综合性预防保健评估在智力和发育障碍成人中的应用：第 1 部分：我们如何知道它是否正在发生？
Comprehensive preventive care assessments for adults with intellectual and developmental disabilities: Part 1: How do we know if it is happening?
机构信息
Master's student in the Department of Public Health Sciences at Queen's University in Kingston, Ont, at the time of the study and is a methodologist at the Institute for Clinical Evaluative Sciences at the University of Ottawa in Ontario and the Ottawa Hospital Research Institute, at Queen's University.
Epidemiologist and Professor in the Department of Public Health Sciences and the Institute for Clinical Evaluative Science at Queen's University.
出版信息
Can Fam Physician. 2018 Apr;64(Suppl 2):S57-S62.
OBJECTIVE
To determine how best to measure the provision of comprehensive preventive care assessment of adults with intellectual and developmental disabilities (IDD).
DESIGN
Cross-sectional study.
SETTING
Ontario.
PARTICIPANTS
Adults with IDD between 40 and 64 years of age in 2013 and 2014.
MAIN OUTCOME MEASURES
was defined using the Ontario Health Insurance Plan billing data fee code A003 (with diagnostic code 917 or 319) or fee code K131, and the Primary Care Quality Composite Score (PCQS), a measure combining 7 different screening maneuvers (lipid, glucose, breast cancer, cervical cancer, colorectal cancer, eye, and hemoglobin A screening), was identified using administrative health data.
RESULTS
A total of 28 825 adults with IDD were identified in 2013 and 2014. Overall, 12.1% of adults with IDD received a health examination; 51.2% received a high (≥ 0.6) PCQS. Male patients were more likely to have received all of their eligible screening maneuvers if they had had a health examination compared with female patients (odds ratio of 5.73 vs 3.99, respectively).
CONCLUSION
Less than 60% of adults with IDD appear to be receiving comprehensive preventive care. Future studies assessing the quality of preventive care received by adults with IDD should combine health examination billing codes and the PCQS.
目的
确定如何最好地衡量为智力和发育障碍（ID）成年人提供全面预防保健评估。
设计
横断面研究。
地点
安大略省。
参与者
2013 年和 2014 年年龄在 40 至 64 岁之间的 IDD 成年人。
主要结果测量
使用安大略省医疗保险计划计费数据费用代码 A003（诊断代码 917 或 319）或费用代码 K131 定义，初级保健质量综合评分（PCQS）是一种结合了 7 种不同筛查操作（血脂、血糖、乳腺癌、宫颈癌、结直肠癌、眼睛和血红蛋白 A 筛查）的措施，通过行政健康数据识别。
结果
2013 年和 2014 年共确定了 28825 名 IDD 成年人。总体而言，12.1%的 IDD 成年人接受了健康检查；51.2%的成年人接受了高（≥0.6）PCQS。与女性患者相比，如果男性患者接受了健康检查，则更有可能接受所有合格的筛查操作（优势比分别为 5.73 和 3.99）。
结论
不到 60%的 IDD 成年人似乎正在接受全面的预防保健。未来评估 IDD 成年人接受的预防保健质量的研究应将健康检查计费代码和 PCQS 相结合。
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