Studies/Analyses
National Rehabilitation Hospital Research Center
Research and Training Center
on Managed Care and Disability
CESSI staff led collaborators
at the Research and Training Center on Managed Care
and Disability at NRH RC to study the effect of managed
care on people with disabilities. This study provided
clinical insight when comparing people with disabilities
who are in managed care and those in other insurance
plans. Comparisons of managed care experiences were
also made between individuals with disabilities
and those without disabilities. The impact of the type
of disability, as well as a detailed exploration of
the physicians’ roles and attitudes, was addressed.
This project used quantitative and experiential
data to investigate how a person’s disability played
a role in the quality of health care. It focused
on access to care, use of primary care and specialty
care, preventive services, and how physician specialty
impacted on needs addressed. The quality of care was
examined within categories of disabilities, with consideration
given to functional and medical dimensions.
Three individual pilot interviews provided the
moderator’s guide for eight subsequent focus groups.
Each focus group empanelled eight to twelve participants.
Results from prior interviews were used to modify
the script, asking subsequent panelists their views
on opinions expressed by previous respondents.
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