Access to care among disabled adults on Medicaid.
Although disabled individuals account for a disproportionate share of Medicaid expenditures, little is known about their health care needs and experiences. This article explores differences in access and use among key disability subgroups--adults with physical disabilities, mental illness, and mental retardation/development disabilities (MR/DD). We find that disabled Medicaid beneficiaries with mental illness and those with greater health and functional limitations face more difficulties in obtaining care. This suggests a need for changes in the system of care under Medicaid, including targeting efforts to improve access to individuals with specific types of disabilities.
Long
Sharon K
SK
slong@ui.urban.org
Coughlin
Teresa A
TA
Kendall
Stephanie J
SJ
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D006233:Persons with Disabilities / Q000145:classification; D005006:Ethnicity; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008484:Medicaid / Q000592:standards / Q000706:statistics & numerical data*; D028642:Persons with Psychiatric Disorders; D008875:Middle Aged; D015999:Multivariate Analysis; D009519:New York City