Clare R Walsh, P N Johnson-Laird
Co-reference and reasoning
Memory & cognition
people intellectual disability experience inadequate access general practice poorer health outcomes general population access barriers identified population studies often used narrow definitions access may encompass multiple dimensions influence access general practice address gap conducted scoping review identify factors impacting access general practice people intellectual disability australia using holistic framework access conceptualised levesque colleagues scoping review followed joanna briggs institute methodology guided preferred reporting items systematic reviews metaanalyses extension scoping reviews medline ovid scopus cinahl informit psycinfo databases searched screening fulltext review data extraction completed two independent reviewers consensus reached stage study data extracted coded synthesised deductive qualitative analysis using five corresponding conceptual dimensions within levesque colleagues theoretical framework access incorporate supplyside features health systems services demandside characteristics consumers populations search identified 1364 publications duplicate removal title abstract screening fulltext review 44 publications included supplyside factors commonly reported demandside factors following issues frequently identified impacting access general practice limited general practitioner education andor experience people intellectual disability communication difficulties inadequate continuity care less frequently included factors health literacy levels promotion general practice services availability complete medical records first scoping review assess access barriers people intellectual disability using comprehensive conceptualisation access findings highlight need increased efforts address demandside dimensions access general practice offer basis balanced portfolio strategies support recent policy initiatives enhance access care people intellectual disability