Clinical guidelines contribute to the health inequities experienced by individuals with intellectual disabilities.

Implementation Science : IS
Lindsay Am MizenCraig A Melville

Abstract

Clinical practice guidelines are developed to improve the quality of healthcare. However, clinical guidelines may contribute to health inequities experienced by disadvantaged groups. This study uses an equity lens developed by the International Clinical Epidemiology Network (INCLEN) to examine how well clinical guidelines address inequities experienced by individuals with intellectual disabilities. Nine health problems relevant to the health inequities experienced by persons with intellectual disabilities were selected. Clinical guidelines on these disorders were identified from across the world. The INCLEN equity lens was used as the basis for a purpose-designed, semistructured data collection tool. Two raters independently examined each guideline and completed the data collection tool. The data extracted by each rater were discussed at a research group consensus conference and agreement was reached on a final equity lens rating for each guideline. Thirty-six guidelines were identified, one of which (2.8%) explicitly excluded persons with intellectual disabilities. Of the remaining 35, six (17.1%) met the first criterion of the equity lens, identifying persons with intellectual disabilities at high risk for the specific health...Continue Reading

References

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Citations

Nov 5, 2014·The British Journal of Psychiatry : the Journal of Mental Science·Pauline HeslopAnna Marriott
Apr 1, 2015·Journal of Applied Research in Intellectual Disabilities : JARID·Janet RobertsonEric Emerson
Dec 7, 2017·Salud pública de México·Anabel Folch-MasRafael Martínez-Leal
Dec 7, 2013·Intellectual and Developmental Disabilities·Lynda Lahti AndersonSheryl Larson
Sep 29, 2020·Advances in Health Sciences Education : Theory and Practice·Lawrence Grierson, Meredith Vanstone
Jun 21, 2017·Journal of Applied Research in Intellectual Disabilities : JARID·Alison J DohertyJosephine M E Gibson
Apr 28, 2021·Implementation Science : IS·Jonathan P Scaccia, Victoria C Scott
Jun 7, 2021·Implementation Science Communications·Eva N WoodwardJoAnn E Kirchner

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