Health Service Utilization Patterns Among Medicaid-Insured Adults With Intellectual and Developmental Disabilities Implications for Access Needs in Outpatient Community-Based Medical Services

Emily Lauer; Scott Lindgren; Elizabeth Momany; Tara Cope; Julie Royer; Lindsay Cogan; Suzanne McDermott; Brian Armour

doi:10.1097/JAC.0000000000000373

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Health Service Utilization Patterns Among Medicaid-Insured Adults With Intellectual and Developmental Disabilities Implications for Access Needs in Outpatient Community-Based Medical Services

Journal article

Peer reviewed

Health Service Utilization Patterns Among Medicaid-Insured Adults With Intellectual and Developmental Disabilities Implications for Access Needs in Outpatient Community-Based Medical Services

Emily Lauer, Scott Lindgren, Elizabeth Momany, Tara Cope, Julie Royer, Lindsay Cogan, Suzanne McDermott and Brian Armour

The Journal of ambulatory care management, Vol.44(2), pp.138-147

04/01/2021

DOI: 10.1097/JAC.0000000000000373

PMCID: PMC8675230

PMID: 33492884

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https://www.ncbi.nlm.nih.gov/pmc/articles/8675230View

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Abstract

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.

Health Care Sciences & Services

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Health Service Utilization Patterns Among Medicaid-Insured Adults With Intellectual and Developmental Disabilities Implications for Access Needs in Outpatient Community-Based Medical Services
Creators: Emily Lauer - University of Massachusetts Chan Medical School
Scott Lindgren - Roy J. and Lucille A. Carver College of Medicine
Elizabeth Momany - University of Iowa
Tara Cope - New York State Department of Health
Julie Royer - South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Section, Columbia (Ms Royer)
Lindsay Cogan - New York State Department of Health
Suzanne McDermott - University of South Carolina
Brian Armour - National Center on Birth Defects and Developmental Disabilities
Resource Type: Journal article
Publication Details: The Journal of ambulatory care management, Vol.44(2), pp.138-147
DOI: 10.1097/JAC.0000000000000373
PMID: 33492884
PMCID: PMC8675230
NLM abbreviation: J Ambul Care Manage
ISSN: 0148-9917
eISSN: 1550-3267
Publisher: Lippincott Williams & Wilkins
Number of pages: 10
Grant note: OT13-1302 / Association of University Centers on Disability (AUCD) from CDC 5U01DD001007 / Disability Research and Dissemination Center (DRDC) at the University of South Carolina from the Centers for Disease Control and Prevention (CDC)
Language: English
Date published: 04/01/2021
Academic Unit: Stead Family Department of Pediatrics; Public Policy Center (Archive)
Record Identifier: 9984283561302771

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