Bharat Negi | The University of Tokyo (original) (raw)
Papers by Bharat Negi
Disability & Rehabilitation, Jan 1, 1998
Women's Health …, Jan 1, 2006
Objectives. This study presents national estimates on the health, preventive health care, and hea... more Objectives. This study presents national estimates on the health, preventive health care, and health care access of adult women with disabilities. We compared women with 1 or 2 functional limitations (FLs) and >3 FLs with women with no FLs. Topics covered included demographic characteristics, selected reported health measures, selected clinical preventive services, and selected access to care indicators and health care coverage.
Tizard Learning Disability Review, Jan 1, 2008
... disability research and service provision, as well as health and social care. ... Assurance R... more ... disability research and service provision, as well as health and social care. ... Assurance Responsibility and accountability for the delivery of effective, safe, personalised services lie at ... This is why the Inquiry recommended much closer partnership working between the different ...
Health services research, Jan 1, 1974
Pediatrics, Jan 1, 2002
Youth with special health care needs/disabilities want what all youth in America want: independen... more Youth with special health care needs/disabilities want what all youth in America want: independence, health, friends, and jobs. Yet, between 19 and 23 years of age (depending on the state), youth with special health care needs/disabilities often find little availability of health insurance or health providers that were an essential part of why they survived and now are looking to participate in adult society. This article reviews the complex system of health insurance options that young adults with special health care needs/disabilities face as they move from pediatric to adult health insurance systems. Yet because of a maze of different eligibility criteria, many of these options are not available to young adults with special health care needs, and they are left with out health insurance. Similarly, the issues surrounding health provider reimbursement often leave the young adult with special health care needs without health care professionals who can manage their complex health conditions as they transition into adulthood. In conclusion, this article outlines what steps could be taken by associations and the health policy, advocacy, and governmental communities to improve the situation.
British Journal of Learning …, Jan 1, 1996
The growth in the number of people with learning disability living in the community presents a ma... more The growth in the number of people with learning disability living in the community presents a major challenge to primary care services. There is a high prevalence of physical and mental illness among these patients, but disorders may be inadequately managed. This reflects problems of access to primary care services, and problems of liaison between services. Policy options for improving primary healthcare provided to people with a learning disability include: specific monitoring by FHSAs; improved training; clarification of responsibility for medical care; regular medical examinations; and improvements in information systems.
Archives of physical …, Jan 1, 2003
To examine patterns of access to a variety of specific health care services among people with chr... more To examine patterns of access to a variety of specific health care services among people with chronic or disabling conditions, focusing on factors that predict access to services. National survey of 800 adults with cerebral palsy (CP), multiple sclerosis (MS), spinal cord injury (SCI), or arthritis. Respondents were surveyed in the general community. National convenience sample of adults with CP, MS, SCI, or arthritis. Not applicable. Access to services from primary care doctors, services from specialists, rehabilitative services, assistive equipment, and prescription medications. Cross tabulations and logistic regression analyses were performed on survey data to examine patterns and predictors of access to health care services. Only half of all respondents received needed rehabilitative services. Respondents covered by fee-for-service health plans were more likely than those covered by managed care organizations to receive needed services from specialists. Respondents with the poorest health and with the lowest incomes were the least likely to receive all health services examined. People with chronic or disabling conditions often require a comprehensive array of health care services. Reform of the current health care payment and delivery structures is needed so that health care is more responsive to those with the greatest service needs.
The Journal of Rural Health, Jan 1, 1996
Despite the prevalence of disabilities among persons living in rural areas, scarce data exist on ... more Despite the prevalence of disabilities among persons living in rural areas, scarce data exist on their health care needs. While rural residents generally experience barriers to access to primary health care, these problems are further exacerbated for people with disabilities. This article summarizes findings from the published literature one access to primary health care among people with disabilities living in rural locations. A comprehensive computerized literature search turned up 86 articles meeting the study criteria, focused on the following rural populations affected by disabilities: children and adolescents, working-age adults, the elderly, the mentally ill, and people with AIDS. For each of these populations, substantial problems in accessing appropriate health care have been documented. The literature consistently emphasizes the failure of local health care systems in nonmetropolitan areas to adequately address the complex medical and related needs of individuals with disabilities. In the absence of specialized expertise, facilities, and primary care providers trained specifically to care for disabled persons, local programs rely heavily on the use of indigenous paraprofessionals and alternative models of care. Further research is needed to identify and test the eflicacy of innovative service delivery strategies to improve health care access for this population.
Disability & Rehabilitation, Jan 1, 1998
Women's Health …, Jan 1, 2006
Objectives. This study presents national estimates on the health, preventive health care, and hea... more Objectives. This study presents national estimates on the health, preventive health care, and health care access of adult women with disabilities. We compared women with 1 or 2 functional limitations (FLs) and >3 FLs with women with no FLs. Topics covered included demographic characteristics, selected reported health measures, selected clinical preventive services, and selected access to care indicators and health care coverage.
Tizard Learning Disability Review, Jan 1, 2008
... disability research and service provision, as well as health and social care. ... Assurance R... more ... disability research and service provision, as well as health and social care. ... Assurance Responsibility and accountability for the delivery of effective, safe, personalised services lie at ... This is why the Inquiry recommended much closer partnership working between the different ...
Health services research, Jan 1, 1974
Pediatrics, Jan 1, 2002
Youth with special health care needs/disabilities want what all youth in America want: independen... more Youth with special health care needs/disabilities want what all youth in America want: independence, health, friends, and jobs. Yet, between 19 and 23 years of age (depending on the state), youth with special health care needs/disabilities often find little availability of health insurance or health providers that were an essential part of why they survived and now are looking to participate in adult society. This article reviews the complex system of health insurance options that young adults with special health care needs/disabilities face as they move from pediatric to adult health insurance systems. Yet because of a maze of different eligibility criteria, many of these options are not available to young adults with special health care needs, and they are left with out health insurance. Similarly, the issues surrounding health provider reimbursement often leave the young adult with special health care needs without health care professionals who can manage their complex health conditions as they transition into adulthood. In conclusion, this article outlines what steps could be taken by associations and the health policy, advocacy, and governmental communities to improve the situation.
British Journal of Learning …, Jan 1, 1996
The growth in the number of people with learning disability living in the community presents a ma... more The growth in the number of people with learning disability living in the community presents a major challenge to primary care services. There is a high prevalence of physical and mental illness among these patients, but disorders may be inadequately managed. This reflects problems of access to primary care services, and problems of liaison between services. Policy options for improving primary healthcare provided to people with a learning disability include: specific monitoring by FHSAs; improved training; clarification of responsibility for medical care; regular medical examinations; and improvements in information systems.
Archives of physical …, Jan 1, 2003
To examine patterns of access to a variety of specific health care services among people with chr... more To examine patterns of access to a variety of specific health care services among people with chronic or disabling conditions, focusing on factors that predict access to services. National survey of 800 adults with cerebral palsy (CP), multiple sclerosis (MS), spinal cord injury (SCI), or arthritis. Respondents were surveyed in the general community. National convenience sample of adults with CP, MS, SCI, or arthritis. Not applicable. Access to services from primary care doctors, services from specialists, rehabilitative services, assistive equipment, and prescription medications. Cross tabulations and logistic regression analyses were performed on survey data to examine patterns and predictors of access to health care services. Only half of all respondents received needed rehabilitative services. Respondents covered by fee-for-service health plans were more likely than those covered by managed care organizations to receive needed services from specialists. Respondents with the poorest health and with the lowest incomes were the least likely to receive all health services examined. People with chronic or disabling conditions often require a comprehensive array of health care services. Reform of the current health care payment and delivery structures is needed so that health care is more responsive to those with the greatest service needs.
The Journal of Rural Health, Jan 1, 1996
Despite the prevalence of disabilities among persons living in rural areas, scarce data exist on ... more Despite the prevalence of disabilities among persons living in rural areas, scarce data exist on their health care needs. While rural residents generally experience barriers to access to primary health care, these problems are further exacerbated for people with disabilities. This article summarizes findings from the published literature one access to primary health care among people with disabilities living in rural locations. A comprehensive computerized literature search turned up 86 articles meeting the study criteria, focused on the following rural populations affected by disabilities: children and adolescents, working-age adults, the elderly, the mentally ill, and people with AIDS. For each of these populations, substantial problems in accessing appropriate health care have been documented. The literature consistently emphasizes the failure of local health care systems in nonmetropolitan areas to adequately address the complex medical and related needs of individuals with disabilities. In the absence of specialized expertise, facilities, and primary care providers trained specifically to care for disabled persons, local programs rely heavily on the use of indigenous paraprofessionals and alternative models of care. Further research is needed to identify and test the eflicacy of innovative service delivery strategies to improve health care access for this population.