{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T12:57:01Z","timestamp":1792328221895,"version":"4.4.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Qual Health Care"],"published-print":{"date-parts":[[1996,3]]},"abstract":"<jats:p>OBJECTIVE--To compare general practitioners' care of adult patients with learning disability with that of control patients in the same practice. DESIGN--Case-control study of patients and controls by a structured interview study of general practitioners. SETTING--Avon. PATIENTS--78 adult patients with learning disability and 78 age and sex matched controls--cared for by 62 general practitioners. MAIN MEASURES--Number and content of consultations and opinions of the general practitioners. RESULTS--There were more consultations for diseases of the central nervous system and of the skin among the patients than the controls (15 v 3 for central nervous system disease and 15 v 4 skin disease). There were also significantly fewer recordings of blood pressure and cervical cytology tests (34 v 51 for blood pressure and 2 v 18 for cytology). Although more patients were taking drugs affecting the central nervous system (33 v 6), more controls were taking drugs for musculoskeletal complaints (17 v 7). CONCLUSION: Although adult patients with learning disability consult with their general practitioners at equivalent rates to other patients, they get less preventive care and consult for different types of problems than do other patients. The reasons for these differences in preventive care are not clear. Carers and general practitioners should be informed of these differences to ensure that appropriate care is given.<\/jats:p>","DOI":"10.1136\/qshc.5.1.31","type":"journal-article","created":{"date-parts":[[2008,9,29]],"date-time":"2008-09-29T13:52:26Z","timestamp":1222696346000},"page":"31-35","source":"Crossref","is-referenced-by-count":62,"title":["Assessing general practitioners' care of adult patients with learning disability: case-control study."],"prefix":"10.1136","volume":"5","author":[{"given":"M","family":"Whitfield","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Langan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O","family":"Russell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1996,3,1]]},"reference":[{"key":"ref_1","first-page":"449","article-title":"Are the medical needs of mentally handicapped adults being met?","volume":"36","author":"Howells, G.","year":"1986","unstructured":"Howells G. Are the medical needs of mentally handicapped adults being met? Journal of Royal College of General Practitioners 1986;36:449-53.","journal-title":"Journal of Royal College of General Practitioners"},{"key":"ref_2","first-page":"1379","article-title":"Health care screening for people with mental handicap living in the community","volume":"301","author":"Wilson, D.N.; Haire, A.","year":"1990","unstructured":"Wilson DN, Haire A. Health care screening for people with mental handicap living in the community. BMJ7 1990; 301:1379-81."},{"key":"ref_3","first-page":"38","article-title":"What sort of doctors do people with mental handicap need?","volume":"5","author":"Beckitt, D.; Searle, G.F.; Wright, E.C.","year":"1987","unstructured":"Beckitt D, Searle GF, Wright EC. What sort of doctors do people with mental handicap need? British Journal of Clinical and Social Psychiatry 1987;5:38-42.","journal-title":"British Journal of Clinical and Social Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1136\/bmj.302.6772.348-b","article-title":"Health care for people with mental handicap","volume":"302","author":"Bouras, N.; Drummond, C.R.","year":"1991","unstructured":"Bouras N, Drummond CR. Health care for people with mental handicap. BMJ 1991;302:348.","journal-title":"BMJ"},{"key":"ref_5","first-page":"152","article-title":"Health care for the developmentally disabled. Is it necessary?","volume-title":"issues in mental retardation research","author":"Beange, H.; Bauman, A.","year":"1990","unstructured":"Beange H, Bauman A. Health care for the developmentally disabled. Is it necessary? In: Fraser W, ed. Key issues in mental retardation research. London: Routledge, 1990: 152-62."},{"key":"ref_6","first-page":"357","article-title":"Paid and un-paid carers: their role and satisfaction with primary health care for people with learning disabilities","volume":"2","year":"1994","unstructured":"Langan J, Whitfield M, Russell 0. Paid and un-paid carers: their role and satisfaction with primary health care for people with learning disabilities. Health and Social Care in the Community 1994;2:357-65.","journal-title":"Health and Social Care in the Community"},{"key":"ref_7","article-title":"Too many drugs, too little care. Parents' perceptions of administration and side-effects of drugs prescribedforyoung people with severe learning disabilities","author":"Hubert, J.","year":"1992","unstructured":"Hubert J. Too many drugs, too little care. Parents' perceptions of administration and side-effects of drugs prescribedforyoung people with severe learning disabilities. London: Values into Action, 1992."},{"key":"ref_8","article-title":"Healthy lives - the health needs of people with learning disabilities. In: Values and visions: changing ideas in services for people with learning disabilities","author":"Rodgers, J, Russell 0","year":"1995","unstructured":"Rodgers J, Russell 0. Healthy lives - the health needs of people with learning disabilities. In: Values and visions: changing ideas in services for people with learning disabilities. London: Butterworth-Heinneman, 1995;204-319."}],"container-title":["Quality in Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/qshc.5.1.31","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T20:44:02Z","timestamp":1757018642000},"score":1,"resource":{"primary":{"URL":"https:\/\/qualitysafety.bmj.com\/lookup\/doi\/10.1136\/qshc.5.1.31"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,3]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1996,3,1]]},"published-print":{"date-parts":[[1996,3]]}},"alternative-id":["10.1136\/qshc.5.1.31"],"URL":"https:\/\/doi.org\/10.1136\/qshc.5.1.31","relation":{},"ISSN":["0963-8172","1475-3901"],"issn-type":[{"value":"0963-8172","type":"print"},{"value":"1475-3901","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,3]]}}}