Disparities in Health Care Utilization and Functional Limitations Among Adults With Serious Psychological Distress, 2006–2014

How many stroke survivors are in Serious Psychological Distress? And what is your doctor doing about it? The ASA and NSA don't even refer to it. The WSO is so incompetent you can't even search their website. So with no acknowledgement that the problem even occurs it will NEVER be solved. You are completely on your own to figure this out for yourself.  My solution is to get everyone to 100% recovery.
http://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201600260

Judith Weissman, Ph.D., J.D., David Russell, Ph.D., Melanie Jay, M.D., M.S., Jeannette M. Beasley, Ph.D., R.D., Dolores Malaspina, M.D., M.P.H., Cheryl Pegus, M.D., M.P.H.

http://dx.doi.org/10.1176/appi.ps.201600260

Abstract

Objective:

This study compared health care access, utilization, and functional indicators among adults with and without serious psychological distress (SPD) in the years surrounding implementation of the Patient Portable and Affordable Care Act (ACA).

Methods:

Adults ages 18 to 64 from the 2006–2014 National Health Interview Survey (N=207, 853) were examined on 11 access, utilization, and functional indicators: health insurance coverage (health coverage), insufficient money for medications, delay in health care (delay in care), insufficient money for health care, visiting a doctor ten or more times in the past 12 months, change in place of health care, change in place of health care due to insurance, limitations in ability to work, limitations in activities of daily living (ADLs), insufficient money for mental health care, and having seen a mental health care provider.

Results:

Multivariate models that were adjusted for health coverage and sociodemographic characteristics indicated that compared with adults without SPD, adults with SPD had greater odds of lacking money for medications (AOR=10.0) and health care (AOR=3.1), experiencing delays in care (AOR=2.7), visiting a doctor ten or more times in the past 12 months (AOR=3.2), changing usual place of health care (AOR=1.5), changing usual place of health care because of insurance (AOR=1.5), and experiencing limitations in ADLs (AOR=3.6) and ability to work (AOR=1.8). The proportions of adults with SPD who lacked health coverage and money to buy prescriptions increased during the study period. Although this trend reversed in 2014, the proportion with SPD experiencing barriers remained above 2006 levels.

Conclusions:

Health care patterns among adults with SPD require greater attention.