In total, 40% of the deaths of patients with learning disabilities have been classed as avoidable, and there is a known increased risk of harm while inpatients in hospital. This paper aims to look at the current experiences and treatment of people with learning disabilities within a general hospital setting to examine factors that affect their care.,A comprehensive literature search was conducted of primary research between 2013 and 2019 to evaluate what is known about the quality of care and treatment that learning disabled patients experience within a general hospital.,The research suggests that people with learning disabilities receive haphazard care in hospital settings, with inconsistent implementation of reasonable adjustments, insufficient arrangements to support family and other carer input, and poor knowledge of learning disability amongst hospital staff.,Previously, reviews focussing on hospital care have mainly focussed on access to health care rather than its delivery. This review has found evidence of significant failings in delivering care to this patient group, identifying a gap of knowledge in this field regardless of policies and laws already in place. There should be stricter monitoring of the Equality Act’s enforcement, along with improved and mandatory training for all general health-care staff. It is crucial that health-care professionals learn from mistakes to improve the care and experiences of learning disabled inpatients.

中文翻译：

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影响学习型残疾患者住院护理质量的因素

总共有 40% 的学习障碍患者的死亡被归类为可以避免的，并且已知住院期间受到伤害的风险会增加。本文旨在研究综合医院环境中学习障碍者的当前经历和治疗，以检查影响他们护理的因素。对 2013 年至 2019 年间的主要研究进行了全面的文献检索，以评估对学习障碍的了解。学习障碍患者在综合医院的护理和治疗质量。研究表明，学习障碍患者在医院环境中接受随意的护理，合理调整的实施不一致，支持家庭和其他护理人员投入的安排不足，以及医院工作人员对学习障碍的了解不足。,以前，关注医院护理的评论主要关注获得医疗保健而不是提供医疗保健。本次审查发现了在向该患者群体提供护理方面存在重大失误的证据，无论现有的政策和法律如何，都确定了该领域的知识差距。应该对《平等法》的执行进行更严格的监督，同时对所有普通卫生保健人员进行改进和强制性培训。医疗保健专业人员从错误中吸取教训以改善学习障碍住院患者的护理和体验至关重要。本次审查发现了在向该患者群体提供护理方面存在重大失误的证据，无论现有的政策和法律如何，都确定了该领域的知识差距。应该对《平等法》的执行进行更严格的监督，同时对所有普通卫生保健人员进行改进和强制性培训。医疗保健专业人员从错误中吸取教训以改善学习障碍住院患者的护理和体验至关重要。本次审查发现了在向该患者群体提供护理方面存在重大失误的证据，无论现有的政策和法律如何，都确定了该领域的知识差距。应该对《平等法》的执行进行更严格的监督，同时对所有普通卫生保健人员进行改进和强制性培训。医疗保健专业人员从错误中吸取教训以改善学习障碍住院患者的护理和体验至关重要。