<?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%">Verrall, Aimee M</style></author><author><style face="normal" font="default" size="100%">Alschuler, Kevin A</style></author><author><style face="normal" font="default" size="100%">Johnson, KL</style></author><author><style face="normal" font="default" size="100%">Molton, I R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Aging with a Long-Term Physical Disability: Primary and Rehabilitation Care Use.</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;u&gt;Introduction.&lt;/u&gt;&amp;nbsp; People with disabilities and chronic conditions indicate high utilization of many types of health care in numerous settings. &amp;nbsp;People with long-term physical disabilities (LTPD), such as multiple sclerosis, muscular dystrophy, post-polio syndrome, and spinal cord injury, are living longer than ever.&amp;nbsp; Now, people with LTPDs&amp;rsquo; health may not only experience secondary conditions (pain, fatigue, depression) from their original disability, but aging as well.&amp;nbsp; In this study we examined the use of primary and rehabilitation care by people aging with LTPD.&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;u&gt;Methods.&lt;/u&gt; We identified needs, barriers / facilitators, and predisposing characteristics of primary and rehabilitation care use from a self-reported survey collected in 2012&amp;ndash;2013 of community dwelling people aging with LTPD. &amp;nbsp;We used Anderson&amp;rsquo;s model of health services utilization as a conceptual model.&lt;/p&gt;
&lt;p&gt;&lt;u&gt;Results&lt;/u&gt;.&amp;nbsp; The survey was completed by 1,369 people with LTPD with a mean age of 63 years.&amp;nbsp; In the last 12 months, 70% reported seeing a primary care provider (PCP) and 65% a rehabilitation provider.&amp;nbsp; The most common need predicting PCP use was severe mobility limitation and pain interference.&amp;nbsp; For seeing rehabilitation providers the main predictor, also a need, was all ranges of mobility issues (mild to severe).&amp;nbsp; Relative to men, women with LTPD were less likely to see a PCP.&amp;nbsp; Surprisingly, socioeconomic status and health insurance coverage were not predictors of health care usage.&lt;/p&gt;
&lt;p&gt;&lt;u&gt;Conclusion&lt;/u&gt;.&amp;nbsp; Needs, overwhelmingly mobility driven, affect use of health services among people with LTPD.&amp;nbsp; More research is needed to further describe the complex health care usage of people aging with LTPD.&amp;nbsp;&lt;/p&gt;
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