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智障人士的医疗服务利用情况及其与普通人群的比较。

Healthcare services utilization among people with intellectual disability and comparison with the general population.

机构信息

Department of Psychology, Université du Québec à Montréal, Montréal, QC, Canada.

Nisonger Center - UCEDD, Departments of Psychology and Psychiatry, The Ohio State University, Columbus, OH, USA.

出版信息

J Appl Res Intellect Disabil. 2020 May;33(3):552-564. doi: 10.1111/jar.12698. Epub 2020 Feb 16.

Abstract

BACKGROUND

Studies have reported unmet health needs in individuals with intellectual disability (ID). This study illustrated and analysed patterns of healthcare services utilization among people with intellectual disability and compared their use to that of the general population.

METHOD

Participants (N = 791, aged 15-82) were mainly recruited through government-financed agencies specializing in services for people with intellectual disabilities in Québec, Canada. Comparisons were possible by using health administrative data.

RESULTS

Some services were more used by people with intellectual disability than the general population (general medicine, psychiatry, PSA blood tests), and others were accessed at significantly lower frequencies (optometry, physiotherapy, Pap tests). Similar rates were found for mammography, dentistry and psychology. Inequities were more salient for individuals who had more severe levels of intellectual disability.

CONCLUSIONS

Our findings support that the population with intellectual disability would benefit from policies and practices aimed at enhancing the access to healthcare services.

摘要

背景

研究报告称,智障人士(ID)存在未满足的健康需求。本研究说明了智力障碍者的医疗服务利用模式,并对其与普通人群的使用情况进行了比较。

方法

参与者(N=791,年龄 15-82 岁)主要通过加拿大魁北克省专门为智障人士提供服务的政府资助机构招募。通过健康管理数据进行了比较。

结果

一些服务的利用率高于普通人群(如全科医学、精神病学、PSA 血液检查),而其他服务的利用率则明显较低(如验光、物理治疗、巴氏涂片检查)。乳房 X 光检查、牙科和心理学的利用率相似。对于智力残疾程度较重的个体,不公平现象更为明显。

结论

我们的研究结果表明,智障人群将受益于旨在增加医疗服务获取机会的政策和实践。

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