Emergency Department Use: Common Presenting Issues and Continuity of Care for Individuals With and Without Intellectual and Developmental Disabilities.

This population-based cohort study examined the relationship between level of continuity of primary care and subsequent emergency department (ED) visits for adults with (n = 66,484) and without intellectual and developmental disabilities (IDD)(n = 2,760,670). Individuals with IDD were more likely th...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 48; no. 10; pp. 3542 - 3551
Autores principales: Durbin, Anna, Balogh, Robert, Lin, Elizabeth, Wilton, Andrew S., Lunsky, Yona
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2018
      vid: 48
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      pub: Springer Nature
      place: New York, New York
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        atl: Emergency Department Use: Common Presenting Issues and Continuity of Care for Individuals With and Without Intellectual and Developmental Disabilities.
      aug:
        au:
          Durbin, Anna
          Balogh, Robert
          Lin, Elizabeth
          Wilton, Andrew S.
          Lunsky, Yona
        affil: Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, M5B 1T8, Toronto, ON, Canada
      sug:
        subj:
          Emergency Service Utilization
          Intellectual Disability In Adulthood
          Developmental Disabilities In Adulthood
          Continuity of Patient Care
          Primary Health Care Methods
          Human
          Adult
          Descriptive Statistics
          P-Value
          Help Seeking Behavior
          Cognition
          Adaptation, Psychological
          Quality Improvement
          Adult: 19-44 years
      ab: This population-based cohort study examined the relationship between level of continuity of primary care and subsequent emergency department (ED) visits for adults with (n = 66,484) and without intellectual and developmental disabilities (IDD)(n = 2,760,670). Individuals with IDD were more likely than individuals with no IDD to visit the ED (33.96% versus 20.28%, p < 0.0001). For both groups receiving greater continuity of primary care was associated with less ED use, but this relationship was more marked for adults with IDD. While continuity of primary care can reduce ED use for populations with and without IDD, it is a higher priority for individuals with IDD whose cognitive and adaptive impairments may complicate help-seeking, diagnosis, and treatment. Improving primary care can have far-reaching implications for this complex population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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