Department of Personality, Assessment and Psychological Treatment, University of Salamanca, Salamanca, Spain.
Institute on Community Integration (INICO), University of Salamanca, Salamanca, Spain.
J Appl Res Intellect Disabil. 2019 Nov;32(6):1453-1464. doi: 10.1111/jar.12639. Epub 2019 Jun 13.
This qualitative study was carried out in Spain with the aim of identifying the changes that the health system should make to improve healthcare access for older adults with intellectual disability. Three hundred and sixty-nine family members and professionals expressed their opinion on how healthcare access could be improved. Participants responded to two open-ended questions included in a general survey about the health status of older individuals with intellectual disability. Most informants were women and professionals who had known the person with intellectual disability for more than 12 months. A system of categories, which showed good inter-rater agreement, was developed to analyse participants' written responses. Both family members and professionals emphasized the need to improve disability training for healthcare practitioners and highlighted the urgent need for flexibility in the structure of a healthcare system that currently overlooks the specific needs of this vulnerable population.
本定性研究在西班牙进行，旨在确定卫生系统应做出哪些改变，以改善智障老年人的医疗保健可及性。369 名家庭成员和专业人士就如何改善医疗保健可及性发表了意见。参与者回答了一般调查中关于智障老年人健康状况的两个开放式问题。大多数受访者是女性和专业人士，他们认识智障人士已经超过 12 个月。为了分析参与者的书面答复，开发了一个具有良好评分者间一致性的类别系统。家庭成员和专业人士都强调需要为医疗保健从业者提供残疾培训，并强调目前忽视这一弱势群体特定需求的医疗保健系统结构急需灵活性。
