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家庭医生为智力和发育障碍成年人提供健康检查。

Health checks for adults with intellectual and developmental disabilities in a family practice.

机构信息

Associate Professor in the Department of Family Medicine at Queen's University in Kingston, Ont.

Advanced practice nurse at the See Things My Way clinic and a faculty member of the Ingram School of Nursing at McGill University in Montreal, Que.

出版信息

Can Fam Physician. 2018 Apr;64(Suppl 2):S44-S50.

PMID:29650744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5906774/
Abstract

OBJECTIVE

To provide tips and tools for primary care practitioners carrying out health checks for adult patients with intellectual and developmental disabilities (IDD) and for implementing a systematic program of health checks in a group or team practice.

SOURCES OF INFORMATION

The "Primary Care of Adults with Intellectual and Developmental Disabilities. 2018 Canadian Consensus Guidelines" literature review and interdisciplinary input. Experience in implementing health checks in family practices was obtained through the primary care project of H-CARDD (Health Care Access Research and Developmental Disabilities).

MAIN MESSAGE

Annual comprehensive health assessments ("health checks") are a recommendation of the 2018 Canadian consensus guidelines for primary care of adults with IDD because of evidence of benefit in this population. Although health checks might require more time to complete for people with IDD than is usual for encounters in primary care, family physicians are in an ideal position to provide this service because of the attributes of family medicine, which include both an orientation to proactive care and the ability to provide continuity of care. Tips and tools are provided for carrying out health checks for adult patients with IDD and for implementing a systematic program of health checks in a group or team practice.

CONCLUSION

Health checks can help enhance a family physician's approach to providing care for adults with IDD.

摘要

目的

为初级保健医生为患有智力和发育障碍(IDD)的成年患者进行健康检查,并在团队实践中实施系统的健康检查计划提供技巧和工具。

信息来源

《成人智力和发育障碍的初级保健》2018 年加拿大共识指南文献综述和跨学科意见。通过 H-CARDD(医疗保健获取研究和发育障碍)的初级保健项目,获得了在家庭实践中实施健康检查的经验。

主要信息

年度全面健康评估(“健康检查”)是 2018 年加拿大 IDD 成人初级保健共识指南的建议,因为该人群的获益证据。尽管健康检查可能需要比初级保健中通常的就诊时间更长,但家庭医生由于家庭医学的属性,包括主动护理的方向和提供连续护理的能力,处于提供这项服务的理想位置。为患有 IDD 的成年患者进行健康检查,并在团队或团队实践中实施系统的健康检查计划提供了技巧和工具。

结论

健康检查可以帮助加强家庭医生为患有 IDD 的成年人提供护理的方法。

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本文引用的文献

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Improving the quality of primary care for adults with intellectual and developmental disabilities: Value of the periodic health examination.提高成年智障和发育障碍者初级保健质量:定期健康检查的价值。
Can Fam Physician. 2019 Apr;65(Suppl 1):S66-S72.
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Improving care for adults with intellectual and developmental disabilities: Role of clerical staff.改善对智力和发育障碍成年人的护理:文书工作人员的作用。
Can Fam Physician. 2019 Apr;65(Suppl 1):S8-S10.
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Barriers and facilitators to improving health care for adults with intellectual and developmental disabilities: what do staff tell us?改善智障和发育障碍成年人医疗保健的障碍和促进因素:工作人员告诉我们什么?
Health Promot Chronic Dis Prev Can. 2018 Oct;38(10):349-357. doi: 10.24095/hpcdp.38.10.01.
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Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines.成人智障和发育障碍的初级保健:2018 年加拿大共识指南。
Can Fam Physician. 2018 Apr;64(4):254-279.
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GPs' opinions of health assessment instruments for people with intellectual disabilities: a qualitative study.全科医生对智障人士健康评估工具的看法:一项定性研究。
Br J Gen Pract. 2017 Jan;67(654):e41-e48. doi: 10.3399/bjgp16X688585. Epub 2016 Dec 19.
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Mortality in people with intellectual disabilities in England.英格兰智障人士的死亡率。
J Intellect Disabil Res. 2017 Jan;61(1):62-74. doi: 10.1111/jir.12314. Epub 2016 Aug 2.
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Stakeholders' Perspectives towards the Use of the Comprehensive Health Assessment Program (CHAP) for Adults with Intellectual Disabilities in Manitoba.利益相关者对马尼托巴省针对智障成年人使用综合健康评估项目(CHAP)的看法。
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