ArticleAphasiology2025
Healthcare Access, Satisfaction, and Affordability: Experiences and Barriers of People with Aphasia.
Article in Aphasiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Revisiting Western Aphasia Battery-Revised in the Context of Mild Impairment.American journal of speech-language pathology · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Background: Access, satisfaction, and affordability with healthcare services are critical to optimal health-related outcomes. These issues have not been traditionally considered in the study of people with aphasia (PWA). Objective: To assess healthcare access, satisfaction, and affordability among a nationally representative sample of PWA and compare wot stroke survivors without aphasia. Methods: Data from 404 PWA obtained from the 2019, 2020, 2021, and 2022 Medical Expenditure Panel Survey (MEPS) were used to examine ease of accessibility, satisfaction with healthcare, and affordability of healthcare and compared to stroke survivors without aphasia (N=4,120). Results: Estimates indicated that, compared to their counterparts (stroke survivors without aphasia), PWA who were female (OR=1.1, CI=1.5, 2.4) and those earning low incomes (OR=1.9, CI=1.8, 4.4) were more likely to spend more than 15 minutes traveling to their usual source of care (USC). Hispanic PWA (OR=1.1, CI=1.2, 1.1), Black PWA (OR=1.5, CI=1.2, 1.6), and PWA living in the South (OR=3.4, CI=1.5, 2.4) were more likely to have difficulty contacting their USC by phone than the reference group. Hispanic (OR=1.5, CI=1.4, 1.6) and low income (OR=1.3, CI=1.1, 1.8) PWA had comparatively greater difficulty contacting their USC after hours. Additionally, Black (not explain OR=1.4, CI=1.1, 1.6; decide OR=1.4, CI=1.1, 1.9) and Hispanic (not explain OR=1.8, CI=1.6, 2.5; decide OR=1.3, CI=1.2, 1.3) PWA were more likely than Whites to feel that their provider did not explain all treatment options or ask them to help decide on their treatment. Finally, Black PWA (OR= 4.0, CI=1.3, 12.7) were more likely to have difficulty paying their medical bills than White PWA. No racial or ethnic differences in accessibility, satisfaction, or affordability appeared among those without aphasia. Conclusions: The study results indicate that PWA, particularly those from marginalized and low-income populations, may face additional barriers accessing healthcare, receive comparatively less satisfying care, and experience greater difficulty financing their healthcare.
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