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Comparing Measures Of Functional Difficulty With Self-Identified Disability: Implications For Health Policy.
Hall, Jean P; Kurth, Noelle K; Ipsen, Catherine; Myers, Andrew; Goddard, Kelsey.
  • Hall JP; Jean P. Hall (jhall@ku.edu), University of Kansas, Lawrence, Kansas.
  • Kurth NK; Noelle K. Kurth, University of Kansas.
  • Ipsen C; Catherine Ipsen, University of Montana, Missoula, Montana.
  • Myers A; Andrew Myers, University of Montana.
  • Goddard K; Kelsey Goddard, University of Kansas.
Health Aff (Millwood) ; 41(10): 1433-1441, 2022 10.
Article in English | MEDLINE | ID: covidwho-2114455
ABSTRACT
The Affordable Care Act mandated data collection standards to identify people with disabilities in federal surveys to better understand and address health disparities within this population. Most federal surveys use six questions from the American Community Survey (ACS-6) to identify people with disabilities, whereas many international surveys use the six-item Washington Group Short Set (WG-SS). The National Survey on Health and Disability (NSHD), which focuses on working-age adults ages 18-64, uses both question sets and contains other disability questions. We compared ACS-6 and WG-SS responses with self-reported disability types. The ACS-6 and WG-SS failed to identify 20 percent and 43 percent, respectively, of respondents who reported disabilities in response to other NSHD questions (a broader WG-SS version missed 4.4 percent of respondents). The ACS-6 and the WG-SS performed especially poorly in capturing respondents with psychiatric disabilities or chronic health conditions. Researchers and policy makers must augment or strengthen federal disability questions to improve the accuracy of disability prevalence counts, understanding of health disparities, and planning of appropriate services for a diverse and growing population.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Disabled Persons / Patient Protection and Affordable Care Act Type of study: Observational study / Randomized controlled trials Limits: Adolescent / Adult / Humans / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: Health Aff (Millwood) Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Disabled Persons / Patient Protection and Affordable Care Act Type of study: Observational study / Randomized controlled trials Limits: Adolescent / Adult / Humans / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: Health Aff (Millwood) Year: 2022 Document Type: Article