{"id":1896,"date":"2022-03-30T00:00:00","date_gmt":"2022-03-30T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/"},"modified":"2023-06-14T19:29:56","modified_gmt":"2023-06-14T23:29:56","slug":"changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/","title":{"rendered":"Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD), adaptations to service delivery during the COVID-19 pandemic may impact people with IDD differently than others. For community and hospital-based services, this study describes the proportion of adults with and without IDD who used healthcare in the year pre-COVID-19 and the first year of the pandemic.<\/p>\n<p><strong>Methods<\/strong> &#x2014; This retrospective cohort study used linked health administrative databases to identify adults aged 18&#x2013;105 years with and without IDD using unique encoded identifiers. Counts and proportions of adults who used healthcare services were reported for the pre-COVID-19 year (16 March 2019 to 14 March 2020) and the first COVID-19 year (15 March 2020 to 15 March 2021).<\/p>\n<p><strong>Results<\/strong> &#x2014; Across services, the proportion of adults who used services was lower during the first COVID-19 year compared with the year prior, except for virtual physician visits that increased markedly for people with and without IDD. While the proportion of adults who used services was higher for those with IDD compared with those without IDD for both years, differences were greatest for mental health emergency visits and hospitalisations; adults with IDD were 6.3 to 10.9 times more likely to use these services than others with no IDD during the pandemic.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; During the first COVID-19 year in Ontario, Canada, service use decreased for all service types, except for virtual physician visits. In both years, adults with IDD remained more likely to use services than other adults, with the largest differences in use of mental health hospitalisations and mental health emergency department visits.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD), adaptations to service delivery during the COVID-19 pandemic may impact people with IDD differently than others. For community and hospital-based services, this study describes the proportion of adults with and without IDD who used healthcare in the year [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1896","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Durbin A, Balogh R, Lin E, Palma L, Plumptre L, Lunsky Y. <em>J Intellect Disabil Res<\/em>. 2022; 66(5):399-412. Epub 2022 Mar 30.","source_url":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jir.12929","ices_scientist":[1296,1182,1095,1291,22754],"site":[6733],"research_program":[6740],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"C85D9735-1990-4A93-89C9-35E46345DC13","sitecore_item_name":"Changes-in-community-and-hospital-based-health-care-use-during-the-COVID-19-pandemic","sitecore_field_values":"{\n  \"Title\": \"Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities\",\n  \"Short title\": \"Changes in community and\",\n  \"Summary\": \"This study describes the proportion of adults with and without intellectual and\/or developmental disabilities who used healthcare in the year pre-COVID-19 and the first year of the pandemic.\",\n  \"Citation\": \"<p>Durbin A, Balogh R, Lin E, Palma L, Plumptre L, Lunsky Y. <em>J Intellect Disabil Res<\/em>. 2022; 66(5):399-412. Epub 2022 Mar 30. DOI: <a href=\"https:\/\/doi.org\/10.1111\/jir.12929\" title=\"opens external link\">https:\/\/doi.org\/10.1111\/jir.12929<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD), adaptations to service delivery during the COVID-19 pandemic may impact people with IDD differently than others. For community and hospital-based services, this study describes the proportion of adults with and without IDD who used healthcare in the year pre-COVID-19 and the first year of the pandemic.<\/p>n<p><strong>Methods<\/strong> &mdash; This retrospective cohort study used linked health administrative databases to identify adults aged 18&ndash;105 years with and without IDD using unique encoded identifiers. Counts and proportions of adults who used healthcare services were reported for the pre-COVID-19 year (16 March 2019 to 14 March 2020) and the first COVID-19 year (15 March 2020 to 15 March 2021).<\/p>n<p><strong>Results<\/strong> &mdash; Across services, the proportion of adults who used services was lower during the first COVID-19 year compared with the year prior, except for virtual physician visits that increased markedly for people with and without IDD. While the proportion of adults who used services was higher for those with IDD compared with those without IDD for both years, differences were greatest for mental health emergency visits and hospitalisations; adults with IDD were 6.3 to 10.9 times more likely to use these services than others with no IDD during the pandemic.<\/p>n<p><strong>Conclusions<\/strong> &mdash; During the first COVID-19 year in Ontario, Canada, service use decreased for all service types, except for virtual physician visits. In both years, adults with IDD remained more likely to use services than other adults, with the largest differences in use of mental health hospitalisations and mental health emergency department visits.<\/p>n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jir.12929\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{FCA9F2BB-4312-4EEE-BCC3-7AA5A1B9D61E}|{97E75E01-4CFB-4AF5-AEF6-047B30F3F3E0}|{961C7CF5-612D-4A1A-ACD8-9933C17397A9}|{2BE1969D-216B-465B-A22F-F900C548643F}\",\n  \"Posted Date\": \"20220330T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/March\/Changes-in-community-and-hospital-based-health-care-use-during-the-COVID-19-pandemic"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD),\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD),\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:29:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\\\/\",\"name\":\"ICES | Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2022-03-30T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:29:56+00:00\",\"description\":\"Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\\\/or developmental disabilities (IDD),\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities","description":"Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD),","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities","og_description":"Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD),","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-14T23:29:56+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/","name":"ICES | Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2022-03-30T04:00:00+00:00","dateModified":"2023-06-14T23:29:56+00:00","description":"Background &#x2014; Due to the functional, cognitive and communication impairments associated with intellectual and\/or developmental disabilities (IDD),","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-community-and-hospital-based-health-care-use-during-the-covid-19-pandemic-for-adults-with-and-without-intellectual-and-developmental-disabilities\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Changes in community and hospital-based healthcare use during the COVID-19 pandemic for adults with and without intellectual and developmental disabilities"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/1896","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6740"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/22754"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1291"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1095"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1182"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1296"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=1896"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=1896"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=1896"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=1896"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=1896"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}