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- Title
Improving the Transfer of Care to General Practice for People With Intellectual Disabilities: Development of a Guideline.
- Authors
Wullink, Magda; Lantman-de Valk, Henny van Schrojenstein; van den Akker, Marjan; Metsemakers, Job; Dinant, Geert-Jan
- Abstract
In the Netherlands, a public policy shift has led to a movement of people with intellectual disabilities (ID) from residential congregate care facilities to normative housing in their communities. Along with these physical transfers, medical care has also been transferred from specialty intellectual disability physicians (IDPs) associated with the residential facilities to general practitioners (GPs) native to the community. To facilitate these changes, the authors created a set of guidelines for the transfer of ID medical care. In developing these guidelines, the authors queried: (1) What elements have to be included in the draft guidelines? (2) What are the barriers to using the draft guidelines in practice and how can these barriers be overcome? and (3) What elements have to be included in the final form of the guidelines? Data for the draft guidelines were drawn from information gathered during interviews and discussions with physicians and allied workers. The guidelines call for a feasible working agreement between IDPs and GPs regarding handing over patient files containing problem lists and histories and arrangements of out-of-hours house calls, practice visits, medication delivery, and paramedical treatments. Inherent barriers to the implementation of the guidelines might be communication difficulties among persons involved in the transfer of care and governmental rules that fail to overcome organizational barriers.
- Subjects
NETHERLANDS; MENTAL efficiency; HOUSING for people with disabilities; MEDICAL care for people with disabilities; GENERAL practitioners
- Publication
Journal of Policy & Practice in Intellectual Disabilities, 2007, Vol 4, Issue 4, p241
- ISSN
1741-1122
- Publication type
Article
- DOI
10.1111/j.1741-1130.2007.00130.x