An Assessment of Healthcare Access and Utilization in the World Trade Center Health Program

Details

• Personal Author:
  Dasaro CR ; Graber JM ; Gusmano MK ; Karasick AS ; Udasin IG
• Description:
  Objective: Access to healthcare, a national priority, may be better understood through medical surveillance programs like the World Trade Center Health Program (WTCHP). Methods: Measures of healthcare access and utilization for 1159 9/11 rescue and recovery workers ("responders") at the Rutgers Clinical Center of Excellence (CCE) were assessed using negative binomial modeling of the Benefits Eligibility Assessment Screening Tool and compared with 174 9/11 responders in the 2017 New York City Community Health Survey (NYCCHS) using z-testing. Results: Approximately 10.8% of Rutgers CCE respondents lacked at least one aspect of healthcare access. Problems accessing healthcare and basic needs were positively associated with CCE utilization and differed between Rutgers CCE and NYCCHS respondents. Conclusions: Some 9/11 responders bridge healthcare access gaps via participation in the WTCHP. Surveillance survey tools may help to identify healthcare disparities. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Healthcare Disparities Health Care Facilities Workforce And Services Health Promotion Occupational Health Safety September 11 Terrorist Attacks Surveys And Questionnaires
• Keywords:
  Author Keywords: Healthcare Access Emergency Responders General Responder Health Care Healthcare Disparities Health Disparities Health Programs Health Services Health Surveys Humans Medical Monitoring Medical Services Medical Surveillance Rescue Workers Surveillance Surveillance Programs World Trade Center WTC

  More +
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  166-171
• Volume:
  63
• Issue:
  2
• NIOSHTIC Number:
  nn:20061654
• Citation:
  J Occup Environ Med 2021 Feb; 63(2):166-171
• Contact Point Address:
  Andrew S. Karasick, MD, MBA, MPH, Environmental and Occupational Health Sciences Institute (EOHSI), Rutgers University, 170 Frelinghuysen Road, Piscataway, NJ 08854
• Email:
  andrew.karasick@gmail.com
• Federal Fiscal Year:
  2021
• Performing Organization:
  Mount Sinai School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5d95c465a4a3413cd71325b75e7a9e9aca99f5dbd7e223344552baea3ee51949c56c38b479c2c9e567f30bf1c9c727fa90ccc4986f4ce02d9fcad5b67622aef2
• Download URL:
  https://stacks.cdc.gov/view/cdc/225114/cdc_225114_DS1.pdf
• File Type:
  [PDF - 142.97 KB ]