Patient and provider views on the use of medical services by women with intellectual disabilities.
Background People with intellectual disabilities (ID) receive primary care in community-based practices and are encouraged to participate in the physician-patient relationship. However, the nature of this participation is not known. Methods Qualitative data were analysed to obtain perspectives from...
| Publicado en: | Journal of Intellectual Disability Research Vol. 57; no. 11; pp. 1058 - 1068 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104235454&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104235454 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Nov2013 vid: 57 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104235454 90468452 10.1111/j.1365-2788.2012.01606.x NLM22974084 104235454 ppf: 1058 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Patient and provider views on the use of medical services by women with intellectual disabilities. aug: au: Wilkinson, J. Dreyfus, D. Bowen, D. Bokhour, B. affil: Family Medicine, Boston University School of Medicine, Boston, MA, USA; Community Health Sciences, Boston University School of Public Health, Boston, MA, USA sug: subj: Intellectual Disability Women's Health Health Resource Utilization Patient Attitudes Attitude of Health Personnel Human Female Qualitative Studies Thematic Analysis Physician-Patient Relations Semi-Structured Interview Communication Time Factors Discrimination Adult Interview Guides Middle Age Aged Male Caregivers Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background People with intellectual disabilities (ID) receive primary care in community-based practices and are encouraged to participate in the physician-patient relationship. However, the nature of this participation is not known. Methods Qualitative data were analysed to obtain perspectives from patients and providers regarding clinic visits. Patient participants were recruited from community organisations, while physician participants were recruited from emails and phone calls to local and regional practices and a national and regional list serve. Analysis methods derived from grounded theory were used. Results Twenty-seven women with ID and 22 family physicians were interviewed. Themes important to both groups included time, how the support worker should be used in the encounter and the nature of the physician-patient relationship. Patients expressed frustration at how little time they spent with their physician, and wished that physicians would speak directly to them instead of to their support worker. Physicians felt that patients with ID took too much time, and said that they preferred communicating with the support worker. The interviews also revealed unconscious biases about people with ID. Conclusions Patient participation is encouraged for people with ID, but is limited because of both physician and patient factors. Greater awareness of these factors may improve care for patients with ID. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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