Comparing Health Status, Health Trajectories and Use of Health and Social Services between Children with and without Developmental Disabilities: A Population‐based Longitudinal Study in Manitoba

Abstract

Children with DDs had poorer health status than the matched comparison group. The health disparities experienced by children with DDs persisted over time. Further population-based longitudinal research is needed in this area.

Health inequities in unscheduled healthcare for children with intellectual disabilities in Ireland: a study protocol

“…In Ireland, the mortality rate of people with ID under the age of 19 is seven times higher than the general population 5 . Rates of hospitalisation also tend to be higher for this population 3 with findings from Australia showing that children with Down syndrome were hospitalised at a rate five times that of the general population 6 and, in Canada, they have higher ambulatory physician visits and a greater risk of hospitalisation due to injury, respiratory illness and diabetes 4 .…”

“…Children with ID have poorer reported health status than children without and such health disparities are more marked in children and young people compared to other age groups 3 . This population has a shorter life expectancy than the general population, with higher mortality rates before the age of 17 in children with disabilities compared to those without 4 . In Ireland, the mortality rate of people with ID under the age of 19 is seven times higher than the general population 5 .…”

“…Recognising the complexity of the factors that lead to health disparities for this population, beyond establishing the differences in utilisation, will be critical to identifying avoidable determinants of health disparities and how these can be modified to improve health care provision for this population 1 . For instance, continuity of care has been highlighted as a preference for parents of children with developmental disabilities 4 , whereas socioeconomic disadvantages may influence access to care for this population 8 . Moreover, risk factors for emergency department utilisation and hospitalisation may be unique for this population 19 .…”

“…The proposed research herein will provide information about access and utilisation of primary and emergency care of children with ID, particularly in relation to inequalities compared to children without an ID. Modelling the health status and service utilisation of children with ID at a population level is critical to determine their needs and priorities and to build a robust evidence base for policy, planning and service provision 4 . Rigorous mixed-methods research, which adopts a systems approach, will support the identification of targeted strategies and interventions that will strengthen service provision through policy and practice 15 .…”

Inanspruchnahme und wahrgenommene Barrieren des Gesundheitswesens bei Menschen mit Behinderung in Deutschland: Ergebnisse des GEDA 2014/2015-EHIS-Survey

“…mittels Daten der GEDA 2012/2013-Studie gezeigt, dass Menschen mit Beeinträchtigungen häu-figer innerhalb eines Jahres Ärzt*innen konsultieren als Menschen ohne Beeinträchtigungen [5]. Dies wird auch durch internationale Forschungsergebnisse bestätigt und u. a. mit einem höheren (spezifischen) Versorgungsbedarf der Bevölkerungsgruppe begründet [16,27]. Nationale Studien zur Inanspruchnahme von zahnmedizinischen Leistungen bei Menschen mit Behinderung bestehen kaum.…”