Health and healthcare of people with learning disabilities in the United Kingdom through the COVID-19 pandemic
Health and healthcare of people with learning disabilities in the United Kingdom through the COVID-19 pandemic
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COVID-19 大流行期间英国学习障碍人士的健康和保健
DOI：
10.1111/bld.12578
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发表时间：
2024
影响因子：
1.5
通讯作者：
Hatton C
中科院分区：
文献类型：
--
作者：
Hatton C
背景在2019冠状病毒病在英国大流行期间，许多医疗服务被取消，对人们的健康产生了负面影响。随着我们超越大流行，人们的健康和医疗保健发生了什么变化？MethodsAccess to Health Services and Health Status was tracked for 550 UK adults with learning disabilities，using structured online interviews with people with learning disabilities and online survey with family members or paid carers.调查共提供了四次信息，从第一波（2020/2021年冬季“封锁”）到第四波（2022年秋季，公共卫生保护措施停止一年多后）。调查结果到第四波，大多数学习障碍者都感染了COVID-19，尽管高疫苗接种率限制了住院人数。几乎没有证据表明，随着时间的推移，使用全科医生服务、社区护士、其他治疗师或年度健康检查的人数有所增加，在第四波，更多的人难以获得药物。随着时间的推移，人们的健康状况没有得到实质性改善。患有严重和多重学习障碍的人健康状况较差，不太可能获得卫生服务。
BackgroundDuring the COVID‐19 pandemic in the United Kingdom, many health services were withdrawn from people with learning disabilities, with negative impacts on people's health. What has happened to people's health and healthcare as we move beyond the pandemic?MethodsAccess to health services and health status were tracked for 550 UK adults with learning disabilities, using structured online interviews with people with learning disabilities and online surveys with family members or paid carers. Information was provided four times, from Wave 1 (in the winter 2020/2021 ‘lockdown’) to Wave 4 (autumn 2022, over a year after public health protections stopped).FindingsBy Wave 4, most people with learning disabilities had had COVID‐19, although high vaccination rates limited the number of people hospitalised. There was little evidence that use of GP services, community nurses, other therapists or annual health checks had increased over time, and at Wave 4 more people were having difficulty getting their medicines. People's health did not substantially improve over time. People with profound and multiple learning disabilities had poorer health and were less likely to be accessing health services.ConclusionsImprovements in access to health services for people with learning disabilities after the pandemic have not yet happened.