Abstract
Background: Studies have revealed a higher incidence of injury and illness among elite adaptive athletes when compared to able-bodied athletes in competition. However, individuals with disabilities report poorer access to health care. Objective: The purpose of this study is to identify differences in healthcare access, satisfaction, and unmet needs between recreational adaptive and able-bodied athletes in all sports and within a single sport (hockey). Design: Cross-sectional, survey-based study. Setting: Recreation sports programs in Boston, MA and Chicago, IL. Participants: Adult, recreational, competitive adaptive, and able-bodied athletes. Interventions: Not applicable. Main Outcome Measure(s): The Short-Form Patient Satisfaction Questionnaire (PSQ-18) for healthcare access and satisfaction; percentage of athletes reporting unmet sports-related healthcare needs in the prior year. Results: Sixty adaptive athletes (78% male, age 35.7 ± 12.4 years) and 65 able-bodied athletes (40% male, age 34.9 ± 11.9 years) participated. Mean access and satisfaction scores were not significantly different between groups in all sports (P =.53 and P =.19, respectively) or hockey (P =.28 and P =.55, respectively). Unmet needs were more commonly reported among adaptive athletes (18.3% all sports, 20.0% hockey) as compared to able-bodied athletes (9.2% all sports, 4.0% hockey). This reached statistical significance in the hockey group (P =.03), but not all sports (P =.12). Conclusions: No differences were seen between groups in healthcare access or satisfaction scores. Adaptive athletes of the same sport reported a higher rate of unmet sports-related healthcare needs but with few doctor's visits in the preceding year, suggesting discrepancies in expectations and healthcare-seeking behavior. Level of Evidence: III.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 36-42 |
| Number of pages | 7 |
| Journal | PM and R |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2020 |
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ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
- Neurology
- Clinical Neurology
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A Comparison of Self-Reported Unmet Healthcare Needs among Adaptive and Able-Bodied Athletes. / Ramey, Lindsay; Hayano, Todd; Blatz, Daniel H; Gedman, Marissa; Blauwet, Cheri.
In: PM and R, Vol. 12, No. 1, 01.01.2020, p. 36-42.Research output: Contribution to journal › Article
TY - JOUR
T1 - A Comparison of Self-Reported Unmet Healthcare Needs among Adaptive and Able-Bodied Athletes
AU - Ramey, Lindsay
AU - Hayano, Todd
AU - Blatz, Daniel H
AU - Gedman, Marissa
AU - Blauwet, Cheri
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Background: Studies have revealed a higher incidence of injury and illness among elite adaptive athletes when compared to able-bodied athletes in competition. However, individuals with disabilities report poorer access to health care. Objective: The purpose of this study is to identify differences in healthcare access, satisfaction, and unmet needs between recreational adaptive and able-bodied athletes in all sports and within a single sport (hockey). Design: Cross-sectional, survey-based study. Setting: Recreation sports programs in Boston, MA and Chicago, IL. Participants: Adult, recreational, competitive adaptive, and able-bodied athletes. Interventions: Not applicable. Main Outcome Measure(s): The Short-Form Patient Satisfaction Questionnaire (PSQ-18) for healthcare access and satisfaction; percentage of athletes reporting unmet sports-related healthcare needs in the prior year. Results: Sixty adaptive athletes (78% male, age 35.7 ± 12.4 years) and 65 able-bodied athletes (40% male, age 34.9 ± 11.9 years) participated. Mean access and satisfaction scores were not significantly different between groups in all sports (P =.53 and P =.19, respectively) or hockey (P =.28 and P =.55, respectively). Unmet needs were more commonly reported among adaptive athletes (18.3% all sports, 20.0% hockey) as compared to able-bodied athletes (9.2% all sports, 4.0% hockey). This reached statistical significance in the hockey group (P =.03), but not all sports (P =.12). Conclusions: No differences were seen between groups in healthcare access or satisfaction scores. Adaptive athletes of the same sport reported a higher rate of unmet sports-related healthcare needs but with few doctor's visits in the preceding year, suggesting discrepancies in expectations and healthcare-seeking behavior. Level of Evidence: III.
AB - Background: Studies have revealed a higher incidence of injury and illness among elite adaptive athletes when compared to able-bodied athletes in competition. However, individuals with disabilities report poorer access to health care. Objective: The purpose of this study is to identify differences in healthcare access, satisfaction, and unmet needs between recreational adaptive and able-bodied athletes in all sports and within a single sport (hockey). Design: Cross-sectional, survey-based study. Setting: Recreation sports programs in Boston, MA and Chicago, IL. Participants: Adult, recreational, competitive adaptive, and able-bodied athletes. Interventions: Not applicable. Main Outcome Measure(s): The Short-Form Patient Satisfaction Questionnaire (PSQ-18) for healthcare access and satisfaction; percentage of athletes reporting unmet sports-related healthcare needs in the prior year. Results: Sixty adaptive athletes (78% male, age 35.7 ± 12.4 years) and 65 able-bodied athletes (40% male, age 34.9 ± 11.9 years) participated. Mean access and satisfaction scores were not significantly different between groups in all sports (P =.53 and P =.19, respectively) or hockey (P =.28 and P =.55, respectively). Unmet needs were more commonly reported among adaptive athletes (18.3% all sports, 20.0% hockey) as compared to able-bodied athletes (9.2% all sports, 4.0% hockey). This reached statistical significance in the hockey group (P =.03), but not all sports (P =.12). Conclusions: No differences were seen between groups in healthcare access or satisfaction scores. Adaptive athletes of the same sport reported a higher rate of unmet sports-related healthcare needs but with few doctor's visits in the preceding year, suggesting discrepancies in expectations and healthcare-seeking behavior. Level of Evidence: III.
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UR - http://www.scopus.com/inward/citedby.url?scp=85072159845&partnerID=8YFLogxK
U2 - 10.1002/pmrj.12202
DO - 10.1002/pmrj.12202
M3 - Article
C2 - 31199583
AN - SCOPUS:85072159845
VL - 12
SP - 36
EP - 42
JO - PM and R
JF - PM and R
SN - 1934-1482
IS - 1
ER -