Health Service Utilization Patterns Among Medicaid-Insured Adults With Intellectual and Developmental Disabilities

Details

• Alternative Title:
  J Ambul Care Manage
• Personal Author:
  Lauer, Emily ; Lindgren, Scott ; Momany, Elizabeth ; Cope, Tara ; Royer, Julie ; Cogan, Lindsay ; McDermott, Suzanne ; Armour, Brian
• Description:
  Limited existing evidence suggests that adults with intellectual and developmental disabilities (IDD) experience substantial disparities in numerous areas of health care, including quality ambulatory care. A multistate cohort of adults with IDD was analyzed for patterns of inpatient admissions and emergency department utilization. Utilization was higher (inpatient [RR = 3.2], emergency department visits [RR = 2.6]) for adults with IDD, particularly for ambulatory care-sensitive conditions (eg, urinary tract [RR = 6.6] and respiratory infections [RRs = 5.5-24.7]), and psychiatric conditions (RRs = 5.8-15). Findings underscore the importance of access to ambulatory care skilled in IDD-related needs to recognize and treat ambulatory care-sensitive conditions and to manage chronic medical and mental health conditions.
• Subjects:
  Adult Ambulatory Care Child Community Health Services Developmental Disabilities Emergency Service, Hospital Humans Intellectual Disability Medicaid Outpatients
• Keywords:
  Ambulatory Care Developmental Disabilities Infections Intellectual Disability Mental Disorders
• Source:
  J Ambul Care Manage. 44(2):138-147
• Pubmed ID:
  33492884
• Pubmed Central ID:
  PMC8675230
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01DD001007/ACL/ACL HHSUnited States/ ; U01 DD001007/DD/NCBDD CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  44
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c54929e822ec8ab188d5d3c127f5b2a2cccd35dbf10855fcdf929dc328b3a09e
• Download URL:
  https://stacks.cdc.gov/view/cdc/112659/cdc_112659_DS1.pdf
• File Type:
  [PDF - 87.28 KB ]