医疗补助保险的成年智力和发育障碍者的卫生服务利用模式：对外科医院社区医疗服务可及性需求的影响。
Health Service Utilization Patterns Among Medicaid-Insured Adults With Intellectual and Developmental Disabilities: Implications for Access Needs in Outpatient Community-Based Medical Services.
机构信息
Center for Developmental Disabilities Evaluation and Research (CDDER), Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Worcester (Ms Lauer); Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City (Dr Lindgren); University of Iowa Public Policy Center, Iowa City (Dr Momany); New York State Department of Health, Office of Quality and Patient Safety, Division of Information and Statistics, Albany (Ms Cope); South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Section, Columbia (Ms Royer); New York State Department of Health, Office of Quality and Patient Safety, Division of Quality Measurement, Albany (Dr Cogan); Arnold School of Public Health, University of South Carolina, Columbia (Dr McDermott); and Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Armour).
出版信息
J Ambul Care Manage. 2021;44(2):138-147. doi: 10.1097/JAC.0000000000000373.
Limited existing evidence suggests that adults with intellectual and developmental disabilities (IDD) experience substantial disparities in numerous areas of health care, including quality ambulatory care. A multistate cohort of adults with IDD was analyzed for patterns of inpatient admissions and emergency department utilization. Utilization was higher (inpatient [RR = 3.2], emergency department visits [RR = 2.6]) for adults with IDD, particularly for ambulatory care-sensitive conditions (eg, urinary tract [RR = 6.6] and respiratory infections [RRs = 5.5-24.7]), and psychiatric conditions (RRs = 5.8-15). Findings underscore the importance of access to ambulatory care skilled in IDD-related needs to recognize and treat ambulatory care-sensitive conditions and to manage chronic medical and mental health conditions.
现有有限的证据表明，智力和发育障碍（ID）成年人在包括门诊护理在内的许多医疗保健领域存在巨大差距。对一个多州 ID 成年人队列进行了分析，以了解住院入院和急诊就诊的模式。 ID 成年人的利用率更高（住院[RR = 3.2]，急诊就诊[RR = 2.6]），特别是对于需要门诊护理的疾病（例如，尿路感染[RR = 6.6]和呼吸道感染[RRs = 5.5-24.7]）和精神疾病（RRs = 5.8-15）。这些发现强调了需要获得熟悉 ID 相关需求的门诊护理的重要性，以识别和治疗需要门诊护理的疾病，并管理慢性医疗和心理健康疾病。
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