Assessing general practitioners' care of adult patients with learning disability: case-control study.
OBJECTIVE
To compare general practitioners' care of adult patients with learning disability with that of control patients in the same practice.


METHODS
Case-control study of patients and controls by a structured interview study of general practitioners.


METHODS
Avon.


METHODS
78 adult patients with learning disability and 78 age and sex matched controls--cared for by 62 general practitioners.


METHODS
Number and content of consultations and opinions of the general practitioners.


RESULTS
There were more consultations for diseases of the central nervous system and of the skin among the patients than the controls (15 v 3 for central nervous system disease and 15 v 4 skin disease). There were also significantly fewer recordings of blood pressure and cervical cytology tests (34 v 51 for blood pressure and 2 v 18 for cytology). Although more patients were taking drugs affecting the central nervous system (33 v 6), more controls were taking drugs for musculoskeletal complaints (17 v 7).


CONCLUSIONS
Although adult patients with learning disability consult with their general practitioners at equivalent rates to other patients, they get less preventive care and consult for different types of problems than do other patients. The reasons for these differences in preventive care are not clear. Carers and general practitioners should be informed of these differences to ensure that appropriate care is given.
Whitfield
M
M
Department of Social Medicine, University of Bristol, UK.
Langan
J
J
Russell
O
O
D000328:Adult; D016022:Case-Control Studies; D004739:England / Q000453:epidemiology; D005194:Family Practice / Q000592:standards*; D006801:Humans; D007859:Learning Disabilities / Q000453:epidemiology / Q000628:therapy*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation