Access to Health Care: Implementation and Outcomes of a Hospital-Based Anaesthesia Protocol for People With Intellectual Disability

IF 1.9 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-07-23 DOI:10.1111/jar.70100

Michelle Bellon, Farima Forooziya, Rodney Mitchell, Sharon Liberali, Monica Welsh, Paul Jones, Stephanie Searle

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引用次数: 0

Abstract

Background

People with intellectual disability face numerous barriers to accessing basic preventative health care. This study documents the protocol, process and health outcomes of a multidisciplinary hospital-based Health Care Access Service providing pre-procedure sedation and general anaesthesia for adults with moderate to profound intellectual disability and complexity.

Method

In this retrospective quality assurance study, development of the protocol, procedures and outcomes (demographic data, procedures performed and health outcomes) are presented for all patients from commencement of the service for the first 8 month period.

Results

Ten people received the service over this time (8 males, 2 females; mean age 30.2 years). Investigation results identified a range of health conditions which are now being appropriately managed. A case study illustrates the process of implementing the protocol, procedures and outcomes, illustrating person-centred and trauma-informed approaches.

Conclusions

Service design considerations are discussed from a human rights perspective for future implementation efforts.

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获得卫生保健：智障人士医院麻醉方案的实施和结果

智力残疾者在获得基本预防性保健方面面临许多障碍。本研究记录了以多学科医院为基础的卫生保健服务的方案、过程和健康结果，为中度至重度智力残疾和复杂性的成人提供术前镇静和全身麻醉。方法在这项回顾性质量保证研究中，从服务开始的头8个月期间，介绍了所有患者的方案、程序和结果（人口统计数据、执行的程序和健康结果）的制定。结果10人在此期间接受了服务(男性8人，女性2人；平均年龄30.2岁)。调查结果确定了目前正在适当管理的一系列健康状况。一个案例研究说明了实施协议的过程、程序和结果，说明了以人为本和了解创伤的方法。从人权的角度讨论了服务设计的考虑因素，以供未来实施工作之用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.