Perceptions of Health and Healthcare of People With Intellectual and Developmental Disabilities in Medicaid Managed Care
Open accessAbstract
This study examined perceptions of health and healthcare of people with intellectual and developmental disabilities (IDD) receiving Medicaid Managed Care. Exploratory, semistructured interviews were conducted with 23 participants. Findings indicate that participants generally expressed being in good health and defined good health as (a) absence of pain, disease, and symptoms; (b) adherence to or not requiring treatment; (c) physical self-care; (d) mental or spiritual self-care; and (e) ability to perform the activities one wants to do. Participants conceptualized healthcare as (a) ensuring needs are met through access to services, (b) obtaining quality services, (c) navigating the healthcare system successfully, and (d) receiving humanizing healthcare. This study has implications for improving healthcare and communications between people with IDD and healthcare providers.
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A warm, friendly, and caring attitude from healthcare providers enables service users to access healthcare facilities and discuss sensitive health concerns.
“A warm, friendly, and caring attitude from healthcare providers enables service users to access healthcare facilities and discuss sensitive health concerns.22,34–37”
From Barriers and facilitators to primary health care for people with intellectual disabilities and/or autism: an integrative review (2020) · cites this paper as [37]
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- Authors
- Gibbons, H. M., Owen, R., & Heller, T.
- Affiliations
- University of Illinois Chicago (US)
- Corresponding author
- Gibbons, Hailee M.
- ORCID
- Owen, Randall
- Venue
- Intellectual and Developmental Disabilities
- Publisher
- Informa UK Limited
- Published
- 2016-04-01
- Volume
- 54
- Issue
- 2
- Pages
- 94-105
- ISSN
- 1934-9491 (ISSN-L)
- 1934-9556
- OpenAlex
- W2325854604
- Cited by
- 21
- References
- 21
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 5 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 1
- FWCI
- 1.99
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Intellectual and developmental disabilities (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- Medicaid managed care, health perception, health care access, quality of care, health system navigation, patient-provider communication, self-care
- MeSH terms
- Adult, Developmental Disabilities, Female, Health Services Accessibility, Health Services Needs and Demand, Humans, Health Knowledge, Attitudes, Practice, Male, Managed Care Programs, Medicaid, Intellectual Disability, Middle Aged, Perception, Surveys and Questionnaires, United States
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