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...
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.
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.
중심현상(central phenomenon)은 인과적 조건과 맥락적 상황 속에서 참여자들에게 발생한 중심적인 사건이나 생각이다. 이번 연구의 참여자들은 평소 장애나 질병으로 인하여 의료기관 이용이 잦았고 과거에 건강검진을 1회 이상 받은 경험이 있었다.
장애인 건강권 및 의료접근성 보장에 관한 법률은 어떠한 것을 규정하고 있는가?
국가에서는 이와 같은 문제점들을 파악하여 “장애인 건강권 및 의료접근성 보장에 관한 법률(장애인건강권법)”을 제정하였다[11]. 2017년 12월 30일 시행된 이 법은 장애인의 건강권 보장을 위한 지원, 장애인 보건관리체계 확립 및 의료접근성 보장에 관한 사항을 규정하고 있다. 현재는 장애인건강권법을 근거로 다양한 사업들이 수행되고 있으며, 중앙장애인보건의료센터 지정에 이어 2020년 7월 국내 최초 장애인 건강검진센터 건립을 앞두고 있다.
질적 연구의 목적은 무엇인가?
질적 연구(qualitative research)는 계량화하기 어려운 현상에 대한 심층적 이해를 목적으로 하며, 주로 인간의 경험이 이루어지는 특정한 맥락을 파악하고자 수행된다[15]. 근거이론(grounded theory)은 현상에 대한 이해가 부족하거나 적합한 개념적 틀이 아직 명확하게 확인되지 않아 변수들을 결정할 수 없을 때 사용하는 질적 연구방법이다[16].
참고문헌 (20)
Oh SY, Kim SY, Lee SJ. A study on risk assurance for the people with disabilities and the role of private sector. Seoul: Korea Insurance Research Institute; 2018.
Ministry of Health and Welfare. National survey on persons with disabilities 2017. Sejong: Ministry of Health and Welfare; 2017.
Employment Development Institution. Disability statistics at a glance 2019. Seongnam: Employment Development Institution; 2019.
Yeo JY, Jeong HS. Determinants of health screening and its effects on health behaviors. Health Policy Manag 2012;22(1):49-64. DOI: https://doi.org/10.4332/KJHPA.2012.22.1.049.
Ryu H, Lee J. A policy alternatives on developing health care delivery system for disable person in the community. J Korean Public Health Nurs 2003;17(1):5-16.
Suh HJ, Kim SW. A study on applying disability impact assessment for health screening program. J Rehabil Res 2015;19(2):75-98. DOI: https://doi.org/10.16884/JRR.2015.19.2.75.
Hong MH. Relationships of obesity, total-cholesterol, hypertension and hyperglycemia in health examinees with disabilities. J Korea Acad Ind Coop Soc 2016;17(10):591-599. DOI: https://doi.org/10.5762/KAIS.2016.17.10.591.
Yun JE, Lim B, Ho SH. Trends and factors affecting participation rate in Korean national health screening among people with disabilities. Health Policy Manag 2014;24(2):172-180. DOI: https://doi.org/10.4332/KJHPA.2014.24.2.172.
National Rehabilitation Center. 2017 Healthcare statistics of persons with disabilities. Seoul: National Rehabilitation Center; 2019.
Cho MH, Shin DW, Park JH, Kim SY, Hwang I, Kim HH, et al. Research for the health care program and health promotion of people with disabilities. Korean J Fam Pract 2017;7(1):153-157. DOI: https://doi.org/10.21215/kjfp.2017.7.1.153.
Act of Health and Access to Medical Services for Persons With Disabilities, Law No. 13661 (Dec 29, 2015).
Lee JY, Jeong J, Kim YK, Jun EK, Kim SY, Kim HJ, et al. Has disabled access in healthcare institutions been increased?: a case study of Jongno-gu in Seoul, Korea. Health Policy Manag 2012;22(4):696-702. DOI: https://doi.org/10.4332/KJHPA.2012.22.4.696.
Kim SY, Lee JC, An BK, Kim YK. Factors associated with non-participation in health screening for people with disabilities. Korean J Health Serv Manag 2017;11(4):89-104. DOI: https://doi.org/10.12811/kshsm.2017.11.4.089.
Kim SJ, Jung JS. A study on the current status of health screening and the health type (physical activity, and etc) of the disabled by using the statistics of Health Insurance Corporation. J Korean Appl Sci Technol 2018;35(2):433-444. DOI: https://doi.org/10.12925/jkocs.2018.35.2.433.
Sherman E, Reid W. Qualitative research in social work. New York (NY): Columbia University Press; 1994.
Choi JY. Concepts and research method of grounded theory. Sejong: Korea Institute for Health and Social Affairs; 2012.
Corbin JM, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. 4th ed. Thousand Oaks (CA): Sage Publications; 2014.
National Rehabilitation Center. A study on the development of customized health check-up center model for the disabled. Seoul: National Rehabilitation Center; 2017.
Kwon SJ. The convenience of the disabled is everyone's convenience. Mon Welf Trends 2002;(46):20-23.
Kwon SJ. Health care status and policy issues for the disabled. Health Welf Policy Forum 2015;(226):16-26.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.