Collaborative Research - Quality Outcomes
Collaborative Research - Quality Outcomes

Adults with intellectual and developmental disabilities and interprofessional, team-based primary health care: a scoping review

Adults with intellectual and developmental disabilities (IDD) are a complex, vulnerable population known to experience health inequities. Interprofessional primary health care (PHC) teams are recommended to improve access to comprehensive and coordinated health care for these individuals. A new study performed a scoping review to map the available evidence for interprofessional PHC for adults with IDD. Despite the global search strategy, only 20 studies were reviewed, mainly from the United States and Canada. The findings represent only a few distinct interprofessional PHC team models of care and multiple contributions from a small pool of researchers. Roles for physicians, nurse practitioners, nurses, social workers, and mental health care providers were identified. Overall, there was no consistent reporting of outcomes across studies, and outcomes specifically related to many interprofessional services were not captured. Progress has been made to describe and evaluate care for adults with IDD within interprofessional PHC teams. However, more research is needed to demonstrate that quality, comprehensive, and coordinated interprofessional PHC is provided to adults with IDD. Read about additional findings from the study here: http://bit.ly/PHCteams

Patterns of mortality among adults with intellectual and developmental disabilities in the Canadian province of Manitoba

There is growing evidence that people with IDD experience higher rates of mortality compared to the general population. A new study examined the patterns of mortality among a cohort of Manitoba adults with IDD compared to a comparison group matched on age, sex, health region of residence, and morbidity level. The study found that the crude annual mortality rates for Manitoba adults with IDD were 1.8 to 2.4 times higher than those for the matched comparison group and remained stable over time. Disparities in mortality rates for the IDD cohort relative to the matched comparison group decreased with increasing age. The leading causes of death among the IDD cohort were diseases of the circulatory system, cancer, and diseases of the respiratory system. Read about additional findings from the study here: http://bit.ly/IDDmortality

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