A cross-sectional study of the characteristics and determinants of emergency care utilization among people with intellectual disabilities in Taiwan

Jin Ding Lin, Chia Feng Yen, Ching Hui Loh, Shang Wei Hsu, Hui Chi Huang, Chi Chieh Tang, Chi Wei Li, Jia Ling Wu

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Aims: The purpose of this study was to identify health characteristics of people with intellectual disabilities (ID) and to assess the use of emergency care facilities by these people and factors affecting this utilization. Method: A cross-sectional study was employed. Subjects were recruited from the Taiwan National Disability Registration System. A total of 1071 people registered with ID in Taiwan were recruited for this study in 2001. Data were collected via a structured mail-out questionnaire that was completed by the main carers of people with ID. Results: Most of the carers subjectively characterized the overall health status of people with ID as good-excellent. However, people with ID carry a burden of diseases greater than that of the general population. Nearly half (47.7%) of the subjects reported having an illness in the past 7 months. Most of the morbidity was associated with neurological, psychiatric, digestive, dermatological and cardiovascular diseases or disorders. One-third of subjects took medication regularly and 15% were 'Major Illness' card beneficiaries of the Taiwan National Health Insurance scheme. About two-thirds of individuals with ID were classified as having multiple disabilities and 24.5% needed to be provided with frequent rehabilitative therapies to maintain their normal daily functions. Respondents indicated that 18.4% of the subjects had used emergency care in the past 7 months. A stepwise logistic regression model highlighted that the following need factors were significantly related to the utilization of emergency care: having an illness (OR = 2.1, 95% CI = 1.2-3.6), taking medicine regularly (OR = 1.8, 95% CI = 1.1-2.9) and self-reported health status (poor health: OR = 9.9, 95% CI = 2.1-45.7; bad health: OR = 8.2, 95% CI = 1.3-49.8). Conclusions: To ensure that people with ID minimize their utilization of emergency care, it is necessary to establish in appropriate community systems to monitor individuals with ID with poor health status, diseases and who take medicine regularly.

Original languageEnglish
Pages (from-to)657-667
Number of pages11
JournalResearch in Developmental Disabilities
Volume27
Issue number6
DOIs
Publication statusPublished - Nov 1 2006
Externally publishedYes

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Emergency Medical Services
Disabled Persons
Taiwan
Intellectual Disability
Cross-Sectional Studies
Health Status
Caregivers
Health
Logistic Models
Medicine
National Health Programs
Postal Service
Psychiatry
Cardiovascular Diseases
Morbidity
Population

Keywords

  • Emergency care
  • Health characteristics
  • Healthcare utilization
  • Intellectual disability

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

A cross-sectional study of the characteristics and determinants of emergency care utilization among people with intellectual disabilities in Taiwan. / Lin, Jin Ding; Yen, Chia Feng; Loh, Ching Hui; Hsu, Shang Wei; Huang, Hui Chi; Tang, Chi Chieh; Li, Chi Wei; Wu, Jia Ling.

In: Research in Developmental Disabilities, Vol. 27, No. 6, 01.11.2006, p. 657-667.

Research output: Contribution to journalArticle

Lin, Jin Ding ; Yen, Chia Feng ; Loh, Ching Hui ; Hsu, Shang Wei ; Huang, Hui Chi ; Tang, Chi Chieh ; Li, Chi Wei ; Wu, Jia Ling. / A cross-sectional study of the characteristics and determinants of emergency care utilization among people with intellectual disabilities in Taiwan. In: Research in Developmental Disabilities. 2006 ; Vol. 27, No. 6. pp. 657-667.
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AU - Loh, Ching Hui

AU - Hsu, Shang Wei

AU - Huang, Hui Chi

AU - Tang, Chi Chieh

AU - Li, Chi Wei

AU - Wu, Jia Ling

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AB - Aims: The purpose of this study was to identify health characteristics of people with intellectual disabilities (ID) and to assess the use of emergency care facilities by these people and factors affecting this utilization. Method: A cross-sectional study was employed. Subjects were recruited from the Taiwan National Disability Registration System. A total of 1071 people registered with ID in Taiwan were recruited for this study in 2001. Data were collected via a structured mail-out questionnaire that was completed by the main carers of people with ID. Results: Most of the carers subjectively characterized the overall health status of people with ID as good-excellent. However, people with ID carry a burden of diseases greater than that of the general population. Nearly half (47.7%) of the subjects reported having an illness in the past 7 months. Most of the morbidity was associated with neurological, psychiatric, digestive, dermatological and cardiovascular diseases or disorders. One-third of subjects took medication regularly and 15% were 'Major Illness' card beneficiaries of the Taiwan National Health Insurance scheme. About two-thirds of individuals with ID were classified as having multiple disabilities and 24.5% needed to be provided with frequent rehabilitative therapies to maintain their normal daily functions. Respondents indicated that 18.4% of the subjects had used emergency care in the past 7 months. A stepwise logistic regression model highlighted that the following need factors were significantly related to the utilization of emergency care: having an illness (OR = 2.1, 95% CI = 1.2-3.6), taking medicine regularly (OR = 1.8, 95% CI = 1.1-2.9) and self-reported health status (poor health: OR = 9.9, 95% CI = 2.1-45.7; bad health: OR = 8.2, 95% CI = 1.3-49.8). Conclusions: To ensure that people with ID minimize their utilization of emergency care, it is necessary to establish in appropriate community systems to monitor individuals with ID with poor health status, diseases and who take medicine regularly.

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