<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>47</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Owen, Randall</style></author><author><style face="normal" font="default" size="100%">Bowers, A</style></author><author><style face="normal" font="default" size="100%">Heller, Tamar</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Unmet Needs and Health Services Appraisal: The Role of Disability Type and Service Delivery Approach.</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><pub-location><style face="normal" font="default" size="100%">Poster presented at the American Public Health Association’s Annual Conference, New Orleans, Louisiana</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; This study examines unmet needs for and appraisal of health services for people with disabilities in Medicaid receiving managed care (MC) versus fee-for-service (FFS) service delivery approaches by disability type.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt;&amp;nbsp; The study uses survey data from 817 individuals receiving Medicaid in a Midwestern state. The disability type splits people into groups corresponding to their Medicaid waiver: intellectual/developmental (IDD, 193 respondents), physical (PD, 279), and mental health (MH, 198) disabilities and a group who don&amp;rsquo;t fit those groups (Other, 143). The delivery approach identifies people as receiving MC or FFS. &amp;nbsp;The survey measures health care appraisal and total unmet needs. A two-way ANOVA for those two outcomes with disability type and delivery approach as independent variables was followed by regressions including age, gender, race, disability, and delivery approach as independent variables.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; Both health appraisal and unmet needs are significantly related to disability group but not with delivery approach. For unmet needs, other (1.59) and PD (2.19) have significantly (p&amp;lt;.05) fewer unmet needs than MH (3.16) and IDD (3.37). However, for health appraisal, only the other group had significantly (p&amp;lt;.05) higher ratings than ID or MH. Results of regression analyses show that unmet needs is negatively related (p&amp;gt;.01) to health appraisal and unmet needs is higher for people with physical and mental health disabilities (p&amp;lt;.01) than for people without those conditions.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Conclusion&lt;/strong&gt;: Unmet needs are important for health plans (MC or FFS) to address. These results specify for which disability types unmet needs are highest so healthcare providers can address them.&lt;/p&gt;
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