York Jana, Wechuli Yvonne, Karbach Ute
Faculty of Rehabilitation Sciences, TU Dortmund University, Dortmund, Germany.
Faculty of Human Sciences, University of Kassel, Kassel, Germany.
Open Access Emerg Med. 2022 Aug 12;14:441-456. doi: 10.2147/OAEM.S361676. eCollection 2022.
The paper intends to do a scoping review of people with intellectual disabilities in emergency care where this group seems to face access barriers and discrimination. It analyses the conceptual and methodological framework for studies examining the former.
A scoping review is conducted. The studies' quality is assessed via a checklist developed by the authors drawing on a compilation of common assessment tools for study quality.
Fourteen quantitative studies fulfil the inclusion criteria for further analysis. Summary measures are extracted. Results are synthesized with Andersen's Behavioral Model of Health Service Use. Studies employ a combination of variables attributable to different aspects of population characteristics and health behavior.
Most studies seek to quantify or predict emergency care overuse by people with intellectual disabilities. Future studies should also take patients' poor health or treatment outcomes and their perspectives into account.
本文旨在对智障人士在急诊护理中的情况进行范围综述，该群体在急诊护理中似乎面临就医障碍和歧视。本文分析了研究前者的概念和方法框架。
进行范围综述。通过作者借鉴研究质量通用评估工具汇编制定的清单对研究质量进行评估。
十四项定量研究符合进一步分析的纳入标准。提取汇总指标。结果与安德森卫生服务利用行为模型进行综合分析。研究采用了一系列归因于人口特征和健康行为不同方面的变量。
大多数研究试图量化或预测智障人士过度使用急诊护理的情况。未来的研究还应考虑患者的健康状况不佳或治疗结果及其观点。
