What Are the Determinants of Specialized Outpatient and Dental Care Use in Adults With Disabilities Living in Institutions: Findings From a National Survey in France

Archives of Physical Medicine and Rehabilitation
Diane NaouriNathalie Pelletier-Fleury

Abstract

To explore the determinants of specialized outpatient care use (general practitioners excluded) in people with disabilities living in institutions. Cross-sectional study. National health and disability survey. People (N=2528) living in institutions for adults with cognitive, sensory, and mobility disabilities. Not applicable. We used different measures of disability severity available in the survey: (1) the continuous score of limitations based on a measure we constructed according to self-reported level of difficulty performing 18 tasks without aid; (2) the Katz Index; and (3) the respondent's self-reported perception of functional limitations. Logistic regressions were performed to examine the determinants of the likelihood of having consulted a specialized outpatient care physician or a dentist at least once in the previous year. Of the 2528 individuals, 45% (1141) and 28% (697) had respectively consulted a specialized outpatient care physician or a dentist at least once in the previous year. After adjusting for health care needs, higher functional limitation scores, dependency in all 6 activities of daily living, and self-reported perceptions of severe functional limitations were significantly associated with a lower likeli...Continue Reading

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Citations

Aug 4, 2019·International Journal of Environmental Research and Public Health·Caroline GondlachDenise Faulks
Dec 31, 2021·Community Dentistry and Oral Epidemiology·Rejane Christine de Sousa QueirozErika Barbara Abreu Fonseca Thomaz

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