OBJECTIVE: To examine disparities in having a usual source of care and forgoing physician visits because of cost between elderly people (age > or =65y) with and without disabilities after consecutively controlling for predisposing, enabling, and perceived and evaluated health need factors using the Andersen behavioral model, and to identify the determinants of such disparities.… Read More »»
Socioeconomic Status
Forgoing physician visits because of cost: a source of health disparities for elderly people with disabilities?
Exercise training for African Americans with disabilities residing in difficult social environments.
Objective: To examine the feasibility, efficacy, and safety of a structured 12-week exercise training program for a predominantly African-American group of adults with multiple health conditions who reside in difficult social environments. Methods: A total of 37 females and 7 males (mean age, 54.1 years) participated in an exercise training regimen 3 days per week… Read More »»
Changing the chronic care system to meet people’s needs.
Persons who are likely to be the heaviest users of medical and supportive care services—those with chronic illnesses, disabilities, and functional limitations—are often forced to navigate a system that requires them to perform most of the coordination functions themselves and is generally not organized around their needs. In 1996 an estimated 128 million Americans had… Read More »»
Consumer and surrogate preferences for a cash option versus traditional services: Florida adults with developmental disabilities.
As long-term service expenditures have risen, policymakers have sought ways to control costs while maintaining consumer satisfaction. Concurrently, there is increasing interest in the disability community in consumer direction. The Cash and Counseling Demonstration and Evaluation (CCDE) seeks to increase consumer direction and control costs by offering a cash allowance and information services to persons… Read More »»

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