Demographics and Durable Medical Equipment Needs of Persons With Disabilities in a Charitable Rehabilitation Clinic
| Autor: | Monica Verduzco-Gutierrez, Claudia I. Martinez, Argyrios Stampas, Ashley N. Sanchez, Jean Woo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Adolescent medicine.medical_treatment Ethnic group Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers 03 medical and health sciences Young Adult 0302 clinical medicine Wheelchair Personal hygiene medicine Humans Disabled Persons Durable Medical Equipment Medical diagnosis Child Health Services Needs and Demand Insurance Health business.industry Rehabilitation Middle Aged Durable medical equipment Amputation Family medicine Female 0305 other medical science business Medicaid Bathroom Equipment 030217 neurology & neurosurgery Needs Assessment |
| Zdroj: | American journal of physical medicinerehabilitation. 100(3) |
| ISSN: | 1537-7385 |
| Popis: | This study characterizes the demographics and durable medical equipment needs of persons with disabilities to improve utilization and management of resources at a philanthropic rehabilitation clinic. Paper charts from all encounters between 2013 and 2018 were reviewed. Data collected include sex, age, ethnicity, insurance status, diagnoses, and durable medical equipment requested/received. Paper charts that were incomplete or illegible were excluded. Among 763 individuals, there were 1157 encounters for durable medical equipment requests. Forty-six percent of individuals were uninsured. Thirty-seven percent had federal insurance such as Medicare or Medicaid, and 6% private insurance. Fifty-five percent of individuals were Hispanic, 28% African American, and 14% White. Fifty-six percent of encounters were with individuals with a neurological diagnosis, 18% medical diagnosis, 17% musculoskeletal/autoimmune diagnosis, 6% amputation diagnosis, and 3% cancer diagnosis. Of the 2680 items distributed, 34% were wheelchair parts and repair, 30% personal hygiene/incontinence supplies, 25% mobility equipment, and 11% bathroom equipment. Of the 513 unmet items requested, 49% were mobility equipment, 24% wheelchair parts and repair, 17% personal hygiene/incontinence supplies, and 11% bathroom equipment. More than a third (43%) of durable medical equipment requests were from individuals with either private insurance or federal payers, which implies lack of adequate coverage on durable medical equipment to maintain mobility and independence. |
| Databáze: | OpenAIRE |
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