Characteristics of Medicare Beneficiaries With Intellectual or Developmental Disabilities

Reichard, Amanda; Haile, Elsa; Morris, Andrew

doi:10.1352/1934-9556-57.5.405

Cited by 16 publications

(15 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…inequities in patterns of health care use, including overreliance on the emergency department as a source of care for people with intellectual disability (Hosking et al, 2017;Reichard et al, 2019).…”

mentioning

confidence: 99%

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Desroches

Howie

Wilson

et al. 2021

J of Nursing Scholarship

View full text Add to dashboard Cite

Intellectual and Developmental Disabilities, 2021). Although the number of people with intellectual disability is relatively few in the context of the general population, the burden of morbidity and mortality is disproportionate compared to the general population.People with intellectual disability die on average at a younger age than people without intellectual disability (Davis et al., 2014) and are more than twice as likely to die of causes that are potentially avoidable (Trollor et al., 2017). People with intellectual disability face higher rates of preventable and treatable conditions including higher rates of comorbidities such as diabetes, obesity, and compromised sexual health (Wilson & Charnock, 2017). This may contribute to

show abstract

mentioning

confidence: 99%

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Desroches

Howie

Wilson

et al. 2021

J of Nursing Scholarship

View full text Add to dashboard Cite

show abstract

“…While food insecurity negatively harms the physical and mental health of everyone, 1 , 2 , 3 , 4 , 5 , 6 , 7 it may be particularly harmful for PWD who were Medicare beneficiaries who are already vulnerable, underserved, and have multiple chronic conditions. 26 , 27 , 33 , 34 , 35 , 36 , 37 A multipronged approach to food insecurity that addresses public health and other systems and structures, ranging from disability services to discrimination, is critical. 2 , 38 …”

Section: Discussionmentioning

confidence: 99%

Food insecurity of people with disabilities who were Medicare beneficiaries during the COVID-19 pandemic

Friedman

2021

Disability and Health Journal

View full text Add to dashboard Cite

Background During the COVID-19 pandemic, 54 million people in the United States were food insecure (2020). People with disabilities (PWD) who were Medicare beneficiaries were especially vulnerable to food insecurity prior to the pandemic. Objective The aim of this study was to explore COVID-19 pandemic food insecurity among PWD who were Medicare beneficiaries. Methods We conducted a secondary analysis of the United States Census Bureau COVID-19 Household Pulse Survey data about the food security of 70,171 PWD who were Medicare beneficiaries (under 65), and a comparison group of 1.1 million non-Medicare beneficiaries (under 65). Data were weighted using frequency person-weights. Results Only 44.3% of PWD who were Medicare beneficiaries had enough of the foods they wanted to eat during the pandemic. Reasons for food insecurity included: could not afford to purchase more food (56.9%); stores did not have the food they wanted (31.4%); afraid to go out to get more food (30.0%); could not get out to get more food (21.5%); and could not get food delivered (8.5%). PWD who were Medicare beneficiaries were more likely to be food insecure than non-Medicare beneficiaries. There were also disparities in food insecurity among PWD who were Medicare beneficiaries themselves with household size, Medicaid beneficiaries, gender, race, education, martial status, household income, and Supplemental Nutrition Assistance Program (SNAP) all impacting food security. Conclusions A multipronged approach that addresses not only food-related public health, but also other systems and structures is critical to end food insecurity.

show abstract

“…First, existing studies primarily focus on single outcomes and single healthcare sectors. One exception is a study by Reichard et al, 8 which reported higher proportions of frequent emergency department use, repeat hospital admissions and mortality in adults with IDD relative to other Medicare recipients in the USA. Second, published studies often use the entire general population as is, or control for age and gender, but not morbidity, when conducting comparisons.…”

Section: Introductionmentioning

confidence: 99%

“…Compared to the general population, they are more likely to reuse in-patient and emergency department services, often within 30 days of a previous discharge or visit, suggesting insufficient support for managing their health issues in the community after discharge. 7,8 Once in hospital, they are more likely to remain despite being deemed ready for discharge. 9 They are also more likely to be admitted into long-term care (LTC) facilities at a younger age, 10 and to die earlier.…”

Section: Introductionmentioning

confidence: 99%

Looking across health and healthcare outcomes for people with intellectual and developmental disabilities and psychiatric disorders: population-based longitudinal study

Lin

Balogh

Chung³

et al. 2020

Br J Psychiatry

View full text Add to dashboard Cite

Background Intellectual and developmental disabilities (IDDs) and psychiatric disorders frequently co-occur. Although each has been associated with negative outcomes, their combined effect has rarely been studied. Aims To examine the likelihood of five negative health and healthcare outcomes for adults with IDD and mental health/addiction disorders (MHAs), both separately and together. For each outcome, demographic, clinical and system-level factors were also examined. Method Linked administrative data-sets were used to identify adults in Ontario, Canada, with IDD and MHA (n = 29 476), IDD-only (n = 35 223) and MHA-only (n = 727 591). Five outcomes (30-day readmission, 30-day repeat ED visit, delayed discharge, long-term care admission and premature mortality) were examined by logistic regression models with generalised estimating equation or survival analyses. For each outcome, crude (disorder groups only) and complete (adding biosocial covariates) models were run using a general population reference group. Results The IDD and MHA group had the highest proportions across outcomes for both crude and complete models. They had the highest adjusted ratios for readmissions (aOR 1.93, 95%CI 1.88–1.99), repeat ED visit (aOR 2.00, 95%CI 1.98–2.02) and long-term care admission (aHR 12.19, 95%CI 10.84–13.71). For delayed discharge, the IDD and MHA and IDD-only groups had similar results (aOR 2.00 (95%CI 1.90–2.11) and 2.21 (95%CI 2.07–2.36). For premature mortality, the adjusted ratios were similar for all groups. Conclusions Poorer outcomes for adults with IDD, particularly those with MHA, suggest a need for a comprehensive, system-wide approach spanning health, disability and social support.

show abstract

Characteristics of Medicare Beneficiaries With Intellectual or Developmental Disabilities

Cited by 16 publications

References 33 publications

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Food insecurity of people with disabilities who were Medicare beneficiaries during the COVID-19 pandemic

Looking across health and healthcare outcomes for people with intellectual and developmental disabilities and psychiatric disorders: population-based longitudinal study

Contact Info

Product

Resources

About