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首页> 外文期刊>Disability and health journal >Unmet needs for home and community-based services among persons with disabilities in Massachusetts.
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Unmet needs for home and community-based services among persons with disabilities in Massachusetts.

机译：马萨诸塞州残疾人对家庭和社区服务的需求未得到满足。

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BACKGROUND: Home and community-based services (HCBS) are vital to the health and well-being of persons with disabilities. However, no previous population-based studies have examined the prevalence of unmet needs for HCBS among working-age persons with disabilities. The purpose of this report is to document the prevalence of unmet need for HCBS among a representative sample of working-age persons with disabilities in Massachusetts. METHODS: Data from the 2007 Massachusetts Survey of Unmet Needs of Adults with Disabilities were analyzed. HCBS included in-home help, case-management, information, access to medical care, physical and occupational therapy, prescription drugs, meals, assistive technology, home adaptation, transportation, need for assistance with activities of daily living and instrumental activities of daily living (IADL) services. RESULTS: The prevalence of unmet need for HCBS was high, with more than two-thirds of respondents reporting at least 1 unmet need and more than 1 in 4 respondents reporting 4 or more unmet needs. The most prevalent unmet need included the need for information for disability-related services and legal rights, need for primary, specialty, and mental health care, case management services and the unmet need for IADL services. The unmet needs for HCBS were categorized into unmet needs relating to access to information and services and those relating to in-home supports. CONCLUSIONS: The study findings support the need to broaden the scope of HCBS for working-age persons with disabilities and to implement community-based programs such as improving access to information for services and benefits and enhancing access to in-home supports.
机译：背景：基于家庭和社区的服务（HCBS）对于残疾人的健康和福祉至关重要。但是，以前的基于人群的研究都没有调查在工作年龄的残疾人中对HCBS的需求未得到满足的普遍性。本报告的目的是记录马萨诸塞州有工作年龄的残疾人代表性样本中未满足六氯丁二烯需求的情况。方法：分析了2007年马萨诸塞州成年人未满足需求调查中的数据。 HCBS包括家庭帮助，病例管理，信息，获得医疗服务，物理和职业治疗，处方药，膳食，辅助技术，家庭适应，交通，在日常活动和日常工具性活动中需要协助的情况（IADL）服务。结果：HCBS的未满足需求的患病率很高，超过三分之二的受访者表示至少有1个未满足需求，四分之一以上的受访者表示有4个或更多未满足需求。最普遍的未满足需求包括与残疾相关的服务和法律权利的信息需求，对初级，专科和精神保健，案例管理服务的需求以及对IADL服务的未满足需求。 HCBS的未满足需求分为与获取信息和服务以及与家庭支持有关的未满足需求。结论：研究结果支持需要为工作年龄的残疾人扩大HCBS的范围，并实施基于社区的计划，例如改善对服务和福利信息的获取以及增加对家庭支持的获取。

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