Key Elements for the Improvement of Healthcare Services for Foreigners in Korea: A Delphi Study

외국인 의료서비스 향상을 위한 주요 요소: 델파이 연구

  • Received : 2012.02.21
  • Accepted : 2012.03.30
  • Published : 2012.06.30

Abstract

Purpose: This study was performed to identify the key elements for the improvement of healthcare services for foreigners in Korea. Method: Delphi technique was used for this study. As the members of an expert panel for this study, 32 healthcare professionals, who were physicians, nurses, administrators, and care coordinators, with at least 6 months of experiences in international clinics and healthcare services in five metropolitan areas in Korea participated. Data collections were conducted three times from August to October, 2009. The priority and the importance were analyzed using descriptive statistics in SPSS Win 15.0. Result: The key element selected most frequently by the experts was the 'Healthcare providers' abilities for foreign languages' followed by 'Guidelines for facing medical accidences and disputes', 'Information and guide for healthcare services written in English', 'Informed consent preventing medical disputes', 'System of healthcare service fees for foreigners'. Conclusions: The key elements for the improvement of healthcare services for foreigners in Korea were mostly the requirements for effective communication with the foreign clients and the systemic support. The key elements identified in this study can be applied usefully for the development of strategies to improve the quality of healthcare services for foreigners.

Keywords

References

  1. Asako, S. (2007). Developing a culturally competent health care workforce in Japan: Implications for education. Nursing Education Perspective, 28(3). 140-144.
  2. Roh, S. Y. (2006). Delphi Technique: Predicting future through professional insight. Planning and Policy, 299, 53-62.
  3. Jang, Y. S., & Shin, C. N. (2005). A study of characteristics of patient at international clinic of university hospital. Korean Public Health Research, 31(1), 46-54.
  4. Jensen, N. K., Nielsen, S. S. & Krasnik, A. (2010). Expert opinion on "best practices" in the delivery of health care services to immigrants in Denmark. Danish Medical Bulletin. 57(8), A4170.
  5. Kennedy, H. P. (2004). Enhancing Delphi research: Methods and results. Journal of Advanced Nursing, 45(5), 504-511.
  6. Kim, J. S. (2004). Survey of services provided by Non-Governmental organizations for foreign workers. Korean Public Health Researches, 30(1), 24-35.
  7. Kim, A. R. (1997). The evaluation of the health status of migrant workers. Unpublished master's thesis, Kyungpook National University, Daegu.
  8. Kong, G. S. (2000). Medical utilization by foreigners in Korea. Unpublished master's thesis, Yonsei University, Seoul.
  9. Leduc, N., & Proulx, M. (2004). Patterns of Health Services Utilization by Recent Immigrants. Journal of Immigrant Health, 6(1), 15-27.
  10. Lee, B., Ko, Z. (2010). Study on Conditions and Problems of the Medical Services(The Health and Medical Care) for the Foreign Workers. Han Yang Law Review, 31, 323-352.
  11. Lee, B. S., Oh, I. K., & Lee, E. M. (2011). Foreign residents' experience of Korean health care services. Journal of Korean Academy of Nursing Administration, 17(2), 226-237.
  12. Lee, E. J. (2002). Activation of Mobile Medical Services for Migrant Workers. Unpublished master's thesis, Kyunghee University, Seoul.
  13. Mendoza, F. S. (2009). Health disparities and children in immigrant families: a research agenda. Pediatrics, 124(3), 187-195.
  14. Medical Law. (2009, January 30). National Archives of Korea. Retrieved April 26, 2012, from http://contents.archives.go.kr/next/content/listSubjectDescription.do?id=001497&pageFlag=A.
  15. Oxman-Martinez, J., Hanley, J., Lach, L., Khanlou, N., Weerasinghe, S., & Agnew, V. (2005). ntersection of Canadian Policy Parameters Affecting Women with Precarious Immigration Status: A Baseline for Understanding Barriers to Health. Journal of Immigrant Health, 7(4), 247-258.
  16. Ruppen, W., Bandschapp, O, & Urwyler, A. (2010). Language difficulties in outpatients and their impact on a chronic pain unit in Northwest Switzerland. Swiss Medical Weekly, 140(17-18), 260-264.
  17. Shin, H., Song, H., Kim, J., & Probst, J. C. (2005). Insurance, Acculturation, and Health Service Utilization Among Korean-Americans. Journal of Immigrant Health, 7(2), 65-74.
  18. Skulmoski, G. J., Hareman, F. T., & Krahn, J. (2007). The Delphi Method for Graduate Research. Journal of Information Technology Education, 6, 1-21.
  19. Thompson, M. (2009). Considering the implication of variations within Delphi research. Family Practice, 26(5), 420-424.
  20. Wang, S. (2009). Comparative study of hospital service quality, loyalty and patient satisfaction between Korean and Chinese hospitals. Unpublished master's thesis, Sejong University, Seoul.
  21. Yeo, O. (2003). A study on the medical service increment for the foreign laborers. Unpublished master's thesis, Dongguk University, Seoul.
  22. Yeo, S. (2004). Language barriers and access to care. Annual Review of Nursing Research , 22, 59-73.