TY - JOUR
T1 - A scoping review to inform an auditing framework evaluating healthcare environments for inclusion of people with intellectual disability and/or autism
AU - Kersten, Michelle
AU - Wilson, Nathan John
AU - Pracilio, Amy
AU - Howie, Virginia
AU - Trollor, Julian
AU - Buckley, Thomas
AU - Morphet, Julia
AU - Bryce, Julianne
AU - Griffin, Ken
AU - Cashin, Andrew
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Australian Government National Disability Insurance Agency Information Linkages and Capacity Building Grant Scheme grant number 4-DW65XKD.
Publisher Copyright:
© The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - People with intellectual disability and/or autism are likely to be in hospital more often, for longer, and have poorer health outcomes. Few audit tools exist to identify their barriers in mainstream healthcare environments. This study aimed to identify evidence of audit characteristics of healthcare contexts specifically for people with intellectual disability and/or autism, for conceptual development of an auditing framework. A scoping review of evaluations of healthcare environments was completed in January 2023. Findings were presented using the PAGER framework. Of the sixteen studies identified, most originated in the UK, nine focused on intellectual disability, four on autism, and three were concerned with mixed diagnosis. Six domains for auditing healthcare environments were identified: care imperatives, communication to individuals, understanding communication from individuals, providing supportive environments of care, supporting positive behaviour, and actions to make things go well. Further research is recommended to refine an audit framework.
AB - People with intellectual disability and/or autism are likely to be in hospital more often, for longer, and have poorer health outcomes. Few audit tools exist to identify their barriers in mainstream healthcare environments. This study aimed to identify evidence of audit characteristics of healthcare contexts specifically for people with intellectual disability and/or autism, for conceptual development of an auditing framework. A scoping review of evaluations of healthcare environments was completed in January 2023. Findings were presented using the PAGER framework. Of the sixteen studies identified, most originated in the UK, nine focused on intellectual disability, four on autism, and three were concerned with mixed diagnosis. Six domains for auditing healthcare environments were identified: care imperatives, communication to individuals, understanding communication from individuals, providing supportive environments of care, supporting positive behaviour, and actions to make things go well. Further research is recommended to refine an audit framework.
KW - autism
KW - equity
KW - evaluation
KW - healthcare services
KW - intellectual disability
KW - reasonable adjustments
UR - http://www.scopus.com/inward/record.url?scp=85162970617&partnerID=8YFLogxK
U2 - 10.1177/17446295231174282
DO - 10.1177/17446295231174282
M3 - Review Article
C2 - 37217215
AN - SCOPUS:85162970617
SN - 1744-6295
SP - 1
EP - 23
JO - Journal of Intellectual Disabilities
JF - Journal of Intellectual Disabilities
ER -