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美国残疾成年人因 COVID-19 大流行而延迟医疗和未满足的护理需求。

Delayed Medical Care And Unmet Care Needs Due To The COVID-19 Pandemic Among Adults With Disabilities In The US.

机构信息

Ilhom Akobirshoev (

Michael Vetter, Brandeis University.

出版信息

Health Aff (Millwood). 2022 Oct;41(10):1505-1512. doi: 10.1377/hlthaff.2022.00509.

Abstract

Pandemic-related disruptions in access to medical care services, along with elevated rates of comorbidity, increase the risk for severe illness and death from COVID-19 for people with disabilities. Analyzing data from the 2020 National Health Interview Survey, we examined the impact of the COVID-19 pandemic on adults' access to medical care services by presence and type of disability. Adults with disabilities, including in each disability category, experienced significant disparities in delayed and unmet need for medical care during the first year of the COVID-19 pandemic. Improving data collection on disabled Americans according to disability status and type of disability, designating people with disabilities as a Special Medically Underserved Population under the Public Health Services Act, and incorporating standardized disability data in electronic health record systems would inform policies, programs, and interventions to achieve equitable access to high-quality medical care services that meet the needs of all people with disabilities during the COVID-19 pandemic and beyond.

摘要

与医疗保健服务相关的大流行病相关干扰,以及合并症发生率的上升,增加了残疾人士患 COVID-19 后重病和死亡的风险。我们分析了 2020 年全国健康访谈调查的数据,根据残疾状况和残疾类型,研究了 COVID-19 大流行对成年人获得医疗保健服务的影响。残疾成年人,包括每种类别的残疾,在 COVID-19 大流行的第一年都经历了显著的医疗保健延迟和未满足需求的差异。根据残疾状况和残疾类型,改善对美国残疾人士的数据分析,根据《公共卫生服务法》将残疾人士指定为特殊医疗服务不足人群,并在电子健康记录系统中纳入标准化残疾数据,将为实现公平获得高质量医疗保健服务的政策、计划和干预措施提供信息,这些服务将满足 COVID-19 大流行期间和之后所有残疾人士的需求。

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