Access to and use of health and social care services for people with learning disabilities during COVID-19: a longitudinal study
Access to and use of health and social care services for people with learning disabilities during COVID-19: a longitudinal study
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DOI：
10.1108/tldr-12-2021-0038
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发表时间：
2022-01-24
影响因子：
0.6
通讯作者：
Taggart, Laurence
中科院分区：
文献类型：
--
作者：
Flynn, Samantha;Hatton, Chris;Taggart, Laurence
目的本文件旨在提供2019冠状病毒病大流行期间英格兰、北方爱尔兰、苏格兰和威尔士有学习障碍的成年人获得和使用卫生和社会护理服务的数据。设计╱方法╱方针数据于二零二零年十二月至二零二一年九月期间分三波收集，并与2019冠状病毒病疫情期间的医疗及社会护理服务使用有关。在一个或多个时间点直接从694名有学习障碍的成年人那里收集数据，并通过另外447名有学习障碍的成年人的家庭照顾者和有偿支持人员的单独代理报告收集数据。结果-许多人有学习障碍谁报告定期访问服务/支持流行前没有收到他们在本研究的时间范围内。有迹象表明，在第二波和第三波之间，获得某些服务和支助的机会有所增加，但这并不是普遍的。实用意义-队列2中的人，谁可能有严重/深刻的学习障碍，不经常报告访问在线社群活动比队列1中的人，这可能会加剧现有的社会隔离，这一队列和他们的家庭照顾者。服务提供者应努力确保在未来发生封锁或流行病时，所有有学习障碍的人都能公平地获得服务和活动。独创性/价值这是关于2019冠状病毒病大流行对英国有学习障碍的成年人的健康和社会护理服务的影响的最大的纵向研究。我们主要直接从有学习障碍的成年人那里收集数据，并在整个研究过程中与有学习障碍的人和家庭成员的伙伴组织合作。
Purpose This paper aims to present data about access to and use of health and social care services by adults with learning disabilities during the COVID-19 pandemic in England, Northern Ireland, Scotland and Wales. Design/methodology/approach Data were collected in three waves between December 2020 and September 2021 and concerned the use of health and social care services during the COVID-19 pandemic. Data were collected at one or more time-points directly from 694 adults with learning disabilities and through separate proxy reports by family carers and paid support staff of another 447 adults with learning disabilities. Findings Many people with learning disabilities who reported regularly accessing services/supports pre-pandemic were not receiving them during the timeframe of this study. There were indications of increasing access to some services and supports between Wave 2 and 3, but this was not universal. Practical implications People in Cohort 2, who were likely to have severe/profound learning disabilities, were less frequently reported to access online community activities than people in Cohort 1, which is likely to exacerbate existing social isolation for this cohort and their family carers. Service providers should seek to ensure equitable access to services and activities for all people with learning disabilities in the event of future lockdowns or pandemics. Originality/value This is the largest longitudinal study about the impact of the COVID-19 pandemic on health and social care services for adults with learning disabilities in the UK. We primarily collected data directly from adults with learning disabilities and worked with partner organisations of people with learning disabilities and family members throughout the study.