Consequences of delayed or denied access to health care services: Perceptions of individuals with disabilities. APHA Annual Meeting Atlanta, GA October 22, 2001. Melinda Neri, Thilo Kroll, and Jessica Scheer NRH Center for Health & Disability Research Washington, DC www.nrhchdr.org.
APHA Annual Meeting
October 22, 2001
Melinda Neri, Thilo Kroll, and Jessica Scheer
NRH Center for Health & Disability Research
Illustrating the sequential effects and consequences of barriers to health care,
e.g. barriers to care increased service utilization decreased independence
“My shoulders have gotten to a point now to where that is creating a problem with transferring. If I could have gotten physical therapy done earlier, there’s a great possibility this problem could have been helped. What’s going to happen now is it’s just shortening the time I’m going to be able to live by myself. I’m going to have to go into a nursing home eventually, but a lot quicker…I’ll be lucky if I can stay by myself, say, another three, four years.”
“A lot of my mobility was cut down, and I couldn’t do the things I normally do. My husband would have to help me out of bed… things didn’t get done that normally got done. I couldn’t stand and cook meals like I usually do, and I couldn’t clean…house, stand and do dishes or things like that.”
“…I can’t sit around the house and do nothing. I have to be able to feel like I’m worthwhile doing something, even if it’s sitting down and stuffing envelopes…The doctor didn’t feel it was necessary that I have OT…”
What is needed?
A better understanding of….
For the consumer with a disability...
For health care providers and health plans...
For health care delivery…