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.
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.
| Original language | English |
|---|---|
| Pages (from-to) | 634-647 |
| Journal | Journal of Applied Research in Intellectual Disabilities |
| Volume | 34 |
| Issue number | 2 |
| Early online date | 30 Nov 2020 |
| DOIs | |
| Publication status | Published - Mar 2021 |
Keywords
- Chronic disease management
- General practice
- Health
- Intellectual disabilities
- Long term conditions
- Primary care
Access to Document
- Hughes-McCormack-2020-Changes-over-time-JARID-AAM
Copyright © 2020 John Wiley & Sons Ltd. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1111/jar.12833.