+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Access to health care for people with multiple sclerosis

, : Access to health care for people with multiple sclerosis. Multiple Sclerosis 13(4): 547-558

The Sonya Slifka Longitudinal Multiple Sclerosis (MS) Study follows a population-based cohort of approximately 2000 people with MS to study demographic and clinical characteristics, use and cost of health services, provider and treatment characteristics, neurological, economic, and psychosocial outcomes. We examined key indicators of access to health care and found that the majority of participants had health insurance, a usual source of care, and access to specialty care. Nevertheless, 3.8% did not have health insurance which, with application of sampling weights, corresponds to approximately 7000 people with MS in the US population. Even with insurance, population-based estimates indicated that substantial numbers of people with MS have plans that pay nothing toward prescription medication, limit their access to specialists, and restrict their choice of hospitals and providers. Some 9% of the sample, corresponding to 15 800 people with MS, did not have a usual source of MS care; 11.8% or 17 300 people did not have a usual source of general health care; and 31% or 57 400 people did not see the specialists that they or their physicians wanted them to see. Further, 10.5% or 19 400 people reported difficulty obtaining prescription medication, 4.1% or 7600 people encountered obstacles accessing medical care, and 2.4% or 4500 people could not obtain the mental health services they needed. Finally, out-of-pocket health care expenditures were twice those found for the general population. Two-thirds of study participants (representing almost 70000 people) chose their MS care providers because they were neurologists or MS specialists, creating a demand that almost certainly exceeds current supply.


PMID: 17463077

DOI: 10.1177/1352458506071306

Other references

Souza Lfopes, H. de.; Toledo, J.S. de.; Pavan, G., 1961: Incompatibilidade cromosomica e esterili-dade masculina em Drosophila willistoni. Atas prim Simp sul-amer Gen Sao Paulo, 1960: 303-305

Sumegi Pal; Geiger Janos; Magyari Eniko; Gulyas Sandor; Szanto Zuzsanna; Timar Gabor, 2003: Geohistory of an upper Weichselian oxbow lake from Hungary (Central Europe). One of the largest late Pleistocene paleochannels is situated in the SW part of Hungary, at Kardoskut village, on the area of the Koeroes - Maros National Park. This oxbow lake was nominated Feher-lake (White-lake) because the highly alkaline lacu...

Lamb, H.R., 1981: Obstacles to psychiatric rehabilitation. There is reluctance to fund rehabilitation appropriate to the needs of the severely disabled. Further, the deterrent effects resulting from the way income maintenance programs have been set up and administered reinforce the secondary gain of menta...

Krulwich T.A.; Blanco R., 1974: Studies of 2 systems for l arginine transport in whole cells and membrane vesicles of arthrobacter pyridinolis. Abstracts of the Annual Meeting of the American Society for Microbiology 74: 154

H.Huemer, 1997: Multistage evolution of a volcanic suite in the eastern Mecsek Mountains, southern Hungary. Mineralogy and Petrology 59(1-2): 101-120

Tateyama M.; Ishizawa I.; Nishimaki H.; Omura M.; Kosaka Y.; Onodera T.; Nara Y., 1985: Study of non anticoagulant hemodialysis. Artificial Organs 9(3): 331-332

Huang, G.; Xia, J.; Wang, S.; Wei, Y.; Wu, J.; Chen, F.; Chen, J.; Shi, J., 2016: Total knee arthroplasty using trochlear groove as guide for position of femoral component in severe knee osteoarthritis. Apart from transepicondylar axis, the native femoral sulcus was also reported to be used as a guide for the femoral component position in total knee arthroplasty (TKA). However, it was not shown in patients with severe knee osteoarthritis. This st...

Belgorodskaya G.N., 1966: Use of seismograms to obtain the spectrums of reduced seismic accelerations. Doklady Akademii Nauk Tadzhikskoy SSR 9(11): 15-19

Goehtz, F.; Mühldorfer-Fodor, M.; Prommersberger, K-J.; van Schoonhoven, J., 2016: Aptis Prosthesis for the Treatment of Painful Instability of the Ulnar Stump Following Wide Excision of the Distal ulna. We report the case of 35-year-old woman with severe Madelung's deformity. Having undergone a Kapandji-Sauvé-procedure with wide excision of the distal ulna, the patient suffered from painful instability of the ulnar stump. Although a correct...

Branch, C.L.; Britton, B.H.; Kelly, D.L., 1987: Neurological-otological treatment of acoustic tumors at the Wake Forest University Medical Center. North Carolina Medical Journal 48(7): 401-403