Characteristics associated with frequent health system use by Australian adults with intellectual disability: A cohort study

Background In a cohort of adults with intellectual disability who were followed for up to 16‐years, we investigated characteristics associated with frequent emergency department (ED) presentations, hospitalisation, and psychiatric care. Method Community‐dwelling adults with intellectual disability r...

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Bibliographic Details
Published in:Journal of applied research in intellectual disabilities 2022-11, Vol.35 (6), p.1403-1417
Main Authors: Song, Menghuan, Ware, Robert S., Doan, Tan N., Harley, David
Format: Article
Language:English
Subjects:
Adults
Behavior Problems
Chronic Illness
Chronic illnesses
Cohort analysis
emergency department
Emergency medical care
Foreign Countries
frequent user
Health Behavior
Health Needs
Health risks
Health services utilization
hospitalisation
Hospitalization
Hospitals
Individual Characteristics
Intellectual disabilities
Intellectual Disability
Medical Services
Mental health care
predictor
psychiatric care
Psychiatric Hospitals
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Summary:Background In a cohort of adults with intellectual disability who were followed for up to 16‐years, we investigated characteristics associated with frequent emergency department (ED) presentations, hospitalisation, and psychiatric care. Method Community‐dwelling adults with intellectual disability residing in Queensland, Australia, were followed from 1999 to 2015. Healthcare presentations were extracted from administrative databases. Adults who presented frequently were identified and characteristics associated with frequent presentations were identified. Results Data from 445 adults were analysed. Chronic disease and challenging behaviour were associated with frequent ED presentations (adjusted odds ratio = 1.8, 95% confidence interval = 1.1–3.0 and aOR = 2.2, 95% CI = 1.2–3.9 respectively). Chronic disease and severe/profound intellectual disability were associated with frequent hospitalisations (aOR = 1.9, 95% CI = 1.2–3.2 and aOR = 2.0, 95% CI = 1.2–3.3 respectively). Psychotropic medication use was associated with frequent psychiatric presentations (aOR = 1.9, 95% CI = 1.0–3.4). Conclusions Adults at high risk of frequent healthcare presentations should be identified for programmes of optimising health system use, and potentially improving health care quality.
ISSN:1360-2322
1468-3148
DOI:10.1111/jar.13029