ACCESS TO HEALTH CARE:  General Information

 

Health Insurance

Ability to Obtain Care

Access to Reproductive Health Care

Medical Professionals’ Knowledge

Interventions

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Health Insurance

 

The combined effect of unemployment, poverty, and single marital status make women with disabilities much less likely to have private health insurance than non-disabled women.

·        The 1994-1995 National Health Interview Survey revealed that private health insurance was available to 47% of women with three or more limitations and 60% of women with one or two limitations, compared to 75% of women with no limitations.

·        Studies have documented the refusal of many physicians to treat patients who do not have private insurance, and who are covered only by Medicaid or Medicare.  Thus, women with disabilities have access to a smaller pool of physicians, who may lack experience treating women with their disabilities.

·        Inadequate capitated payment levels to health care providers create disincentives to accepting women with disabilities and chronic conditions such as multiple sclerosis.

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Women with disabilities who have public or private health insurance often do not have coverage for certain prescription drugs, physical or occupational therapy, assistive devices, medical equipment, medical supplies, or in-home attendant care services.

·        These services are denied through very restrictive definitions of medical necessity, which are based on a health care system designed to treat short-term health conditions rather than chronic conditions.

·        Services needed to maintain physical or mental functioning or to slow the progression of disease or functional loss are routinely denied.

·        A recent state study consisting of 71% women found that having a chronic condition decreased the probability of having adequate health insurance coverage by 10% and 25% if the individual was also single.  Men had a higher probability of having adequate coverage.

·        Health insurers are legally permitted to reduce coverage for a specific chronic condition or to raise the cost of premiums for those who have certain chronic conditions and disabilities.  In effect, this reduces health insurance coverage for women with disabilities who cannot afford the high premiums.

·        Men and women with disabilities and chronic conditions in managed care plans are generally less satisfied with accessibility, technical care, communication, choice, interpersonal relations, and quality of outcomes than those in fee for service plans. However, managed care plans designed to address specific needs associated with disability improve both access and outcomes compared with other health care sources.

·        Due to uncovered health service expenses, payment of the full deductible, and having to pay higher coinsurance costs, men and women with disabilities and chronic conditions bear a larger burden of out-of-pocket expenses for health care than do able-bodied persons.  The greater the number of chronic conditions, the higher the level of out-of-pocket spending.  Large out-of-pocket health care expenses comprise a greater proportion of lower income for women, which impedes access to care, impairs health status and quality of life, and leaves insufficient income to cover other necessities.

·        Medicaid is better than Medicare and private insurance for covering supportive services needed by persons with functional limitations, making those with low incomes eligible for a wider array of services than a middle-income person.

·        Nearly two-thirds of those with functional limitations who live in the community rely exclusively on family, friends, and volunteers for personal assistance services.

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Nearly 15% of women with functional limitations in the 45-64 age range have no health care coverage at all.

·        Women in this age range are particularly vulnerable to lacking health care coverage because the prevalence of chronic conditions begins to rise in midlife at the same time that they are vulnerable to age-related employment discrimination or asked to retire early, leaving them without private group health insurance, while not being old enough to qualify for Medicare.

·        Those with no health insurance are less likely to access health care for serious symptoms than are those with health insurance.

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Ability to Obtain Care

 

It is more difficult for women with disabilities than non-disabled women to obtain needed health services from both primary care physicians and specialists.

·        Younger women with disabilities have more difficulty obtaining general medical care, dental care, prescription medicines, eye glasses, and mental health care than younger non-disabled women. 

·        Delaying care due to cost is a serious problem for women with disabilities, especially those in the 18-44 age range.

·        A substantial proportion of primary care physician’s offices are still not in compliance with ADA requirements.

·        Nearly a third of women with physical disabilities reported being denied services at a doctor’s offices solely because of their disability.

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Women with disabilities are more likely than non-disabled women to receive their usual medical care from specialists.

·        The average Medicare beneficiary with one or more chronic conditions sees eight different specialists.

·        Due to inadequate coordination and communications among different specialists, millions of people with chronic conditions receive inconsistent diagnoses for the same condition and were told by a pharmacist that a new prescription would interact with another drug they were already taking.

·        Medical information systems do not allow physicians to know how other physicians are treating a given patient.

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Barriers to health care have a disproportionate negative effect on the health and longevity of women with disabilities compared to non-disabled women.

·        A higher proportion of non-survivors with compared with survivors with lupus had reported difficulty in obtaining health care.

·     Limitations and cutbacks in the availability of in-home attendant services have a disproportionate negative effect on women, particularly women with disabilities.

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Access to Reproductive Health Care

 

Women with disabilities are significantly less likely to receive information on contraceptive options or screening for sexually transmitted diseases than non-disabled women.

·        Studies indicate that gynecologists are significantly less likely to ask women with three or more functional limitations or obvious physical deformity than women with no limitations about use of contraceptives.

·        Very few of the women who used contraception in one study believed that their physicians considered their disabilities when recommending a contraceptive method.

·         Doctors who assume women with disabilities are not sexually active may fail to screen for STDs or educate them about safe sex practices.

·        Women with disabilities are discouraged from getting screened for STDs by inaccessible doctors’ offices, difficulty getting onto the examination table, or previous experience with doctors not knowing how to handle disability-related symptoms during the exam such as spasticity, imbalance, and autonomic dysreflexia.

·        Women with disabilities are frequently told that a pelvic exam is unnecessary because it would be too difficult to perform.

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Women with disabilities may be less likely to receive breast and cervical cancer screening, are diagnosed at later stages, and experience limitations in treatment options compared to non-disabled women. 

·        Women with extensive functional limitations are less likely to receive breast and cervical cancer screening according to recommended guidelines than non-disabled women.

·     A national interview survey found that women with major long-term mobility impairments were less likely to have Pap smears and mammograms.   The most common reason women with disabilities give for avoiding screenings is difficulty getting onto, or staying on, the exam table, or inability to assume the position required for a mammogram.

·        Women who are noncompliant with mammography or cervical cancer screening are much more likely than women who are screened regularly to have no health care plan or coverage of preventive services, or experience other cost barriers to accessing services.

·        Women with disabilities are more likely to be diagnosed at later stages of breast cancer.

·        Treatment is likely to be less successful when begun at a late stage, resulting in increased mortality rates.

·    There is some evidence that women with disabilities are less likely to receive breast conserving surgery or neoadjuvant therapy than non-disabled women.

·        Having certain chronic conditions and mobility impairments may limit options for treating cancer, such as adverse outcomes from radiation or interactions of cancer drugs with drugs taken for the chronic conditions.

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Medical Professionals’ Knowledge of Women’s Health and Disability

 

Health care providers under any type of health care plan generally do an inadequate job of meeting the health information needs of women with disabilities.

·        Health care provided under both fee-for-service and HMO plans did a poor job of meeting the information needs of patients with multiple sclerosis, three-quarters of whom were women.

·       Primary care physicians and obstetricians/gynecologists generally receive very little if any training in the effect of disability on the reproductive health of women.

·       Women with disabilities report that medical professionals often regard them as being asexual.

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Women with disabilities from diverse ethnic backgrounds and sexual orientation may differ greatly in their definitions of health problems, health care seeking behaviors, and access to quality health care.

·        Lesbians often avoid health care, or do not disclose their sexual orientation, because of experience with negative responses from health care providers, including inappropriate treatment, refusing to provide care, and sexual harassment.

·        Gynecologists and nurses have revealed in surveys that they do not accept lesbians and feel uncomfortable dealing with them.

·        Revealing to a doctor that one is a lesbian may jeopardize disability and medical benefits and services.

·       Disabled lesbians, especially those who are nonwhite, face multicultural discrimination in accessing quality health care.

·        Within cultural or ethnic categories, important differences may exist in languages, levels of acculturation based on immigrant status, socioeconomic status, ways of understanding illness and health care, expression and meaning of illness, differences in outcome from illness, pain and pain coping, and psychological dysfunction in relation to stressors.

·        There are racial disparities in health care access and treatment of certain chronic conditions, but not for others.

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Interventions to Promote Quality Health Care for Women with Disabilities

 

CROWD, Gynecological Concerns in the Care of Women with Physical Disabilities

 

CROWD, Internet Training on Reproductive Health Maintenance for Women with Physical Disabilities

 

AAMC Minimum Competencies for Primary Care Physicians

 

University of Alabama at Birmingham, reproductive health clinic for women with SCI

 

Rehabilitation Institute of Chicago, Health Care Resources for Women with Disabilities

 

Magee Women’s Hospital, Center for Women with Physical Disabilities

 

Linda Mona’s sexuality center for people with disabilities, Philadelphia

 

Kathy Simpson of Planned Parenthood and Linskowsky of United Cerebral Palsy: Preparing women with cognitive impairments to go for a gynecologic exam.

 

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