title: Medication use among Medicaid users of home and community-based services.
abstract: This study examines factors associated with access to medications for older persons and younger adults with physical disabilities who use Medicaid home and community-based services (HCBS). Using data from a six-State survey, we find the large majority of this population receives the medications it needs and has needed assistance in taking these drugs. However, 6.3 percent of this population reports unmet medication needs with financial access listed as the primary reason. Lack of transportation increases the probability of unmet need, while increased satisfaction with paid help lowers this probability. This study highlights the need to study the interaction of Medicaid, social services programs, and financial barriers for this disabled population.
authors.affiliation: RTI International. shinogle@umd.edu
authors.forename: Judith
authors.initials: J
authors.lastname: Shinogle
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Wiener
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services; D006233:Persons with Disabilities; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006699:Home Care Services; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D004364:Pharmaceutical Preparations; D014481:United States
chemical_list: D004364:Pharmaceutical Preparations