ArticleCureus2025
Emergency Department Utilization Among Adults With Intellectual and Developmental Disabilities: A Comparison of Those Using the Program for Adults With Intellectual and Developmental Disabilities and Those Using Alternative Primary Care Clinics.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Racial and Ethnic Disparities in Multimorbidity in Emergency Department Visits: A Latent Class Analysis by Intellectual and Developmental Disability Status in the United States.Journal of racial and ethnic health disparities · 2026Article
- Racial and Ethnic Disparities in Multimorbidity in Emergency Department Visits: A Latent Class Analysis by Intellectual and Developmental Disability Status in the United States.Journal of racial and ethnic health disparities · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adults with intellectual and developmental disabilities (IDD) experience higher rates of emergency department (ED) utilization compared to the general population due to complex medical needs, healthcare access barriers, and social determinants of health. Although prior research has identified predictors of ED use, including socioeconomic status, primary care continuity, and housing stability, the role of specialized primary care programs in reducing reliance on emergency services remains understudied. This study examines the impact of the Program for Adults With Intellectual and Developmental Disabilities (PAIDD) at the University of Florida (UF) Health Jacksonville on ED utilization rates among adults with IDD. Using a retrospective cohort design, we compared ED visit frequencies between PAIDD patients and a control group of adults with IDD who receive care outside the program. Additionally, we explored whether housing status, living with family, independently, or in a facility, affects ED utilization. Findings revealed a statistically significant reduction in ED visits among PAIDD patients compared to the control group (p=0.004), suggesting that structured, multidisciplinary healthcare models improve continuity of care and reduce avoidable ED utilization. However, housing status alone did not emerge as an independent predictor of ED use (p=0.093), indicating that other factors, such as access to primary care and caregiver support, may play a greater role. These results underscore the need for expanded university-based IDD healthcare programs to bridge gaps in care, enhance preventive health strategies, and reduce emergency healthcare dependence in this population. The study supports the integration of dedicated IDD clinics in academic medical centers to improve long-term health outcomes and health equity for individuals with IDD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.