Department of Health Administration and Policy, University of Oklahoma Health Sciences Center, College of Public Health, 801 NE 13th Street, CHB 351, Oklahoma City, OK 73104, USA.
Womens Health Issues. 2010 Jan-Feb;20(1):66-74. doi: 10.1016/j.whi.2009.10.006.
Uninsured women with disabilities experience serious difficulties in accessing quality health care. Employment improves an individual's ability to access health insurance. The aim of Vocational Rehabilitation Services (VR) is to improve employment abilities for people with disabilities.
To examine gender differences in health insurance coverage for people who access VR and the factors that influence health insurance coverage for people with disabilities.
The study analyzed VR case management data from 617,149 cases that were closed by VR in 2006 in the United States. Chi-square and t-tests were used to examine gender differences and multivariate analysis was used to assess factors that influence health insurance coverage.
The study found significant gender differences in access to VR employment-enhancing services and in insurance coverage. Women were more dependent on coverage from public sources.
VR can improve health insurance coverage but is more effective with men than with women.
没有保险的残疾女性在获得高质量医疗保健方面存在严重困难。就业可以提高个人获得医疗保险的能力。职业康复服务（VR）的目的是提高残疾人的就业能力。
检查接受 VR 的人群中健康保险覆盖范围的性别差异，以及影响残疾人健康保险覆盖范围的因素。
本研究分析了 2006 年美国 VR 关闭的 617,149 例 VR 案例管理数据。使用卡方检验和 t 检验来检查性别差异，使用多变量分析来评估影响健康保险覆盖范围的因素。
研究发现，在获得 VR 就业增强服务和保险覆盖范围方面存在显著的性别差异。女性更依赖公共来源的保险。
VR 可以提高健康保险的覆盖范围，但对男性的效果比对女性更显著。
