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장애인 건강 주치의 시범사업에 대한 전문가 집단 설문조사 연구

Physicians’ Experience from the Pilot Project for Primary Care for People with Disabilities

가정의학 2021년 11권 2호 p.147 ~ 150
전근혜, 조인영, 유정은, 박재현, 강미화, 최용준, 김성희, 박종은, 박종혁, 김소영, 신동욱,
소속 상세정보
전근혜 ( Jeon Keun-Hye ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Family Medicine
조인영 ( Cho In-Young ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Family Medicine
유정은 ( Yoo Jung-Eun ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Family Medicine
박재현 ( Park Jae-Hyun ) - Sungkyunkwan University School of Medicine Department of Social and Preventive Medicine
강미화 ( Kang Mi-Wha ) - Far East University Department of Nursing
최용준 ( Choi Yong-Jun ) - Hallym University College of Medicine Department of Social and Preventive Medicine
김성희 ( Kim Seong-Hee ) - Korea Institute for Health and Social Affairs
박종은 ( Park Jong-Eun ) - Chungbuk National University College of Medicine Department of Medicine
박종혁 ( Park Jong-Hyock ) - Chungbuk National University College of Medicine Department of Preventive Medicine
김소영 ( Kim So-Young ) - Chungbuk National University College of Medicine Department of Preventive Medicine
신동욱 ( Shin Dong-Wook ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Family Medicine

Abstract


Background: Disabled people are considered a vulnerable population in terms of health and social care. With the disability act having been enacted in 2015, the primary care physician system for disabled people was designed and implemented as a pilot project as of May 2018. This study was designed to assess the suitability and effectiveness of this pilot project. To this end, we conducted a survey of medical staff who participated in the pilot project, making use of questionnaires derived from preceding focused group interviews.

Methods: We first conducted focused group interviews with experts who were actively engaged in the pilot project. Questionnaires were then prepared based on these focused group interviews, which were then administered electronically to 23 physicians who had provided medical services for disabled people throughout the pilot project.

Results: In this study, physicians noted that all the services in the pilot program are useful for the healthcare of disabled people in the following order: comprehensive evaluation, education and counselling, coordination of care and medical referral, and comprehensive planning. The biggest problem identified was the complexity of the administrative procedure and the inadequacy of medical fees. The participants endorsed greater participation of secondary/tertiary hospitals, the establishment of links within the local community, and the strengthening of the role of public medical centers.

Conclusion: All the services in the pilot program appear to be useful in the provision of healthcare of disabled people, and several measures are suggested for the improvement of the program prior to the actual implementation of the project.

키워드

Disabled Persons; Primary Health Care; Physicians, primary care; Surveys and Questionnaires

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