Article

OBJECTIVE: To examine differences in access to preventive services for
working-age adults with physical limitations, nonphysical limitations, and no
limitations. DESIGN: Observational data were pooled across calendar years 2003
through 2012 from the Medical Expenditure Panel Survey (MEPS), a nationally
representative survey of noninstitutionalized U.S. adults. SETTING: Community.
PARTICIPANTS: Working-age adults (N=75,145; age range,
18-64y) who responded to
all 5 rounds of the MEPS during 2003 through 2012. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Blood pressure checks, flu shots, and dental visits, in
the last 12 months. RESULTS: Multivariate analyses showed that adults with
physical limitations were more likely to receive a blood pressure check (92.2% vs
69.6%, respectively; P<.001) or flu shot (39.7% vs 23.4%, respectively; P<.001)
than adults with no limitations. However, those with physical limitations were
less likely to have a dental checkup (44.7% vs 59.4%, respectively; P<.001) than
those with no limitation. Having a usual source of care increased the odds of
receiving preventive services. CONCLUSIONS: The study has implications for
providers and policymakers. Policies that support the adequacy of provider
networks and continuity with a usual source of care may increase the use of
preventive services in adults with physical limitations.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS