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)

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, Professor Alex and Hughes, 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 Laughtland, Mrs Marion and McArthur, Miss Laura and Morrison, Professor Jill
• 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 > School of Health & Wellbeing > General Practice and Primary Care; College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing; College of Medical Veterinary and Life Sciences > School of Health & 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