Healthcare utilisation patterns among older people with intellectual disability and with affective and anxiety diagnoses in comparison with the general population
Healthcare utilisation patterns among older people with intellectual disability and with affective and anxiety diagnoses in comparison with the general population
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DOI：
10.1080/13607863.2020.1742657
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发表时间：
2020-03-24
影响因子：
3.4
通讯作者：
Ahlstrom, Gerd
中科院分区：
文献类型：
--
作者：
El Mrayyan, Nadia;Bokberg, Christina;Ahlstrom, Gerd
目的：这项研究调查了瑞典患有情感和焦虑诊断的智力残疾老年人的专科医疗就诊情况，并与普通人群进行比较，以及不同水平的智力残疾、行为障碍和居住在特殊住房中的老年人。方法：这项研究是一项从2002年到2012年的基于国家登记的回顾性研究，研究对象为55岁及以上的ID患者(n=7936)和一组在研究结束时出生年份和性别相匹配的对照组。研究小组包括那些被诊断为情感性(n=918)和焦虑症(n=825)的人，他们去看了专家医疗保健，包括2012年研究结束时住在特殊住房的数据。结果：与普通人群相比，患有精神障碍和焦虑症的老年人住院和计划外就诊的风险更高。在患有ID和焦虑症的老年人中，住院精神卫生保健的平均时间比普通人群高。在智障人群中，中度和重度智障、行为障碍和住在特殊住房的人进行了更多的住院和计划外探视。结论：与普通人群相比，有ID和情感和焦虑诊断的老年人更有可能住院和意外就诊于专科医疗保健。未来的研究应该探索医疗保健提供者为患有ID以及有情感和焦虑诊断的老年人提供的医疗服务的质量。
Objectives: This study investigates specialist healthcare visits of older people with intellectual disability ID having affective and anxiety diagnoses in comparison with the general population, as well as across different levels of ID, behavioural impairment, and living in special housing in Sweden. Method: The study is a retrospective national-register-based study from 2002-2012 of people with ID 55 years and older (n = 7936) and a control group the same size matched by birth year and sex from the general population at the end of study. The study groups comprised those with affective (n = 918) and anxiety (n = 825) diagnoses who visited specialist healthcare, including data about living in special housing at the end of study in 2012. Results: Older people with ID and with affective and anxiety diagnoses have a higher risk of inpatient and unplanned visits to psychiatric and somatic healthcare than the general population. The average length of stay in inpatient psychiatric healthcare was higher in older people with ID and anxiety diagnoses than in the general population. Within the ID group, more inpatient and unplanned visits were made by those with moderate and severe levels of ID, behavioural impairment, and living in special housing. Conclusion: Older people with ID and affective and anxiety diagnoses are more likely to have inpatient and unplanned visits for specialist healthcare than the general population. Future research should explore the quality of healthcare services delivered by healthcare providers to older people with ID and with affective and anxiety diagnoses.