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. 2012 Apr;47(2):698-720.
doi: 10.1111/j.1475-6773.2011.01346.x. Epub 2011 Nov 8.

Delay in seeing a doctor due to cost: disparity between older adults with and without disabilities in the United States

Jae Chul Lee  1 , Romana Hasnain-Wynia, Denys T Lau
Affiliations

Delay in seeing a doctor due to cost: disparity between older adults with and without disabilities in the United States

Jae Chul Lee et al. Health Serv Res. 2012 Apr.

Abstract

Objective: To examine the disparity in delaying seeing a doctor due to cost between older adults with and without disabilities, and whether the disparity could be explained by health and financial variables.

Data sources: Nationally representative sample of community-dwelling adults aged ≥65 who have health insurance and a usual source of care from the 2006 Behavioral Risk Factor Surveillance System (n = 85,015).

Study design: This cross-sectional study used sequential logistic regression models to examine the associations of delaying seeing a doctor due to cost with disability status, including demographic, health, and financial variables.

Principal findings: Older adults with disabilities had significantly higher odds of delaying seeing a doctor due to cost compared to older adults without disabilities after controlling for demographic, health, and financial factors. Although health and financial variables collectively attenuated the disparity, they did not fully explain the disparity.

Conclusions: Despite having health insurance and a usual source of care, older adults with disabilities encountered greater economic difficulties in seeing a doctor than their counterparts without disabilities. Policy makers should continue addressing the economic burden to improve timely visits to health care providers.

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Figure 1
Selection Process and Number of Study Sample after Multiple Imputation
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