Community and Hospital Healthcare Use by Adults With and Without Intellectual and Developmental Disabilities in Ontario, Canada, During the First 2 Years of the COVID‐19 Pandemic.

Background: This study describes the proportion of Ontario adults with and without intellectual and developmental disabilities (IDD) who used community‐ and hospital‐based healthcare in the first 2 years of the pandemic compared with the year pre–COVID‐19. Methods: Linked health administrative datab...

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Publicado en:Journal of Intellectual Disability Research Vol. 69; no. 4; pp. 318 - 328
Autores principales: Durbin, A., Balogh, R., Lin, E., Palma, L., Plumptre, L., Lunsky, Y.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Wiley-Blackwell
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        10.1111/jir.13209
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        atl: Community and Hospital Healthcare Use by Adults With and Without Intellectual and Developmental Disabilities in Ontario, Canada, During the First 2 Years of the COVID‐19 Pandemic.
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        au:
          Durbin, A.
          Balogh, R.
          Lin, E.
          Palma, L.
          Plumptre, L.
          Lunsky, Y.
        affil: Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto Ontario,, Canada
      sug:
        subj:
          Community Health Services
          Hospitalization
          Intellectual Disability In Adulthood
          Developmental Disabilities In Adulthood
          Persons with Disabilities Psychosocial Factors
          COVID-19 Pandemic Psychosocial Factors
          Human
          Funding Source
          Ontario
          Male
          Female
          Adolescence
          Adult
          Comparative Studies
          Descriptive Statistics
          Retrospective Design
          Record Review
          Prospective Studies
          Data Analysis Software
          Middle Age
          Aged
          Aged, 80 and Over
          Health Services Utilization
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: This study describes the proportion of Ontario adults with and without intellectual and developmental disabilities (IDD) who used community‐ and hospital‐based healthcare in the first 2 years of the pandemic compared with the year pre–COVID‐19. Methods: Linked health administrative databases identified 87 341 adults with IDD and also adults without IDD living in Ontario, Canada. For each cohort, counts and proportions of adults who used different types of healthcare services were reported for the pre–COVID‐19 year (16 March 2019 to 14 March 2020) and the first two COVID‐19 years (15 March 2020 to 14 March 2021 and 15 March 2021 to 14 March 2022). Results: Compared with the year prior to COVID‐19, the proportion of adults with and without IDD who used health services was lower during the first COVID‐19 year, but the likelihood of all types of visits increased during the second year. The likelihood of using homecare and of being hospitalized nearly returned to pre‐pandemic levels. Virtual physician visits increased in each COVID‐19 year from 5.2% prior to the pandemic to 13.0% in year 1 and 58.7% in year 2. For all years, the proportion of adults who used each service type was higher for those with IDD than without IDD. Conclusions: For adults with and without IDD in Ontario, Canada, during the first two COVID‐19 years healthcare use decreased for all service types, except for virtual physician visits. In the second year, healthcare use increased but did not reach pre–COVID‐19 levels. In all years, adults with IDD were more likely to use services than other adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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