Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration. Abstract Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Studies show that individuals with disabilities are more likely than people without disabilities to report:. People with disabilities often are more susceptible to preventable health problems that decrease their overall health and quality of life.
Secondary conditions such as pain, fatigue, obesity, and depression can occur as a result of having a disabling condition. Health disparities and secondary conditions can be the result of inaccessible health care facilities and equipment, lack of knowledge among health professionals about specific differences among people with disabilities, transportation difficulties, and higher poverty rates among people with disabilities.
Accessibility applies to both communication and physical access. For instance, health professionals need to be aware of how to effectively communicate with patients who have a range of disabilities, including people who are deaf or hard of hearing, or who have a speech, vision, or intellectual disability.
Providers should ensure that accessible medical equipment is available for people with disabilities such as scales, examination tables, or chairs. In addition, providers should plan for additional time during examinations, if needed. Some examinations may take longer than others, for all sorts of reasons, in the normal course of a medical practice. Uninsured people are less likely to receive medical care and more likely to have poor health status Healthy People Many people rely on public health insurance, such as Medicaid.
For access measures in this chartbook, a small number of people were covered by both public and private plans and were included in both categories. Measures of Coverage People under age 65 without health insurance coverage at the time of interview by: Age.
Poverty status. Uninsurance, by Age People under age 65 who were uninsured at the time of interview, by age, Q3 Quarter Total Q1 Trends: From January to September , the percentage of people under age 65 who were uninsured at the time of interview decreased from The percentage of people who were uninsured at the time of interview decreased for all age groups under age Adults ages experienced the largest declines. Trends: From January to June , the percentage of people under age 65 who were uninsured at the time of interview decreased for all poverty status groups.
Groups With Disparities: In all quarters, people in poor and near-poor households were more likely to be uninsured than people in households that were not poor.
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