Characteristics Associated with Frequent Health System Use by Australian Adults with Intellectual Disability: A Cohort Study

Autor/inn/en	Song, Menghuan; Ware, Robert S.; Doan, Tan N.; Harley, David
Titel	Characteristics Associated with Frequent Health System Use by Australian Adults with Intellectual Disability: A Cohort Study
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 35 (2022) 6, S.1403-1417 (15 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Song, Menghuan) ORCID (Ware, Robert S.) ORCID (Doan, Tan N.) ORCID (Harley, David)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/jar.13029
Schlagwörter	Foreign Countries; Adults; Intellectual Disability; Individual Characteristics; Hospitals; Psychiatric Hospitals; Health Needs; Health Behavior; Chronic Illness; Behavior Problems; Medical Services; Australia + Suchen Sie Ihr Suchwort? Ausland; Intellect; Disability; Disabilities; Verstand; Behinderung; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Krankengymnast; Krankenhaus; Phsychiatric institution; Psychiatrische Einrichtung; Health behaviour; Gesundheitsverhalten; Chronic disease; Chronische Krankheit; Arzt; Australien
Abstract	Background: In a cohort of adults with intellectual disability who were followed for up to 16-years, we investigated characteristics associated with frequent emergency department (ED) presentations, hospitalisation, and psychiatric care. Method: Community-dwelling adults with intellectual disability residing in Queensland, Australia, were followed from 1999 to 2015. Healthcare presentations were extracted from administrative databases. Adults who presented frequently were identified and characteristics associated with frequent presentations were identified. Results: Data from 445 adults were analysed. Chronic disease and challenging behaviour were associated with frequent ED presentations (adjusted odds ratio = 1.8, 95% confidence interval = 1.1-3.0 and aOR = 2.2, 95% CI = 1.2-3.9 respectively). Chronic disease and severe/profound intellectual disability were associated with frequent hospitalisations (aOR = 1.9, 95% CI = 1.2-3.2 and aOR = 2.0, 95% CI = 1.2-3.3 respectively). Psychotropic medication use was associated with frequent psychiatric presentations (aOR = 1.9, 95% CI = 1.0-3.4). Conclusions: Adults at high risk of frequent healthcare presentations should be identified for programmes of optimising health system use, and potentially improving health care quality. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01