A Comparison of Self-Reported Unmet Healthcare Needs among Adaptive and Able-Bodied Athletes

Lindsay Nicole Ramey, Todd Hayano, Daniel Blatz, Marissa Gedman, Cheri Blauwet

Research output: Contribution to journalArticle

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 languageEnglish (US)
JournalPM and R
DOIs
StateAccepted/In press - Jan 1 2019

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Athletes
Sports
Hockey
Delivery of Health Care
Recreation
Health Services Accessibility
Patient Satisfaction
Cross-Sectional Studies
Outcome Assessment (Health Care)
Incidence
Wounds and Injuries

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Neurology
  • Clinical Neurology

Cite this

A Comparison of Self-Reported Unmet Healthcare Needs among Adaptive and Able-Bodied Athletes. / Ramey, Lindsay Nicole; Hayano, Todd; Blatz, Daniel; Gedman, Marissa; Blauwet, Cheri.

In: PM and R, 01.01.2019.

Research output: Contribution to journalArticle

Ramey, Lindsay Nicole ; Hayano, Todd ; Blatz, Daniel ; Gedman, Marissa ; Blauwet, Cheri. / A Comparison of Self-Reported Unmet Healthcare Needs among Adaptive and Able-Bodied Athletes. In: PM and R. 2019.
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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.",
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