Shooshtari Shahin, Temple Beverley, Waldman Celeste, Abraham Sneha, Ouellette-Kuntz Héléne, Lennox Nicholas
Faculty of Health Sciences, Department of Community Health Sciences, St. Amant Research Centre, University of Manitoba, Winnipeg, MB, Canada.
Faculty of Health Sciences, College of Nursing, St. Amant Research Centre, University of Manitoba, Winnipeg, MB, Canada.
J Appl Res Intellect Disabil. 2017 Jul;30(4):672-683. doi: 10.1111/jar.12261. Epub 2016 Jun 9.
No standardized tool is used in Canada for comprehensive health assessments of adults with intellectual disabilities. This study was conducted to determine the feasibility of implementing the Comprehensive Health Assessment Program (CHAP) in Manitoba, Canada.
This was a qualitative study using a purposive sample of physicians, nurse practitioners, support workers and families. Data were collected through individual interviews and focus groups and were analysed using content analysis.
Use of the CHAP was perceived as beneficial for persons with intellectual disabilities. Improved continuity of care was of the reported benefits. Six barriers for the future implementation of the CHAP were identified including the time required to complete the CHAP, and the perceived lack of physicians' willingness to do comprehensive assessments.
The future implementation of the CHAP was strongly supported. For its successful implementation, training of healthcare professionals and support staff and change in regulations and policies were recommended.
加拿大没有用于对成年智障人士进行全面健康评估的标准化工具。开展本研究以确定在加拿大曼尼托巴省实施综合健康评估项目（CHAP）的可行性。
这是一项定性研究，采用了由医生、执业护士、支持工作者和家庭组成的目的抽样样本。通过个人访谈和焦点小组收集数据，并使用内容分析法进行分析。
CHAP的使用被认为对智障人士有益。所报告的益处包括改善了护理的连续性。确定了CHAP未来实施的六个障碍，包括完成CHAP所需的时间，以及认为医生不愿意进行全面评估。
CHAP的未来实施得到了大力支持。为成功实施，建议对医疗保健专业人员和支持人员进行培训，并改变法规和政策。
