Determinants of utilization of physical rehabilitation services for persons with chronic and disabling conditions: an exploratory study.

Abstract:

OBJECTIVE:To determine which variables influence the receipt of physical rehabilitation services (ie, physical, occupational, speech therapy) for a population of people with chronic and disabling conditions. DESIGN:A convenience sample of 502 adults with cerebral palsy (CP), multiple sclerosis (MS), and spinal cord injury (SCI), drawn from diverse parts of the United States. SETTING:Respondents were surveyed in the general community. PARTICIPANTS:Persons (91% under the age of 65 y) with CP, MS, or SCI who responded to the 1999 component of a national longitudinal survey. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Self-reported need for physical rehabilitation services. Bivariate and multivariate analyses were used to examine variables that influenced utilization of services. RESULTS:Some 53% of respondents did not receive self-reported needed physical rehabilitation services. Respondents who had Medicaid were more likely than those with Medicare or private insurance to receive physical rehabilitation services. Respondents having a lower household income and poorer health were less likely to receive services. CONCLUSIONS:Our findings indicate that health care funding sources provide widely disparate coverage for physical rehabilitation services to persons with 3 specific chronic and disabling conditions. Policy-makers and health plan administrators should re-evaluate their coverage of physical rehabilitation services designed to enhance quality of life and reduce the burden of lost independence.

journal_name

Arch Phys Med Rehabil

authors

Elrod CS,DeJong G

doi

10.1016/j.apmr.2007.08.122

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

114-20

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(07)01600-0

journal_volume

89

pub_type

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