title: Patterns in primary health care utilization among individuals with intellectual and developmental disabilities in Florida.
abstract: Individuals living with intellectual and developmental disabilities face complex medical problems. Primary care physicians tend to provide basic medical care, serving as a base through which other forms of care can be accessed. In this study we describe patterns of primary care utilization among adults enrolled on the Florida Medicaid's Home and Community-Based Services Waiver. About 40% of the adults on the Waiver did not see a primary care provider between 1999 and 2003. Primary health care utilization was higher in the northern parts of Florida and conversely lower in the southeast. The establishment of a medical home can ensure the timely receipt of preventive care as well as help coordinate the complex care that many individuals with disabilities need.
authors: Department of Health Services Research, Management, and Policy, Florida Center for Medicaid and the Uninsured, University of Florida, Gainesville, FL 32610, USA. hallag@phhp.ufl.edu
authors: Allyson
authors: A
authors: Hall
authors: David
authors: D
authors: Wood
authors: Tao
authors: T
authors: Hou
authors: Jianyi
authors: J
authors: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003266:Continuity of Patient Care; D002658:Developmental Disabilities / Q000453:epidemiology*; D005260:Female; D005431:Florida / Q000453:epidemiology; D005843:Geography; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology*; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*