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Comprehensive preventive care assessments for adults with intellectual and developmental disabilities in Ontario – Part 2: 2003-2014

Objective To determine if there has been an increase in preventive care among adults with IDD as a result of the publication of the Canadian consensus guidelines in 2006 and 2011.

Design Ecological.

Setting Ontario.

Participants The study group consisted of community-dwelling adults with IDD, between the ages of 40 and 64 living in Ontario identified in 2009/10 through administrative health and social services data. The comparison group consisted of a propensity score matched sample of the remaining Ontario population.

Main outcome measures A combined measure of the health exam and/or Primary Care Quality composite Score ≥ 0.6, both measures were identified using administrative health data.

Results Adults with IDD were 2.04% more likely to have a health exam or PCQS ≥ 0.6 prior to 2011/12 and 1.70% less likely after 2011/12. Adults without IDD were 1.03% more likely prior to 2011/12 and 13.74% less likely after 2011/12. Males with IDD were 15% more likely and males without IDD were 7% less likely to have a health exam or PCQS ≥ 0.6 compared to females.

Conclusion Despite the publication of the guidelines there has not been a corresponding increase in the uptake of the annual health exam or quality preventive care among adults with IDD. More is required to reduce this documented inequity in care.