Author(s): Lin, JD (Lin, Jin-Ding); Hsu, SW (Hsu, Shang-Wei); Chou, YT (Chou, Ying-Ting);
Yen, CF (Yen, Chia-Feng); Wu, JL (Wu, Jia-Ling); Chu, CM (Chu, Cordia M.); Loh, CH (Loh, Ching-Hui)
Title: Assessment of GPs' beliefs relating to the care of people with intellectual disabilities: A Taiwan-based, opportunity-guided approach
Source: DISABILITY AND REHABILITATION, 30 (8): 611-617 2008 Language: English
Document Type: Article
Author Keywords: belief; GP; healthcare; intellectual disability; opportunity-guided approach KeyWords Plus: HEALTH-CARE; MENTAL-RETARDATION; GENERAL-PRACTICE;
ADULTS; NEEDS; INSTITUTIONS; PERSPECTIVE; SERVICES
Abstract: Purpose. This study was designed to investigate general practitioners' (GPs) beliefs about the perceived importance of their role in, and their satisfaction with, providing healthcare to people with intellectual disabilities. The identification of healthcare issues with potential for improvement was assessed using gap analysis and an opportunity-guided method. Method. A cross-sectional census survey by a mail-structured questionnaire recruited 331 GPs (response rate=16%) who provided information on healthcare for people with intellectual disabilities in 2006 in Taiwan. Results. The results indicated that GPs considered their role in providing healthcare for people with intellectual disabilities to be important (mean score 7.2-8.3).
However, the respondents generally did not feel satisfied (mean score 4.6-5.5) with their achievements in treating patients with intellectual disabilities. We found that the gender and educational level of the respondents were statistically correlated to the perceived importance they considered their work to have, while the factors of age, medical practice setting and training experience in intellectual disability were statistically correlated to GPs' perceived satisfaction in providing healthcare to people with intellectual disabilities (p < 0.05). Those healthcare issues of 'training and experience in intellectual disability', 'multi-disciplinary and multi-sectoral cooperation', 'adequate competence in disability diagnosis', 'genetic consulting services', 'duty of disease prevention and health promotion', and 'adequate medical
consultation time' were the five most promising areas to be improved in healthcare for people with intellectual disabilities according to the opportunity-guided analysis. Conclusions. This study highlights that health professionals need to examine carefully healthcare issues pertaining to people with ID, and that much more effort is required to develop appropriate healthcare policies based on the opportunity-guided health issues identified here.
Addresses: [Loh, Ching-Hui] Triserv Gen Hosp, Dept Family & Community Med, Taipei, Taiwan; [Lin, Jin-Ding; Chou, Ying-Ting] Natl Def Med Ctr, Sch Publ Hlth, Taipei, Taiwan;
[Hsu, Shang-Wei] Asia Univ, Grad Inst Healthcare Adm, Taichung, Taiwan; [Yen, Chia-Feng]
Natl Def Med Ctr, Inst Life Sci, Taipei, Taiwan; [Wu, Jia-Ling] Chung Hua Fdnn Persons
Intellectual Disabilit, Res Ctr Intellectual Disabilit Taiwan, Taipei, Taiwan; [Chu, Cordia M.]
Griffith Univ, Ctr Environm & Populat Hlth, Brisbane, Qld 4111, Australia
Reprint Address: Loh, CH, Triserv Gen Hosp, Dept Family & Community Med, Taipei, Taiwan.
E-mail Address: twdoc@ndmctsgh.edu.tw
Cited References: *TAIW MED ASS, 2006, DIR TAIW MED PHYS 20.
BEANGE H, 1995, AM J MENT RETARD, V99, P595.
BEANGE H, 1999, J INTELLECT DEV DIS, V24, P283.
BIESAART MCIH, 1999, J INTELL DISABIL R 6, V43, P454.
CHAPLIN R, 2004, J INTELL DISABIL R 1, V48, P1.
CHEN YT, 2005, EUR T ELECTR POWER, V15, P63, DOI 10.1002/etep.34.
COOK A, 2000, J INTELLECT DEV DIS, V25, P69.
CUMELLA S, 2000, J INTELL DISABIL R 1, V44, P45.
DEVEY S, 2000, J INTELL DISABIL RES, V44, P553.
HSU YJ, 2006, TAIWAN J FAMILY MED, V16, P13.
IACONO T, 2004, RES DEV DISABIL, V25, P265, DOI 10.1016/j.ridd.2003.09.001.
KEER MP, 1996, J APPL RES INTELLECT, V9, P347.
KENDALL NP, 1992, COMMUNITY DENT ORAL, V19, P357.
LANTMANDEVALK HMJV, 2000, FAM PRACT, V17, P405.
LENNOX N, 2000, J INTELLECT DEV DIS, V25, P127.
LENNOX NG, 1997, J INTELL DISABIL R 5, V41, P365.
LENNOX NG, 1997, J INTELL DISABIL R 5, V41, P380.
LIN CJ, 2004, INT J IMAG SYST TECH, V14, P1, DOI 10.1002/ima.20000.
LIN HC, 2005, TAIWAN J FAMILY MED, V15, P11.
LIN JD, J APPL RES INTELLECT.
LIN JD, 2002, TAIWAN J FAMILY MED, V12, P111.
LIN JD, 2003, J INTELL DISABIL R 3, V47, P169.
LIN JD, 2004, J INTELL DISABIL R 3, V48, P252.
LIN JD, 2004, J INTELL DISABIL R 7, V48, P655.
LIN JD, 2004, J MED SCI, V24, P191.
LIN JD, 2005, J POLICY PRACTICE IN, V2, P38.
LIN JD, 2005, RES DEV DISABIL, V26, P267, DOI 10.1016/j.ridd.2004.11.001.
LIN JD, 2007, RES DEV DISABIL, V28, P84, DOI 10.1016/j.ridd.2005.12.003.
PHILLIPS A, 2004, J INTELL DISABIL R 2, V48, P142.
TSAI WC, 2002, J HEALTHC MANAG, V3, P90.
TYLER CV, 1997, J FAM PRACTICE, V44, P487.
ULWICK AW, 2002, HARVARD BUS REV, V80, P91.
ZIGMOND M, 2006, J INTELL DISABIL R 7, V50, P492, DOI 10.1111/j.1365- 2788.2006.00794.x.
Cited Reference Count: 33 Times Cited: 0
Publisher: TAYLOR & FRANCIS LTD
Publisher Address: 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND
ISSN: 0963-8288
DOI: 10.1080/09638280701476078
29-char Source Abbrev.: DISABIL REHABIL ISO Source Abbrev.: Disabil. Rehabil.
Source Item Page Count: 7 Subject Category: Rehabilitation ISI Document Delivery No.: 282NG
