People with ID in primary care

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People with ID in primary care
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Congress Chronic disease managementPrato, May
2007

• Henny van Schrojenstein
• Lantman- de Valk, Jos MJAA Straetmans
• Francois G. Schellevis, GeertJan Dinant

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Contents

• Information about the Netherlands
• People with ID in primary care
• Consultation and prescription rates
• Contact diagnoses
• Prescriptions

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Population data the Netherlands

• 16 million inhabitants
• 35.054 sq. km.
• 110,000 people with intellectual disabilities
• 50 in regular care facilities housing 3-20
  people
• 50 with family or on their own.

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People with ID in the Netherlands

• Institutions closing down rapidly
• Most research so far originated from people
  living in residential care facilities
• More info needed on health of people outside
  facilities

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People with ID in primary care

• Mutual communication barriers
• Different problem presentation
• Different comorbidity
• Undetected health problems
• Need for more education of GPs

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People with ID in primary care
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Second Dutch National Survey of Primary Care

• Sentinel study
• Netherlands Institute for Health Services
  Research
• Electronic practice information
• 104 practices all over the country
• 400,000 registered patients
• Data collection in 2001.
• Study funded by Netherlands Organisation for
  Health Services Research and Development

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Identification of study population

• Search for diagnostic ICPC code P85
• Key words indicating ID
• 868 people with ID in 71 practices
• Control group 15 ? 4305 controls
• Matched on gender, age, and from same practice

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Consultation and prescription rates

• Consultations
• 721 people with ID and 2975 controls
• On average 5.4 vs 3.2 contacts
• Prescriptions
• 645 people with ID vs 2505 controls
• On average 4.3 vs 3.1

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Prevalence of top-5 diagnoses at contact
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Other striking results in diagnoses at contact
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Top-5 Prescriptions at contacts
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Summarizing 1

• People with ID
• Have more contacts
• Receive more prescriptions
• Apart from epilepsy same diagnoses
• And same prescriptions

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Summarizing 2

• Increase workload for GP
• Presentation frequent enough to allow
• Health promotion
• Monitor characteristic health problems

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Reference

• This presentation refelcts a publication in BJGP
• Straetmans J.M.J.A.A., Van Schrojenstein
  Lantman-de Valk , H.M.J, Schellevis F.G., Dinant
  G.J.. Health problems of people with intellectual
  disabilities the impact for general practice.
  British Journal of General Practice
  20075764-66.