title: Importance and satisfaction of preventive health strategies in institutions for people with intellectual disabilities: a perspective of institutional directors.
abstract: OBJECTIVE
  To explore the perceptions of institutional directors on the preventive health strategies for people with intellectual disabilities in institutions.
  
  
  METHODS
  A structured questionnaire was conducted by a cross-sectional postal survey in all registered institutions in Taiwan in 2002. A total of 157 questionnaires were mailed, of which 121 valid questionnaire were analyzed in this study.
  
  
  RESULTS
  The respondents indicated important perception to the preventive health strategies across the 17 criteria, the mean score of importance in preventive health strategies was from 8.4 to 9.7 (score 1-10). But the analysis found that there were many gaps of 'importance' compared with 'satisfactory' to implementation of preventive health strategies, particularly in the issues of 'thyroid screening for intellectual disabilities (ID) with Down syndrome', 'prevention and treatment of osteoporosis', and 'diagnosis and treatment of mental disorders', these health issues need to be improved in institutions. The present study found that the size and ownership of institutions were not related to the perceptions of importance and satisfaction toward preventive health strategies.
  
  
  CONCLUSIONS
  The institutions should explore the reasons of why the failure to carry through important health plans into practice to ensure quality of health services for people with ID who living in institutions.
authors.affiliation: School of Public Health, National Defense Medical Center, National Defense University, Taipei No. 161, Min-Chun E. Rd., Section 6, Nei-Hu, Taiwan 114, Republic of China. a530706@mail.ndmctsgh.edu.tw
authors.forename: Jin-Ding
authors.initials: JD
authors.lastname: Lin
authors.forename: Chia-Feng
authors.initials: CF
authors.lastname: Yen
authors.forename: Jia-Ling
authors.initials: JL
authors.lastname: Wu
mesh_terms: D001294:Attitude to Health; D003072:Cognition Disorders / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D019538:Health Care Surveys; D006801:Humans; D007326:Institutionalization; D007360:Intelligence; D017060:Patient Satisfaction; D011315:Preventive Medicine; D013624:Taiwan