Vocational rehabilitation service receipt, service expenditures, and ruralness.

BACKGROUND: An important factor embedded within Vocational Rehabilitation (VR) delivery capacity relates to geography, such as distance from the VR office and availability of service providers or community rehabilitation programs. OBJECTIVE: We explored receipt of VR job search and placement service...

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Publicado en:Journal of Vocational Rehabilitation Vol. 59; no. 3; pp. 251 - 262
Autores principales: Ipsen, Catherine, Jain, Kamini, Stern, Steven
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Vocational Rehabilitation
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      dt: 2023
      vid: 59
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Vocational rehabilitation service receipt, service expenditures, and ruralness.
      aug:
        au:
          Ipsen, Catherine
          Jain, Kamini
          Stern, Steven
        affil: Rural Institute for Inclusive Communities, University of Montana, Missoula, MT, USA
      sug:
        subj:
          Rehabilitation, Vocational Evaluation
          Health Care Costs Evaluation
          Rural Population
          Health Services Accessibility
          Employment
          Human
          Adolescence
          Adult
          Middle Age
          Aged
          Female
          Regression
          Healthcare Disparities
          Health Care Delivery
          Health Inequities
          Persons with Disabilities
          Descriptive Statistics
          Comparative Studies
          Sociodemographic Factors
          Value-Based Purchasing
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: BACKGROUND: An important factor embedded within Vocational Rehabilitation (VR) delivery capacity relates to geography, such as distance from the VR office and availability of service providers or community rehabilitation programs. OBJECTIVE: We explored receipt of VR job search and placement services based on distance to an urban center, demographics, and disability variables after controlling for local employment conditions. METHODS: Using 2015 RSA-911 case services data, we used probit to produce estimates for each combination of service and service source (agency and purchased), and Ordinary Least Squares (OLS) and semi-parametric regression to estimate log expenditures for each service category. RESULTS: Being Black or living at a long distance from a metro area increased the probability of receiving agency-based services but lowered the probability of receiving purchased services. Conversely, being older and having less education lowered the probability of receiving agency services but increased the probability of receiving purchased services. Females, Blacks, and those living at a distance greater than 50 miles from a metro area received significantly lower expenditures. CONCLUSION: Systematic differences in the types of services provided call for more in-depth analysis to ensure that policies and procedures are in place to minimize sociodemographic disparities in service delivery and outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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