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The normative and political call for an inclusive working world as the UNCRPD explicates is not consistent with the current employment realities of people with disabilities in Germany and in the Nordic countries such as Iceland, Norway or Sweden. Only a fraction is able to find employment on the labour market, while segregated systems are expanding at the same time. We reference the 'Work 4.0' discourse with a particular focus on substitutability potentials and automation processes in the course of digitalization. These developments go hand in hand with the pluralization of employment constellations as well as progressive expansion of education and devaluation of qualifications. This article takes a critical look at these processes of change in the working world with regard to their effects on people with disabilities. The central contradictions between political, legal, and normative demands for employment realities to be organized inclusively as well current developments in the area of technology, employment, and knowledge are discussed.

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Purpose The paper intends to do a scoping review of people with intellectual disabilities in emergency care where this group seems to face access barriers and discrimination. It analyses the conceptual and methodological framework for studies examining the former. Methods A scoping review is conducted. The studies’ quality is assessed via a checklist developed by the authors drawing on a compilation of common assessment tools for study quality. Results Fourteen quantitative studies fulfil the inclusion criteria for further analysis. Summary measures are extracted. Results are synthesized with Andersen’s Behavioral Model of Health Service Use. Studies employ a combination of variables attributable to different aspects of population characteristics and health behavior. Conclusion Most studies seek to quantify or predict emergency care overuse by people with intellectual disabilities. Future studies should also take patients’ poor health or treatment outcomes and their perspectives into account.