Management and prevalence of long-term conditions in primary health care for adults with intellectual disabilities compared with the general population: A population-based cohort study
Management and prevalence of long-term conditions in primary health care for adults with intellectual disabilities compared with the general population: A population-based cohort study
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DOI：
10.1111/jar.12386
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发表时间：
2018-01-01
影响因子：
2.4
通讯作者：
Morrison, Jill
中科院分区：
文献类型：
--
作者：
Cooper, Sally-Ann;Hughes-McCormack, Laura;Morrison, Jill
BackgroundIn the UK，全科医生/家庭医生获得报酬的长期条件的管理上的性能，根据最佳实践indicators.MethodManagement的长期条件进行了比较721成人智力残疾和一般人群（n= 764，672）。患病率的长期条件进行了测定，并通过Logistic回归analysis.ResultsAdults智力残疾的所有长期条件的38/57（66.7%）指标的管理显着较差的相关因素进行了调查。只有19.6%的智障成年人取得了高成绩（75.1%-100%），而普通人群的这一比例为76.8%。有智力障碍的成年人癫痫、精神病、甲状腺功能减退、哮喘、糖尿病和心力衰竭的发病率较高。有没有明确的协会与邻里deprivation.ConclusionsAdults智力残疾人得到较差的照顾，尽管条件更加普遍。现在的当务之急是找到实用、可实施的方法来支持全科医生在提供公平护理方面面临的挑战。
BackgroundIn the UK, general practitioners/family physicians receive pay for performance on management of long-term conditions, according to best-practice indicators.MethodManagement of long-term conditions was compared between 721 adults with intellectual disabilities and the general population (n=764,672). Prevalence of long-term conditions was determined, and associated factors were investigated via logistic regression analyses.ResultsAdults with intellectual disabilities received significantly poorer management of all long-term conditions on 38/57 (66.7%) indicators. Achievement was high (75.1%-100%) for only 19.6% of adults with intellectual disabilities, compared with 76.8% of the general population. Adults with intellectual disabilities had higher rates of epilepsy, psychosis, hypothyroidism, asthma, diabetes and heart failure. There were no clear associations with neighbourhood deprivation.ConclusionsAdults with intellectual disabilities receive poorer care, despite conditions being more prevalent. The imperative now is to find practical, implementable means of supporting the challenges that general practices face in delivering equitable care.