The Disability Support Pension (DSP) is the major Australian government financial benefit program for people of working age with medical conditions and disabilities that restrict work capacity. Between 2012 and 2018 a series of policy reforms sought to restrict the growth in DSP payments and encourage more people with some work capacity to seek employment. We characterise changes in three markers of access to disability financial support over the reform period (1) DSP recipient rates (2) DSP grant (approval) rates and (3) the rate of unemployment benefit receipt in people with impaired work capacity. Results demonstrate a significant reduction in DSP receipt and grant rates, and significant increase in the rate of unemployment benefit receipt in working-age Australians with work disabling medical conditions and disability. These changes were not distributed uniformly. People whose primary medical condition was a musculoskeletal or circulatory system disorder demonstrated greater declines in DSP receipt and grant rates, while there was a more rapid increase in unemployment benefit receipt among people with primary mental health conditions. Some trend changes occur in periods during which new disability assessment and pension eligibility policies were introduced, though our ability to attribute changes to specific policy changes is limited.

中文翻译：

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社会福利改革期间获得澳大利亚残疾支持福利的变化

Disability Support Pension (DSP) 是澳大利亚政府的一项主要经济福利计划，适用于患有限制工作能力的医疗条件和残疾的工作年龄的人。2012 年至 2018 年期间，一系列政策改革旨在限制 DSP 支付的增长，并鼓励更多具有一定工作能力的人就业。我们描述了改革期间获得残疾财政支持的三个指标的变化（1）DSP 领取者率（2）DSP 补助（批准）率和（3）工作能力受损人群的失业救济金领取率。结果表明 DSP 的领取和补助率显着降低，而工作年龄的澳大利亚人因工作致残的医疗条件和残疾而领取失业救济金的比率显着增加。这些变化不是均匀分布的。主要疾病是肌肉骨骼或循环系统疾病的人的 DSP 收入和补助率下降幅度更大，而患有主要精神健康问题的人的失业救济金收入增长更快。在引入新的残疾评估和养老金资格政策期间会发生一些趋势变化，尽管我们将变化归因于特定政策变化的能力有限。