Management and prevalence of long-term conditions in primary health care for adults with intellectual disabilities compared with the general population: a population-based cohort study

Cooper, S.-A. et al. (2018) Management and prevalence of long-term conditions in primary health care for adults with intellectual disabilities compared with the general population: a population-based cohort study. Journal of Applied Research in Intellectual Disabilities, 31(S1), pp. 68-81. (doi:10.1111/jar.12386) (PMID:28730746)

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Abstract

Background: In the UK, general practitioners/family physicians receive pay for performance on management of long-term conditions, according to best-practice indicators. Method: Management of long-term conditions was compared between 721 adults with intellectual disabilities and the general population (n = 764,672). Prevalence of long-term conditions was determined, and associated factors were investigated via logistic regression analyses. Results: Adults with intellectual disabilities received significantly poorer management of all long-term conditions on 38/57 (66.7%) indicators. Achievement was high (75.1%–100%) for only 19.6% of adults with intellectual disabilities, compared with 76.8% of the general population. Adults with intellectual disabilities had higher rates of epilepsy, psychosis, hypothyroidism, asthma, diabetes and heart failure. There were no clear associations with neighbourhood deprivation. Conclusions: Adults with intellectual disabilities receive poorer care, despite conditions being more prevalent. The imperative now is to find practical, implementable means of supporting the challenges that general practices face in delivering equitable care.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McConnachie, Dr Alex and Hughes-Mccormack, Mrs Laura and Mcskimming, Mrs Paula and Henderson, Mrs Angela and Melville, Professor Craig and Cooper, Professor Sally-Ann and Allan, Mrs Linda and Greenlaw, Miss Nicola and Baltzer, Miss Marion and McArthur, Miss Laura and Morrison, Professor Jillian
Authors: Cooper, S.-A., Hughes-McCormack, L., Greenlaw, N., McConnachie, A., Allan, L., Baltzer, M., McArthur, L., Henderson, A., Melville, C., McSkimming, P., and Morrison, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
Journal Name:Journal of Applied Research in Intellectual Disabilities
Publisher:Wiley
ISSN:1360-2322
ISSN (Online):1468-3148
Published Online:20 July 2017
Copyright Holders:Copyright © 2017 John Wiley and Sons Ltd
First Published:First published in Journal of Applied Research in Intellectual Disabilities 31(S1): 68-81
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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