Files in this item
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
Item metadata
dc.contributor.author | Hughes-McCormack, Laura | |
dc.contributor.author | Greenlaw, Nicola | |
dc.contributor.author | McSkimming, Paula | |
dc.contributor.author | McCowan, Colin | |
dc.contributor.author | Ross, Kevin | |
dc.contributor.author | Allan, Linda | |
dc.contributor.author | Henderson, Angela | |
dc.contributor.author | Melville, Craig | |
dc.contributor.author | Morrison, Jill | |
dc.contributor.author | Cooper, Sally-Ann | |
dc.date.accessioned | 2021-11-30T00:36:30Z | |
dc.date.available | 2021-11-30T00:36:30Z | |
dc.date.issued | 2021-03 | |
dc.identifier | 271053446 | |
dc.identifier | bdac3997-ac16-4963-b5d4-cb5b78417366 | |
dc.identifier | 85096925758 | |
dc.identifier | 000594230000001 | |
dc.identifier.citation | Hughes-McCormack , L , Greenlaw , N , McSkimming , P , McCowan , C , Ross , K , Allan , L , Henderson , A , Melville , C , Morrison , J & 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 , vol. 34 , no. 2 , pp. 634-647 . https://doi.org/10.1111/jar.12833 | en |
dc.identifier.issn | 1360-2322 | |
dc.identifier.other | ORCID: /0000-0002-9466-833X/work/85168525 | |
dc.identifier.uri | https://hdl.handle.net/10023/24432 | |
dc.description | This study was funded by the Scottish Government. | en |
dc.description.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. | |
dc.format.extent | 612425 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of Applied Research in Intellectual Disabilities | en |
dc.subject | Chronic disease management | en |
dc.subject | General practice | en |
dc.subject | Health | en |
dc.subject | Intellectual disabilities | en |
dc.subject | Long term conditions | en |
dc.subject | Primary care | en |
dc.subject | RA0421 Public health. Hygiene. Preventive Medicine | en |
dc.subject | RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | en |
dc.subject | 3rd-DAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject.lcc | RA0421 | en |
dc.subject.lcc | RC0321 | en |
dc.title | 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 | en |
dc.type | Journal article | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.contributor.institution | University of St Andrews. Sir James Mackenzie Institute for Early Diagnosis | en |
dc.contributor.institution | University of St Andrews. Population and Behavioural Science Division | en |
dc.identifier.doi | 10.1111/jar.12833 | |
dc.description.status | Peer reviewed | en |
dc.date.embargoedUntil | 2021-11-30 |
This item appears in the following Collection(s)
Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.