Demographic characteristics of veterans who received wheelchairs and scooters from Veterans Health Administration

被引:37
作者
Hubbard, Sandra L.
Fitzgerald, Shirley G.
Reker, Dean M.
Boninger, Michael L.
Cooper, Rory A.
Kazis, Lewis E.
机构
[1] N Florida S Georgia Vet Hlth Syst, Dept Vet Affairs, Rehabil Outcomes Res Ctr Excellence, Gainesville, FL USA
[2] Univ Florida, Dept Occupat Therapy, Gainesville, FL USA
[3] Univ Pittsburgh, Dept Rehabil Sci & Technol, Pittsburgh, PA USA
[4] VA Pittsburgh Healthcare Syst, Human Engn Res Labs, Pittsburgh, PA 15206 USA
[5] Kansas City VA Med Ctr, Kansas City, MO USA
[6] Univ Kansas, Med Ctr, Dept Hlth Policy & Management, Kansas City, MO USA
[7] Univ Pittsburgh, Dept Phys Med & Rehabil, Pittsburgh, PA USA
[8] Boston Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02215 USA
[9] VA Ctr Hlth Qual Outcomes & Econ Res, Bedford, MA USA
关键词
age; assistive technology; equity; ethnicity; power wheelchair; race; rehabilitation; sex; standard manual wheelchair; wheeled mobility equipment;
D O I
10.1682/JRRD.2005.11.0174
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Little is known about the reasoning process clinicians use when prescribing wheeled mobility equipment (WAM) or about the outcomes of this process, i.e., how many devices are prescribed, to whom, how often, and at what cost. This study characterized veterans who received WME from the Veterans Health Administration. We analyzed variance in wheelchair provision based on sex, race/ethnicity, diagnosis, and age. Three years of data from the National Prosthetics Patient Database and the National Patient Care Database were merged, yielding more than 77,000 observations per fiscal year. Logistic regression analysis revealed associations between WME provision and age, sex, and race/ethnicity, when analysis was controlled for diagnosis and number of comorbidities. Hispanics (odds ratio [OR] = 1.864), African Americans (OR = 1.360), and American Indians/Asians (OR = 1.585) were more likely than Caucasians to receive standard wheelchairs. Hispanics (OR = 0.4), African Americans (OR = 0.7), and American Indians/Asians (OR = 0.4) were less likely than Caucasians to receive scooters.
引用
收藏
页码:831 / 844
页数:14
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