: 99%

Perspectives on Disability and Non-Communicable Diseases in Low- and Middle-Income Countries, with a Focus on Stroke and Dementia

Prynn

Kuper

2019

IJERPH

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“…People who have a combination of physical-sensory, cognitive, and mental disability are more commonly poor and jobless, followed by those with a mental-cognitive disability and a physical-sensory disability (Wall, 2017). Similarly, another study found that even with insurance, people with multiple disabilities had more unmet health care needs compared with people with a single disability (Reichard, Stransky, Phillips, McClain, & Drum, 2017). Therefore, the magnitude of the potential effects of disability on the relationship between medication cost and nonadherence will be greatly influenced by the disability status.…”

Section: A Patient Characteristicsmentioning

confidence: 99%

An Adapted Model of Cost-Related Nonadherence to Medications Among People With Disabilities

Gupta

McColl

Guilcher

et al. 2019

Journal of Disability Policy Studies

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Despite emerging evidence on cost-related nonadherence (CRNA) to prescription medications, there is little conceptualization and exploration of this phenomenon with respect to disability. Specifically, there is a gap in the literature that explores factors influencing medication cost–adherence relationship among individuals living with a disability. To advance research on and policy for CRNA to medications among people with disabilities, we need a framework that can contribute towards guiding solutions to this problem. We examined the applicability of Piette and colleagues’ existing model for CRNA to the context of people with disabilities and suggested an adapted model (CRNA to medications for persons with disability [CRNA-d]) that can provide a more specific conceptualization of CRNA with respect to disability. The adapted CRNA-d model depicts that CRNA to prescription medications with respect to disability is a dynamic and multifaceted phenomenon, determined by various socioeconomic, disability-related, medication-related, prescriber-related, and system-related factors. We discuss how higher susceptibility to health complications, barriers to income and employment, additional health care costs, the complexity of medical regimens, limited access to physician services, and other policy-related factors increase the risk of persons with disabilities to face cost-related barriers to fulfill their necessary medications.

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“…They may also require specialist care and rehabilitation to address ongoing aspects of their impairments, which may be accessed through referral from primary health services [4]. Yet, at the same time, people with disabilities often experience greater barriers to their healthcare access, despite their greater need [10][11][12][13][14][15][16][17][18], due to inaccessible environments and discriminatory belief systems and negative attitudes. Evidence from high income contexts suggests that, in comparison to non-disabled people, people with disabilities attend fewer routine health examinations [19], and are less likely to receive preventive care [14,[20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Barriers to accessing primary healthcare services for people with disabilities in low and middle-income countries, a Meta-synthesis of qualitative studies

Hashemi

Wickenden

Bright

et al. 2020

Disability and Rehabilitation

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Prevalence and reasons for delaying and foregoing necessary care by the presence and type of disability among working-age adults

Cited by 36 publications

References 28 publications

Perspectives on Disability and Non-Communicable Diseases in Low- and Middle-Income Countries, with a Focus on Stroke and Dementia

Perspectives on Disability and Non-Communicable Diseases in Low- and Middle-Income Countries, with a Focus on Stroke and Dementia

An Adapted Model of Cost-Related Nonadherence to Medications Among People With Disabilities

Barriers to accessing primary healthcare services for people with disabilities in low and middle-income countries, a Meta-synthesis of qualitative studies

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