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首页> 外文期刊>Journal of Health Services Research & Policy >Access to health care for people with learning disabilities in the UK: mapping the issues and reviewing the evidence
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Access to health care for people with learning disabilities in the UK: mapping the issues and reviewing the evidence

机译：英国学习障碍者获得医疗保健：规划问题并审查证据

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Objectives: People with learning disabilities are more prone to a wide range of additional physical and mental health problems than the general population. Our aim was to map the issues and review the evidence on access to health care for these patients. The review sought to identify theory, evidence and gaps in knowledge relating to the help-seeking behaviour of people with learning disabilities and their carers, barriers and problems they experience accessing the full range of health services, and practical and effective interventions aiming to improve access to health care. nnMethods: A three-strand approach was adopted, involving searches of electronic databases, a consultation exercise and a mail shot to researchers and learning disability health professionals. Evidence relevant to our model of 'access' was evaluated for scientific rigour and selected papers synthesized. nnResults: Overall, a lack of rigorous research in this area was noted and significant gaps in the evidence base were apparent. Evidence was identified on the difficulties in identifying health needs among people with learning disabilities and the potentially empowering or obstructive influence of third parties on access to health care. Barriers to access identified within health services included problems with communication, inadequate facilities, rigid procedures and lack of appropriate interpersonal skills among mainstream health care professionals in caring for these patients. A number of innovations designed to improve access were identified, including a communication aid, a prompt card to support general practitioners, health check programmes and walk-in clinics. nnConclusion: There are important gaps in the knowledge base on access to health care for this group. While these need to be addressed, developing strategies to overcome identified barriers should be a priority, along with fuller evaluation of existing innovations.
机译：目标：与普通人群相比，学习障碍者更容易出现广泛的其他身心健康问题。我们的目的是找出问题所在，并审查有关这些患者获得医疗保健的证据。审查旨在查明与学习障碍者及其照顾者的寻求帮助行为有关的理论，证据和知识差距，他们在获得全方位保健服务时遇到的障碍和问题以及旨在改善获取机会的切实有效的干预措施卫生保健。 nn方法：采用了三链方法，包括搜索电子数据库，进行咨询和向研究人员和学习残疾保健专业人员发送邮件。评估了与我们的“访问”模型相关的证据，以确保其科学严谨性，并综合精选论文。结果：总的来说，注意到该领域缺乏严格的研究，并且证据基础上明显存在差距。证据表明，在学习障碍者中难以确定健康需求，以及第三方对获得卫生保健的潜在授权或阻碍性影响。卫生服务中确定的获取障碍包括沟通问题，设施不足，程序僵化以及主流卫生保健专业人员在照顾这些患者方面缺乏适当的人际交往能力。确定了旨在改善交通状况的许多创新，包括通讯帮助，支持全科医生的即时卡，健康检查计划和步入式诊所。 nn结论：该群体在获得医疗保健的知识基础上存在重大差距。尽管需要解决这些问题，但制定策略以克服已发现的障碍应该是优先事项，同时还要对现有创新进行更全面的评估。

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