학술논문
Changes over time in the management of long‐term conditions in primary health care for adults with intellectual disabilities, and the healthcare inequality gap.
Document Type
Article
Author
Source
Subject
*CHRONIC disease treatment
*CONFIDENCE intervals
*FAMILY medicine
*FISHER exact test
*HEALTH promotion
*HEALTH services accessibility
*HEALTH status indicators
*LONG-term health care
*MEDICAL quality control
*PEOPLE with intellectual disabilities
*PRIMARY health care
*REGRESSION analysis
*ELECTRONIC health records
*ODDS ratio
*ADULTS
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Language
ISSN
1360-2322
Abstract
Background: Quality of primary healthcare impacts on health outcomes. This study aimed to quantify trends in good practice and the healthcare inequalities gap. Method: Indicators of best‐practice management of long‐term conditions and health promotion were extracted from primary healthcare records on 721 adults with intellectual disabilities in 2007–2010, and 3638 in 2014. They were compared over time, and with the general population in 2014, using Fisher's Exact test and ordinal regression. Results: Management improved for adults with intellectual disabilities over time (OR = 5.32; CI = 2.69–10.55), but not for the general population (OR = 0.74; CI = 0.34–1.64). However, it remained poorer, but to a lesser extent, compared with the general population (OR = 0.38; CI = 0.20–0.73 in 2014, and OR = 0.05; CI = 0.02–0.12 in 2007–2010). In 2014, health care was comparable to the general population on 49/78 (62.8%) indicators. Conclusions: The extent of the healthcare inequality gap reduced over this period, but remaining inequalities highlight that further action is still necessary. [ABSTRACT FROM AUTHOR]