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장애인 건강검진 접근성 저해요인과 개선방안 도출에 대한 질적연구

Accessibility Factors to Health Check-Ups for People with Disability: A Qualitative Study

보건행정학회지 2020년 30권 3호 p.335 ~ 344
홍혜수, 임명준, 김외숙, 최은숙, 김정환,
소속 상세정보
홍혜수 ( Hong Hye-Su ) - National Rehabilitation Center Department of Clinical Research on Rehabilitation
임명준 ( Lim Myung-Joon ) - National Rehabilitation Center Assistive Technology Research Team for Independent Living
김외숙 ( Kim Oi-Sook ) - National Rehabilitation Center Community Rehabilitation Service
최은숙 ( Choi Eun-Sook ) - National Rehabilitation Center Department of Internal Medicine
김정환 ( Kim Jung-Hwan ) - National Rehabilitation Center Rehabilitation Hospital Spinal Cord Injury Rehabilitation

Abstract


Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement.

Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss.

Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was ‘failure to obtain check-ups.’ Causal conditions were observed as a ‘lack of communication method,’ ‘physical difficulties,’ and ‘staff unfamiliar with people with disability,’ Interventional conditions comprised ‘physical accessibility,’ ‘staffs’ competency,’ and ‘assistant manpower.’ The active strategy was included ‘to investigate the professional medical institution,’ ‘to find the medical institution of convenient traffic accessibility,’ ‘to overcome communication difficulties through equipment,’ and ‘to overcome linguistic barriers through sufficient communication.’ Whereas, ‘utilization of ancillary equipment,’ ‘the education of staffs on people with disability,’ ‘universal design manual,’ and ‘customized check-ups’ were included in the passive strategy. Such processes arose in the contextual conditions of ‘lack of expectations for daily lives’ and ‘lack of government support.’ As a consequence, the subjects participated experienced the ‘disadvantages,’ ‘discrimination,’ and ‘reduced reliability of the health check-ups.’

Conclusion: The subjects who participated in this study emphasized ‘staffs familiar with people with disability’ and ‘systems customized for people with disability’ are mandatory to secure complete health check-ups for people with disability.

키워드

Health check-ups; Disability; Health and welfare policy; Qualitative research; Physical examination

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