Low Rates of Preventive Healthcare Service Utilization Among Adolescents and Adults With Down Syndrome
| Autor: | Elizabeth J. Campagna, Elizabeth Juarez-Colunga, Allan V. Prochazka, Desmond K. Runyan, Kristin M. Jensen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Down syndrome
medicine.medical_specialty Epidemiology business.industry Public Health Environmental and Occupational Health MEDLINE medicine.disease Article 03 medical and health sciences 0302 clinical medicine Service utilization 030225 pediatrics Family medicine Cohort Health care medicine Life expectancy 030212 general & internal medicine business Medicaid Preventive healthcare |
| Zdroj: | Am J Prev Med |
| ISSN: | 0749-3797 |
| Popis: | INTRODUCTION: People with Down syndrome have health risks that require specific lifelong preventive healthcare. With increasing life expectancy, people with Down syndrome also face health conditions typical of their unaffected peers and thus need coordinated healthcare. The purpose of this study is to describe rates of age/gender- and Down syndrome-specific preventive healthcare activities among adolescents and adults with Down Syndrome. METHODS: Using Medicaid claims (2006–2010) in California, Colorado, Michigan, and Pennsylvania, the cohort was defined as people with Down syndrome aged ≥12 years seen by primary care providers and enrolled in Medicaid for ≥45 of 60 months without dual Medicare enrollment (n=3,501). Age focus-consistent primary care providers were defined as having a focus concordant with a patient’s age: 12–17 years, child or mixed focus; ≥26 years, adult or mixed focus; 18–25 years, any focus. Differences in healthcare activities were evaluated using Pearson’s chi-square, Fisher’s exact, and Kruskal-Wallis tests. Analyses were performed in 2015–2017. RESULTS: Seventy-nine percent of the cohort had an age focus-consistent primary care provider. However, 40% of adults aged ≥26 years received care from child-focused primary care provider. Only 43% with an age focus-consistent provider had ≥1 well examination (age focus-inconsistent primary care provider: 35%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect