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Healthcare coverage and utilization among caregivers in the United States: Findings from the 2015 Behavioral Risk Factor Surveillance System.
Rehabilitation Psychology ( IF 3.713 ) Pub Date : 2020-02-01 , DOI: 10.1037/rep0000307
Jamie L Tingey 1 , Jeremiah Lum 1 , Whitney Morean 1 , Rebecca Franklin 1 , Jacob A Bentley 1
Affiliation  

PURPOSE/OBJECTIVE Caregivers are vital to our health care system and its sustainability, yet extensive literature has recognized caregivers' vulnerabilities for experiencing financial, physical, and emotional difficulties-compromising the sustainability of their services. The risks associated with being a caregiver are not well-defined and warrant further exploration to guide national health initiatives underway. This brief report sought to identify risks that may be associated with the wide-ranging secondary effects of being a caregiver. Specifically, health care coverage and utilization were compared between caregivers and noncaregivers in a large national sample. METHOD A cross-sectional study design was used with data from the 2015 Behavioral Risk Factor Surveillance System. Risk ratio analyses were conducted to assess how many times more likely unpaid adult caregivers were for experiencing specific risks related to health care access, relative to noncaregivers. RESULTS Caregivers (n = 24,034; 64.5% female; 69.6% preretirement age) were more at risk for lacking health care coverage and underutilizing needed health care service due to cost, when compared to noncaregivers (n = 84,412; 57.3% female; 61.8% preretirement age). Caregivers were also at an increased risk for lifetime diagnosis of a depressive disorder and activity limitations due to a health challenge. CONCLUSIONS Our findings highlight the need for the development of low-cost and accessible clinical services available to caregivers. Rehabilitation psychology can offer unique and instrumental contributions for addressing this growing population's health care needs by informing disability-focused public health agendas and incorporating caregivers into rehabilitation programs for care recipients. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译:

美国护理人员的医疗保健覆盖率和利用率:2015 年行为风险因素监测系统的调查结果。

目的/目标 护理人员对我们的医疗保健系统及其可持续性至关重要,但大量文献已经认识到护理人员在经历财务、身体和情感困难时的脆弱性——影响其服务的可持续性。与作为护理人员相关的风险没有明确定义,需要进一步探索以指导正在进行的国家卫生举措。这份简短的报告试图确定可能与照顾者的广泛次要影响相关的风险。具体而言,在大型全国样本中比较了护理人员和非护理人员之间的医疗保健覆盖率和利用率。方法 横断面研究设计与 2015 年行为风险因素监测系统的数据一起使用。进行风险比分析以评估相对于非护理人员而言,无偿成年护理人员经历与医疗保健相关的特定风险的可能性要高出多少倍。结果 与非护理人员(n = 84,412;57.3% 女性;61.8%)相比,护理人员(n = 24,034;64.5% 女性;69.6% 退休前年龄)因成本而缺乏医疗保险和未充分利用所需医疗保健服务的风险更大退休年龄)。由于健康挑战,护理人员终生诊断出抑郁症和活动受限的风险也增加了。结论 我们的研究结果强调了开发可供护理人员使用的低成本和可获得的临床服务的必要性。康复心理学可以为应对这一不断增长的人口提供独特而有益的贡献” 通过告知以残疾为重点的公共卫生议程并将护理人员纳入护理接受者的康复计划,从而满足医疗保健需求。(PsycINFO 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-02-01
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