October 7, 2016
Quentin Chibaudel et al., « Access to care for people with mental disabilities getting older through the study of the accessibility to medical devices: the situation in France », Hyper Article en Ligne - Sciences de l'Homme et de la Société, ID : 10670/1.8w3l0f
Thanks to progress in medicine, life expectancy for people with mental disabilities has clearly increased in recent years. In 1930, life expectancy for those affected by mental disorders was 19.9 yr for men and 22 yr for women. In 1980 it was 58.3 yr and 59.8 yr respectively (Carter & Jancar, 1983). As reported by Azéma & Martinez (2005) for this population, « there is a cumulative result of degenerative disorders linked with age in addition with pre-existing capacities. Chronic diseases occurring during the classic ageing process can « add further impairments to any age-related incapacity » ». For this reason, the issue of access to care for this population through the use of medical devices adapted to the characteristics of aged people rather than to people with mental disabilities is now of great interest. Of course, medical devices for people with mental disabilities and for the elderly obey different rules of design, and involve different norms and mode of reimbursement according the situation and country. The main issue is to know what happens if a medical device is to be adapted not only to an ageing population but also to elderly people with mental disabilities. This article attempts to answer this question. Two questionnaires were sent to healthcare professionals. The goal was to gain an overview of the access to care for this population and their monitoring and highlight elements to improve their access to care. This article presents the methodology used and how the questionnaires were organized. The preliminary results are then presented. Hypotheses deriving from these questionnaires are proposed and future research paths are discussed.