Rates of access to assistive equipment and medical rehabilitation services among people with disabilities.
OBJECTIVE
To determine rates of access to assistive equipment and medical rehabilitation services among people with disabilities in the US, and to determine whether health plan type is associated with rates of access to these health services.


METHODS
Results were derived from a nationwide US survey sample of people with cerebral palsy, multiple sclerosis or spinal cord injury. Analyses were restricted to working-age adults (n=500). Need for, and receipt of (1) assistive equipment in the last 12 months, and (2) rehabilitative services in the last 3 months, was determined.


RESULTS
Over half of the sample indicated a need for assistive equipment in the last 12 months. Nearly a third of those who indicated a need did not receive assistive equipment every time it was needed. Forty per cent of the sample indicated a need for rehabilitative services in the last 3 months, and over half of those indicating a need did not receive rehabilitative services every time they were needed. Access rates did not differ appreciably between respondents covered by managed care and fee-for-service health plans.


CONCLUSIONS
Emphasis in healthcare for people with disabilities should shift from traditional acute healthcare models that focus on functional restoration, to preventive services, and maintenance of function, health and independence.
Bingham
Shawn C
SC
National Rehabilitation Hospital, Center for Health and Disability Research, 1016 16th St. NW Suite 400, Washington, DC 20036, USA.
Beatty
Phillip W
PW
D000328:Adult; D003695:Delivery of Health Care / Q000706:statistics & numerical data; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D012656:Self-Help Devices; D014481:United States