Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 540819
Title Does risk and urgency of requested out-of-hours general practitioners care differ for people with intellectual disabilities in residential settings compared with the general population in the Netherlands? A cross-sectional routine data-based study
Author(s) Heutmekers, Marloes; Naaldenberg, Jenneken; Verheggen, Sabine A.; Assendelft, Willem J.J.; Schrojenstein Lantman-de Valk, Henny M.J. van; Tobi, Hilde; Leusink, Geraline L.
Source BMJ Open 7 (2017)11. - ISSN 2044-6055
Department(s) WASS
Biometris (WU MAT)
Publication type Refereed Article in a scientific journal
Publication year 2017
Keyword(s) After-hours care - general practice - health equity - intellectual disabilities - primary healthcare - triage
Abstract Objectives: To investigate whether people with intellectual disabilities (ID) in residential setting were more likely than people from the general population to request out-of-hours general practitioner (GP) care and whether these requests had a similar level of urgency. Design: Cross-sectional routine data-based study. Setting: Two GP cooperatives providing out-of-hours primary care in an area in the Netherlands. Population: 432 582 persons living in the out-of-hours service areas, of which 1448 could be identified as having an ID. Main outcome measures: GP cooperative records of all contacts in 2014 for people with and without ID were used to calculate the relative risk of requesting care and the associated level of urgency. Results: Of the people with ID (448/1448), 30.9% requested out-of-hours GP care, whereas for the general population this was 18.4% (79 206/431 134), resulting in a relative risk of 1.7 (95% CI 1.6 to 1.8). We found a different distribution of urgency level for people with and without ID. Generally, requests for people with ID were rated as less urgent. Conclusion: People with ID in residential setting were more likely to request out-of-hours GP care than the general population. The distribution of the urgency level of requests differed between the two groups. The high percentage of demands relating to people with ID requesting counselling and advice suggests that some out-of-hours GP care may be avoidable. However, more insight is needed into the nature of out-of-hours primary care requests of people with ID to direct structural and reasonable adjustments towards the improvement of health information exchange in and around-the-clock access to primary care for people with ID.
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