Purpose

Young adults with disability experience barriers to healthcare access and are at risk for not receiving needed services as they transition from pediatric to adult health systems. This study examined patterns of healthcare utilization for young adults with disability and potential barriers to receipt of care.

Methods

Data from the 2014 to 2018 National Health Interview Survey were analyzed to examine differences in service utilization, unmet need, care satisfaction, and financial worry between young adults (18–30 years) with and without disability (unweighted n = 15,710). Odds ratios were adjusted for individual, family, and interview characteristics.

Results

Compared to those without disability, young adults with disability were more likely to have had an emergency room visit in the past year (39.2% vs. 19.5%). They were also more likely to have a usual source of care when sick (82.2% vs. 75%). Among young adults who affirmed they had a usual place of care, those with disability were more likely to use the emergency room as their usual place of care (5.3% vs. 1.8%). A greater percentage of young adults with disability delayed medical care due to cost (19.1% vs. 8.9%) and reported an unmet medical need (21% vs. 10.2%).

Conclusions

Findings highlight gaps in healthcare access for young adults with disability. Differences in healthcare utilization patterns for young adults with disability and factors that may negatively influence health outcomes for this population were found. Further research focused on the continuity of healthcare services in this age group through the healthcare transition period may provide additional insight into these discrepancies.

中文翻译：

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年轻残障人士的医疗保健获取和利用：美国，2014-2018 年

目的

患有残疾的年轻人在获得医疗保健方面遇到障碍，并且在从儿科卫生系统过渡到成人卫生系统时面临着无法获得所需服务的风险。这项研究调查了残疾年轻人的医疗保健利用模式以及接受护理的潜在障碍。

方法

对 2014 年至 2018 年全国健康访谈调查的数据进行了分析，以研究有残疾和无残疾的年轻人（18-30 岁）之间在服务利用、未满足的需求、护理满意度和财务担忧方面的差异（未加权 n = 15,710）。根据个人、家庭和访谈特征调整优势比。

结果

与无残疾的人相比，有残疾的年轻人在过去一年中更有可能去急诊室就诊（39.2% vs. 19.5%）。他们在生病时也更有可能获得常规护理来源（82.2% 比 75%）。在确认自己有惯常护理地点的年轻人中，残障人士更有可能将急诊室作为他们惯常的护理地点（5.3% vs. 1.8%）。更大比例的残疾年轻人因费用而推迟医疗护理（19.1% vs. 8.9%），并报告医疗需求未得到满足（21% vs. 10.2%）。

结论

调查结果凸显了残疾年轻人在获得医疗保健方面的差距。发现了残疾年轻人的医疗保健利用模式的差异以及可能对该人群的健康结果产生负面影响的因素。进一步的研究重点关注这个年龄段的医疗保健服务在医疗保健过渡期的连续性，可能会为这些差异提供更多的见解。