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Community Health Care for Adults and Elders with Developmental Disabilities Research and Training

A Project of the University Center for Excellence in Developmental Disabilities (UCEDD)
funded by the Washington State Developmental Disabilities Council (DDC)
AEDD Home > Survey Research > Survey for Health Care Professionals Contact

 

SURVEY FOR HEALTH CARE PROFESSIONALS

I. EXPERIENCE WITH ADULTS WITH MENTAL RETARDATION

Please circle a number for each question.

What is your profession?

1) Family Practice M.D.
2) Other MD (please specify)
3) Other Medical Practitioner (please specify)

Do you generally practice in an area that is:

a) Urban/suburban     b) City     c) Town     d) Rural

How many adults with mental retardation 20 years and older have you treated in the past 12 months?

1) None

Would you accept adult patients with mental disabilities?
1) Yes     2) No     3) Not applicable

2) 1
3) 2 to 4
4) 5 to 10
5) 11 and above

Would you accept additional patients with mental disabilities?
1) Yes     2) No     3) Not applicable

II. BARRIERS TO PROVIDING GOOD HEALTH CARE SERVICES FOR THIS POPULATION

Please consider each of the potential barriers to health care listed below and rate them from 1 to 5.
  LOW
BARRIER		 HIGH
BARRIER
COMMUNICATING WITH THE PATIENT 1 2 3 4 5
ARCHITECTURAL BARRIERS 1 2 3 4 5
TRANSPORTATION 1 2 3 4 5
KNOWLEDGEABLE CONSULTANT 1 2 3 4 5
KNOWLEDGEABLE HISTORIAN 1 2 3 4 5
CAPACITY OF STAFF MEMBERS 1 2 3 4 5
MEDICAID PAYMENT 1 2 3 4 5
COMFORTABLE WITH THESE PATIENTS 1 2 3 4 5
KNOWLEDGE OF THIS POPULATION 1 2 3 4 5
EXAM ROOMS, WHEELCHAIR SCALES AND OTHER EQUIPMENT 1 2 3 4 5
AVAILABILITY OF MEDICAL RECORDS 1 2 3 4 5

III. PROFESSIONAL EDUCATION

PLEASE CHECK ALL the types of training you would consider if you were seeking education to increase your knowledge and skills about providing medical care to adults with mental retardation. If there are methods of gaining knowledge that we have not mentioned, please identify them also.

__________ One day continuing education seminar
__________ Video training program
__________One hour session at an annual medical meeting
__________ Internet continuing education course
__________ One hour session at your ofice before patients arrive
__________ One-to-one consult on individual patients
__________ One hour at grand rounds
__________ Hospital departmental meeting
__________ Other (please specify) ________________________________________________________________________

IV. Please list any suggestions you have that might make it easier to provide medical care for adults with mental retardation.

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Is there anything else we ought to know about providing medical care to adults with mental retardation?

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Thanks for your time

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Updated 07/22/02

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