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 543538
Title Health problems of people with intellectual disabilities in Dutch out-of-hours primary care
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 Journal of Applied Research in Intellectual Disabilities 32 (2019)2. - ISSN 1360-2322 - p. 475 - 481.
DOI https://doi.org/10.1111/jar.12537
Department(s) Biometris (WU MAT)
WASS
Publication type Refereed Article in a scientific journal
Publication year 2019
Keyword(s) after-hours care - electronic health records - general practice - health service utilization - intellectual disability - medical conditions - primary health care
Abstract

Background: Little is known about the health needs of people with intellectual disabilities who access out-of-hours primary care services, raising concerns about accessibility and quality of care for this group. This study aims to identify commonly presented health problems of people with intellectual disabilities in this specific setting compared with the general population. Method: Cross-sectional study with routine data at two out-of-hours cooperatives with a total of 41,166 persons aged 20–65 requesting outof-hours primary care in 2014, of which 315 persons were identified as having an intellectual disability. Results: Having an intellectual disability was associated with a higher probability of presenting with epilepsy (OR 45.65) and concerns about, and adverse effects of, medical treatment (OR 23.37, and 8.41, respectively). Conclusions: Given the high rates of epilepsy and medication-related concerns of people with intellectual disabilities, this study suggests that these issues require special attention to improve the accessibility and quality of out-of-hours primary care.

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