Raiz L
Ohio State University Hospitals, Columbus 43210, USA.
J Health Soc Policy. 1997;8(4):67-87. doi: 10.1300/J045v08n04_05.
This study examined the relationship between concern for health insurance coverage and employment status following renal transplantation. The sample consisted of 293 individuals who underwent renal transplantation at The Ohio State University Medical Center. The study found fewer individuals reported employment during the past year (58%) than indicated they were able to work (72%). Although 72% of the sample indicated the physical ability to work 41% reported receiving a monthly disability check. Regression analysis revealed that receipt of a monthly disability check and employment status one day prior to transplant were the two most significant predictor variables for employment activity during the year prior to participation in this study. Intervention that is coordinated on a psychosocial level from the time of diagnosis of ESRD throughout the post-transplant period is critical to supporting individuals in pursuing their goals. Research findings should be utilized to advise policy-makers and advocate for system changes that support employment for individuals with ESRD.
本研究调查了肾移植后对医疗保险覆盖范围的担忧与就业状况之间的关系。样本包括在俄亥俄州立大学医学中心接受肾移植的293名个体。研究发现，报告过去一年有工作的个体（58%）少于表示自己能够工作的个体（72%）。尽管72%的样本表示有身体能力工作，但41%的人报告每月领取残疾补助金。回归分析显示，在参与本研究前一年，每月领取残疾补助金以及移植前一天的就业状况是就业活动的两个最显著预测变量。从终末期肾病诊断之时起，在整个移植后阶段进行社会心理层面协调的干预，对于支持个体实现其目标至关重要。研究结果应用于为政策制定者提供建议，并倡导进行系统变革，以支持终末期肾病患者就业。
