The relationship between employment and health and health care among working-age adults with and without disabilities in the United States

The relationship between employment and health and health care among working-age adults with and without disabilities in the United States

Source: The relationship between employment and health and health care among working-age adults with and without disabilities in the United States: Disability and Rehabilitation: Vol 0, No 0

Purpose: To better understand the relationship between employment and health and health care for people with disabilities in the United States (US).

Methods: We pooled US Medical Expenditure Panel Survey (2004–2010) data to examine health status, and access to health care among working-age adults, comparing people with physical disabilities or multiple disabilities to people without disabilities, based on their employment status. Logistic regression and least squares regression were conducted, controlling for sociodemographics, health insurance (when not the outcome), multiple chronic conditions, and need for assistance.

Results: Employment was inversely related to access to care, insurance, and obesity. Yet, people with disabilities employed in the past year reported better general and mental health than their peers with the same disabilities who were not employed. Those who were employed were more likely to have delayed/forgone necessary care, across disability groups. Part-time employment, especially for people with multiple limitations, was associated with better health and health care outcomes than full-time employment.

Conclusion: Findings highlight the importance of addressing employment-related causes of delayed or foregone receipt of necessary care (e.g., flex-time for attending appointments) that exist for all workers, especially those with physical or multiple disabilities.

  • Implications for rehabilitation
  • These findings demonstrate that rehabilitation professionals who are seeking to support employment for persons with physical limitations need to ensure that overall health concerns are adequately addressed, both for those seeking employment and for those who are currently employed.

  • Assisting clients in prioritizing health equally with employment can ensure that both areas receive sufficient attention.

  • Engaging with employers to develop innovative practices to improve health, health behaviors and access to care for employees with disabilities can decrease turnover, increase productivity, and ensure longer job tenure.

Broad PCORI Funding Announcements – Cycle 1 2018 (for Addressing Disparities, Assessment of Options, Communication and Dissemination Research, Improving Healthcare Systems) | PCORI

Source: Broad PCORI Funding Announcements – Cycle 1 2018 (for Addressing Disparities, Assessment of Options, Communication and Dissemination Research, Improving Healthcare Systems) | PCORI

Letters of Intent are due Tuesday, February 13, 2018, by 5:00 p.m. ET.
Those selected to submit a full application will be notified by Wednesday, March 14, 2018.
Full applications are due Wednesday, May 16, 2018, by 5:00 p.m. ET.

The Broad PCORI Funding Announcements (PFAs) seek investigator-initiated applications for patient-centered comparative clinical effectiveness research (CER) projects aligned with our priority areas for research. This PFA covers the following four priority areas: Addressing Disparities; Assessment of Prevention, Diagnosis, and Treatment Options; Assessment of Prevention, Diagnosis, and Treatment Options; Communication and Dissemination Research; and Improving Healthcare Systems. We are looking for your best ideas to address needs of patients, caregivers, clinicians, and other healthcare stakeholders in making personalized clinical decisions across a wide range of conditions, populations, and treatments.

These broad areas encompass the patient-centered comparative clinical effectiveness research we support. As our work progresses and we engage with a broad range of patients, caregivers, clinicians, and other healthcare stakeholders, we may develop additional national priorities for research.

Our National Priorities for Research and Research Agenda is a framework to guide our funding of comparative clinical effectiveness research that will give patients and those who care for them the ability to make better-informed health decisions. The framework was developed by workgroups of our Board of Governors, members of our Methodology Committee, and staff. It was revised in response to public comments and accepted by the Board on May 21, 2012.

Compounded Disparities: Health Equity at the Intersection of Disability, Race, and Ethnicity

Source: Compounded Disparities: Health Equity at the Intersection of Disability, Race, and Ethnicity – NEW : Health and Medicine Division

DOWNLOAD PDF: Compounded Disparities – Intersection of Disabilities Race and Ethnicity