ABSTRACT

Background

Providing medical and dental care for adults with developmental disabilities requires specialised care that includes caregiver’s perceptions of processes of care as integral to informing care delivery.

Method

We examined the reach and efficacy of a medical-dental clinic serving adults with developmental disabilities as part of a program evaluation in the community setting. Using the RE-AIM framework, we analysed caregivers’ perceptions of the processes of care and associations with sociodemographic factors and stress and depression levels.

Results

Perceptions of the processes of care were correlated with caregiver stress levels. Low satisfaction with receipt of general and specific information suggests that care coordination should be prioritised.

Conclusions

The ecosystem of care needs to be targeted in addition to services directed at the individual. Shared evaluation frameworks between service deliveries modalities would allow comparison of family-centred care delivery systems.

中文翻译：

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照顾者对自闭症和智障成人医疗牙科社区诊所护理的看法：实施计划评估

摘要

背景

为发育障碍成人提供医疗和牙科护理需要专业护理，包括护理人员将护理过程视为告知护理提供不可或缺的一部分。

方法

作为社区环境中项目评估的一部分，我们检查了为发育障碍成人提供服务的医疗牙科诊所的覆盖范围和有效性。使用 RE-AIM 框架，我们分析了护理人员对护理过程的看法以及与社会人口因素和压力和抑郁水平的关联。

结果

对护理过程的感知与护理人员的压力水平相关。对收到一般和具体信息的满意度低表明应优先考虑护理协调。

结论

除了针对个人的服务之外，还需要针对护理生态系统。服务提供模式之间的共享评估框架将允许比较以家庭为中心的护理提供系统。