Changes over time in the management of long-term conditions in primary health-care for adults with intellectual disabilities, and the health-care inequalities gap

Hughes-Mccormack, L., Greenlaw, N., Mcskimming, P., Mccowan, C. , Ross, K., Allan, L., Henderson, A. , Melville, C. , Morrison, J. and Cooper, S.-A. (2021) Changes over time in the management of long-term conditions in primary health-care for adults with intellectual disabilities, and the health-care inequalities gap. Journal of Applied Research in Intellectual Disabilities, 34(2), pp. 634-647. (doi: 10.1111/jar.12833) (PMID:33283349)

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Abstract

Background: Quality of primary healthcare impacts on health outcomes. This study aimed to quantify trends in good practice and the healthcare inequalities gap. Method: Indicators of best‐practice management of long‐term conditions and health promotion were extracted from primary healthcare records on 721 adults with intellectual disabilities in 2007–2010, and 3638 in 2014. They were compared over time, and with the general population in 2014, using Fisher's Exact test and ordinal regression. Results: Management improved for adults with intellectual disabilities over time (OR = 5.32; CI = 2.69–10.55), but not for the general population (OR = 0.74; CI = 0.34–1.64). However, it remained poorer, but to a lesser extent, compared with the general population (OR = 0.38; CI = 0.20–0.73 in 2014, and OR = 0.05; CI = 0.02–0.12 in 2007–2010). In 2014, health care was comparable to the general population on 49/78 (62.8%) indicators. Conclusions: The extent of the healthcare inequality gap reduced over this period, but remaining inequalities highlight that further action is still necessary.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Allan, Ms Linda and Mccowan, Professor Colin and Hughes-Mccormack, Mrs Laura and Henderson, Mrs Angela and Mcskimming, Mrs Paula and Cooper, Professor Sally-Ann and Melville, Professor Craig and Greenlaw, Miss Nicola and Morrison, Professor Jill
Authors: Hughes-Mccormack, L., Greenlaw, N., Mcskimming, P., Mccowan, C., Ross, K., Allan, L., Henderson, A., Melville, C., Morrison, J., and Cooper, S.-A.
College/School: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
College of Medical Veterinary and Life Sciences > School of Veterinary Medicine
Journal Name:Journal of Applied Research in Intellectual Disabilities
Publisher:Wiley
ISSN:1360-2322
ISSN (Online):1468-3148
Published Online:30 November 2020
Copyright Holders:Copyright © 2020 John Wiley and Sons Ltd
First Published:First published in Journal of Applied Research in Intellectual Disabilities 34(2): 634-647
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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