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Comprehensive preventive care assessments for adults with intellectual and developmental disabilities in Ontario – Part 2: 2003-2014

Published: January 1, 2014
Category: Bibliography
Authors: Glenys Smith, Helene-Ouellette-Kuntz, Michael Green
Country: Canada
Language: English
Type: Population Health
Setting: Academic

Objective To determine if there has been an increase in preventive care among adults with IDD as a result of the publication of the Canadian consensus guidelines in 2006 and 2011.

Design Ecological.

Setting Ontario.

Participants The study group consisted of community-dwelling adults with IDD, between the ages of 40 and 64 living in Ontario identified in 2009/10 through administrative health and social services data. The comparison group consisted of a propensity score matched sample of the remaining Ontario population.

Main outcome measures A combined measure of the health exam and/or Primary Care Quality composite Score ≥ 0.6, both measures were identified using administrative health data.

Results Adults with IDD were 2.04% more likely to have a health exam or PCQS ≥ 0.6 prior to 2011/12 and 1.70% less likely after 2011/12. Adults without IDD were 1.03% more likely prior to 2011/12 and 13.74% less likely after 2011/12. Males with IDD were 15% more likely and males without IDD were 7% less likely to have a health exam or PCQS ≥ 0.6 compared to females.

Conclusion Despite the publication of the guidelines there has not been a corresponding increase in the uptake of the annual health exam or quality preventive care among adults with IDD. More is required to reduce this documented inequity in care.

Medical Conditions,Equity Evaluation, Practice Patterns Comparison,Population Markers,Canada,Intellectual and Developmental Disabilities,Health Exam,Preventive Care

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