Quality of Care and Role of Health Insurance Among Non-Elderly Women with Disabilities

Shin, Jaeun; Moon, Sangho

doi:10.1016/j.whi.2008.02.005

Cited by 13 publications

(13 citation statements)

References 32 publications

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“…[20, 21] On the other hand, while financial limitations are often reported as one of the main reasons why disabled women do not access preventative services,[22] our study shows that this is not necessarily the case; a very small percentage of disabled women in our study mentioned financial reasons for not doing the Pap test (0.8%) or the mammogram (1.9%). The reason behind this might be the introduction of these cancer screening procedures into the AUGE-GES system that have made the Pap test and mammography more accessible financially.…”

Section: Discussionmentioning

confidence: 66%

Utilisation of cancer screening services by disabled women in Chile

Sakellariou

Rotarou

2017

PLoS ONE

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BackgroundResearch has shown that women with disabilities face additional challenges in accessing and using healthcare services compared to non-disabled women. However, relatively little is known about the utilisation of cancer screening services for women with disabilities. This study addresses this gap by examining the utilisation of the Papanicolaou test and mammography for disabled women in Chile.MethodsWe used cross-sectional data, taken from a 2015 nationally-representative survey. Initially, we employed logistic regressions to test for differences in utilisation rates for the Papanicolaou test (66,281 observations) and the mammogram (35,294 observations) between disabled and non-disabled women. Next, logistic regressions were used to investigate the demographic, socioeconomic, and health-related factors affecting utilisation rates for cancer screening services for disabled women (sample sizes: 5,823 observations for the Papanicolaou test and 5,731 observations for the mammogram).ResultsDisabled women were less likely to undergo screening tests than non-disabled women. For the Papanicolaou test and mammography, the multivariable regression models showed that living in rural areas, having higher education, being affiliated with a private health insurance company, giving a good health self-assessment score, and being under medical treatment for other illnesses were associated with higher utilisation rates. On the other hand, being single, inactive with regard to employment, and having a better income were linked with lower utilisation. While utilisation rates for both disabled and non-disabled women have increased since 2006, the utilisation disparity has slightly increased.ConclusionsThis study shows the influence of various factors in the utilisation rates of preventive cancer screening services for disabled women. To develop effective initiatives targeting inequalities in the utilisation of cancer screening tests, it is important to move beyond an exclusively single-disease approach and acknowledge the complexity of the patient population.

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Section: Discussionmentioning

confidence: 66%

Utilisation of cancer screening services by disabled women in Chile

Sakellariou

Rotarou

2017

PLoS ONE

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“…A major finding of the study was that people with disability reported visiting a health care facility significantly more often than people without a disability. Increased use of health care services by people with disabilities has also been reported from some countries earlier [11, 16–19, 24, 33, 34]. If the unmet needs of people with disability have to be met, innovative strategies will need to be devised to reach out to people with disabilities, especially women who despite having an increased need may not be able to access services.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, studies also show that despite all their needs not being met, people with disabilities use hospital services significantly more compared to people without a disability [11, 16–19]. An extensive analysis shows that people with disabilities consistently had higher total health expenditures, out-of pocket (OOP) spending, and burden compared with their counterparts without disabilities [20].…”

Section: Introductionmentioning

confidence: 99%

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Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study

et al. 2014

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BackgroundData shows that people with disability are more disadvantaged in accessing health, education and employment opportunities compared to people without a disability. There is a lack of credible documented evidence on health care access and barriers to access from India. The South India Disability Evidence (SIDE) Study was undertaken to understand the health needs of people with disabilities, and barriers to accessing health services.MethodsThe study was conducted in one district each in two States (Andhra Pradesh and Karnataka) in 2012. Appropriate age and sex-matched people without a disability were recruited to compare with people with disability who were identified through a population-based survey and available government disability records by trained key informants. These people were then examined by a medical team to confirm the diagnosis. Investigators administered questionnaire schedules to people with and without a disability to harness information on employment and health service access, utilization and barriers.ResultsA total of 839 people with disabilities and 1153 age and sex matched people without a disability, aged 18 years or more were included. People with disability had significantly lower employment rates. On univariate analysis, people with disability (18.4%) needed to visit a hospital significantly more often in the preceding year compared to people without a disability (8.8%) (X2- 40.0562; P < =0.001). However adjusted odds ratios did not show a statistically significant difference. Significant differences were also observed with respect to past hospitalization. People with disabilities had 4.6 times higher risk of suffering from diabetes and 5.8 times higher risk of suffering from depression compared to people without a disability and the risk was significantly higher in males compared to females with disability. People with disability faced significantly more barriers to accessing health services compared to people without a disability. Barriers included ignorance regarding availability of services, costs of services and transportation.ConclusionsThis study highlights the challenges that people with disability face in accessing health-care and employment opportunities. The study findings have public health implications and should be used for planning need-based appropriate strategies to improve health care access for people with disabilities.

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“…Financial issues and lack of insurance coverage were cited as primary reasons why women with three or more functional limitations did not get mammograms and these women were more likely to be covered by Medicare, Medicaid or both, compared with their counterparts without disabilities (Chevarley et al, 2006). Among women with disabilities, the type of insurance is predictive of health care access and likelihood of receipt of mammograms (Shin & Moon, 2008; Wei et al, 2006). A study by Wei et al (2006) revealed the mammography rate to be 50% for women with disabilities who had no insurance compared to 73% for those with public insurance and 80% for those with private insurance.…”

Section: Barriers To Breast Cancer Screening: Financialmentioning

confidence: 99%

Breast Cancer Screening Barriers and Disability

Todd

Stuifbergen²

2012

Rehabilitation Nursing

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There is evidence that early detection from breast cancer screening is an effective means to reduce overall mortality from breast cancer. Findings from multiple research studies suggest that women with chronic disabling conditions are less likely to participate in breast cancer screening due to the multiple barriers they face. Barriers include those related to finances, environment, physical limitations, health care providers’ attitudes and lack of knowledge, and psychosocial issues. The purpose of this article is to provide an overview of the existing evidence of the barriers to breast cancer screening experienced by women with physical disabilities. Rehabilitation nurses who work with women who have chronic disabling conditions can be instrumental in eliminating these barriers to breast cancer screening through their efforts to promote health which is consistent with the philosophy of maximizing the health potential and quality of life of these women whose needs are often overlooked.

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Quality of Care and Role of Health Insurance Among Non-Elderly Women with Disabilities

Cited by 13 publications

References 32 publications

Utilisation of cancer screening services by disabled women in Chile

Utilisation of cancer screening services by disabled women in Chile

Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study

Breast Cancer Screening Barriers and Disability

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