Meghan G. Blaskowitz, Duquesne University, Department of Occupational Therapy; Brigida Hernandez, YAI Network; and Paul W. Scott, University of Pittsburgh, Department of Health and Community Systems.
Intellect Dev Disabil. 2019 Apr;57(2):127-145. doi: 10.1352/1934-9556-57.2.127.
Emergency room (ER) and hospital utilization among people with intellectual and developmental disabilities (IDD) are significant contributors to rising healthcare costs. This study identifies predictors of utilization among 597 adults with IDD. Using a retrospective survey of medical charts, descriptive statistics and logistic regressions were conducted. Individual-level risk factors for ER utilization included age, number of chronic health conditions, a diagnosis of cerebral palsy or neurological disorder, mental illness, and polypharmacy. Environmental predictors included community-based supported living. Hospitalization predictors included age and number of chronic illnesses. People residing in group homes were less likely to be admitted. This study found risk factors unique to individuals with IDD that should be addressed with tailored interventions as states transition to Medicaid managed care.
急诊科（ER）和医院的利用率在有智力和发育障碍（IDD）的人群中是导致医疗保健成本上升的重要因素。本研究确定了 597 名 IDD 成年人利用的预测因素。使用对病历的回顾性调查，进行了描述性统计和逻辑回归。急诊利用的个体风险因素包括年龄、慢性健康状况的数量、脑瘫或神经障碍、精神疾病和多种药物治疗的诊断。环境预测因素包括以社区为基础的支持性居住。住院的预测因素包括年龄和慢性疾病的数量。住在集体家庭的人入院的可能性较小。本研究发现了 IDD 人群特有的风险因素，随着各州向医疗补助管理式医疗过渡，应该针对这些因素采取有针对性的干预措施。
