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Community and Hospital Healthcare Use by Adults With and Without Intellectual and Developmental Disabilities in Ontario, Canada, During the First 2 Years of the COVID‐19 Pandemic.

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Title: Community and Hospital Healthcare Use by Adults With and Without Intellectual and Developmental Disabilities in Ontario, Canada, During the First 2 Years of the COVID‐19 Pandemic.
Authors: Durbin, A., Balogh, R., Lin, E., Palma, L., Plumptre, L., Lunsky, Y.
Source: Journal of Intellectual Disability Research. Apr2025, Vol. 69 Issue 4, p318-327. 10p.
Subjects: Community health services, Research funding, Hospital care, Medical care, Descriptive statistics, Retrospective studies, Intellectual disabilities, Developmental disabilities, Longitudinal method, Medical records, Acquisition of data, Comparative studies, Data analysis software, People with disabilities, COVID-19 pandemic
Geographic Terms: Ontario
Abstract: Background: This study describes the proportion of Ontario adults with and without intellectual and developmental disabilities (IDD) who used community‐ and hospital‐based healthcare in the first 2 years of the pandemic compared with the year pre–COVID‐19. Methods: Linked health administrative databases identified 87 341 adults with IDD and also adults without IDD living in Ontario, Canada. For each cohort, counts and proportions of adults who used different types of healthcare services were reported for the pre–COVID‐19 year (16 March 2019 to 14 March 2020) and the first two COVID‐19 years (15 March 2020 to 14 March 2021 and 15 March 2021 to 14 March 2022). Results: Compared with the year prior to COVID‐19, the proportion of adults with and without IDD who used health services was lower during the first COVID‐19 year, but the likelihood of all types of visits increased during the second year. The likelihood of using homecare and of being hospitalized nearly returned to pre‐pandemic levels. Virtual physician visits increased in each COVID‐19 year from 5.2% prior to the pandemic to 13.0% in year 1 and 58.7% in year 2. For all years, the proportion of adults who used each service type was higher for those with IDD than without IDD. Conclusions: For adults with and without IDD in Ontario, Canada, during the first two COVID‐19 years healthcare use decreased for all service types, except for virtual physician visits. In the second year, healthcare use increased but did not reach pre–COVID‐19 levels. In all years, adults with IDD were more likely to use services than other adults. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Community and Hospital Healthcare Use by Adults With and Without Intellectual and Developmental Disabilities in Ontario, Canada, During the First 2 Years of the COVID‐19 Pandemic.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. Apr2025, Vol. 69 Issue 4, p318-327. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Intellectual+disabilities%22">Intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Developmental+disabilities%22">Developmental disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+disabilities%22">People with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink>
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  Data: Background: This study describes the proportion of Ontario adults with and without intellectual and developmental disabilities (IDD) who used community‐ and hospital‐based healthcare in the first 2 years of the pandemic compared with the year pre–COVID‐19. Methods: Linked health administrative databases identified 87 341 adults with IDD and also adults without IDD living in Ontario, Canada. For each cohort, counts and proportions of adults who used different types of healthcare services were reported for the pre–COVID‐19 year (16 March 2019 to 14 March 2020) and the first two COVID‐19 years (15 March 2020 to 14 March 2021 and 15 March 2021 to 14 March 2022). Results: Compared with the year prior to COVID‐19, the proportion of adults with and without IDD who used health services was lower during the first COVID‐19 year, but the likelihood of all types of visits increased during the second year. The likelihood of using homecare and of being hospitalized nearly returned to pre‐pandemic levels. Virtual physician visits increased in each COVID‐19 year from 5.2% prior to the pandemic to 13.0% in year 1 and 58.7% in year 2. For all years, the proportion of adults who used each service type was higher for those with IDD than without IDD. Conclusions: For adults with and without IDD in Ontario, Canada, during the first two COVID‐19 years healthcare use decreased for all service types, except for virtual physician visits. In the second year, healthcare use increased but did not reach pre–COVID‐19 levels. In all years, adults with IDD were more likely to use services than other adults. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=184018060
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        Value: 10.1111/jir.13209
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 318
    Subjects:
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Intellectual disabilities
        Type: general
      – SubjectFull: Developmental disabilities
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Medical records
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      – SubjectFull: Acquisition of data
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      – SubjectFull: Comparative studies
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      – SubjectFull: People with disabilities
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      – SubjectFull: Ontario
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    Titles:
      – TitleFull: Community and Hospital Healthcare Use by Adults With and Without Intellectual and Developmental Disabilities in Ontario, Canada, During the First 2 Years of the COVID‐19 Pandemic.
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              Text: Apr2025
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