{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:59:38Z","timestamp":1780549178172,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T00:00:00Z","timestamp":1537056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000276","name":"Department of Health & Social Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000276","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002141","name":"Public Health England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002141","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Providing safe, high\u2010quality admitted\u2010patient care for people with intellectual disabilities (IDs) requires consideration for their special needs particularly in relation to communication and consent. To make allowance for these special requirements, it would be helpful for hospitals to know how often they are likely to arise. This study set out to identify the amount and patterns of use of acute, non\u2010psychiatric hospital admitted\u2010patient care in England by people with ID. Patterns are considered in relation to clinical specialties, modes of admission (emergency or planned) and life stages (children and young people, working age and older adults). In each case, patterns for people with ID are compared with patterns for those without.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Descriptive observational study using a major general practitioner (GP) research database (Clinical Practice Research Datalink GOLD) linked to routine national statistical records of admitted\u2010patient care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall people identified by their GP as having ID had higher rates of admitted\u2010patient care episodes and longer durations of stay than those without. Differences varied considerably between clinical specialties with rates more elevated in medical and paediatric than surgical specialties. Admitted\u2010patient care rates for women with ID in obstetrics and gynaecology were lower than for other women, while rates for admitted\u2010patient dental care were much higher for both men and women with ID. In an average English health administrative area with a local population of 250\u00a0000 people, at any time, there are likely to be approximately 670 people receiving acute admitted\u2010patient care. Approximately six of these are likely to have been identified by their GP as having ID. At 0.9% of hospital in\u2010patients, this is just under twice the proportion in the population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion and implications<\/jats:title><jats:p>Our figures are likely to be an underestimate as GP identification of people with ID is known to be far from complete. However, they indicate that the number of people with ID in acute hospital settings is likely to be substantially more than a recent survey of English health services indicated they were aware of. The study is intended to help guide expectations for acute hospitals seeking to audit the completeness of their identification of people with ID and to indicate their likely distribution between clinical specialties.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.12544","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T06:22:55Z","timestamp":1537165375000},"page":"85-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["An observational study of the use of acute hospital care by people with intellectual disabilities in England"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0820-3323","authenticated-orcid":false,"given":"G.","family":"Glover","sequence":"first","affiliation":[{"name":"Public Health England Learning Disabilities Observatory, West Wing, Victoria House, Capital Park, Fulbourn  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Clinical Practice Research Datalink Group, Medicines and Healthcare Products Regulatory Agency  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Tompkins","sequence":"additional","affiliation":[{"name":"Public Health in Gateshead, Gateshead Council  Gateshead UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Oyinlola","sequence":"additional","affiliation":[{"name":"Clinical Practice Research Datalink Group, Medicines and Healthcare Products Regulatory Agency  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,16]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"AragonT.J. 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