Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Subjective Recognition Types on Cancer Treatment Cost

암 비용에 대한 주관적 인식 유형

  • Rhee, Young-Sun (Division of Administration & Social Welfare, Chosun University) ;
  • Kim, Su-Yeon (Division of Social Welfare, Graduate school of Chosun University) ;
  • Kim, Hye-Ji (Division of Social Welfare, Graduate school of Chosun University) ;
  • Kim, Han-Na (Division of Social Welfare, Graduate school of Chosun University)
  • 이영선 (조선대학교 행정복지학부) ;
  • 김수연 (조선대학교 대학원 사회복지학과) ;
  • 김혜지 (조선대학교 대학원 사회복지학과) ;
  • 김한나 (조선대학교 대학원 사회복지학과)
  • Received : 2019.04.23
  • Accepted : 2019.07.05
  • Published : 2019.07.31
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Abstract

This study analyzed the recognition types of the economic burden for cancer treatment and the characteristics of each recognition type by employing Q methodology. For this study, we determined the final 45 Q statements by conducting literature surveys, internet searches and in-depth interviews. The P samples are 35 people of cancer patients, their family members, and experts. The Q statements were classified according to the forced normal distribution method and the collected data was analyzed using the PC QUANL program. For the analysis results, we extracted four recognition types on the economic burden of cancer treatment, and we named them 'uncertain anxiety', 'acceptance by family burden', 'object to challenge with active response' and 'insurance preparation', depending on their characteristics. The results of this study can be used as a basis for preparing the clinical intervention plan and the policies for cancer patients and the families involved in the fields of medicine, nursing and social welfare.

본 연구에서는 의료현장에서 암 비용에 대한 환자와 가족, 전문가가 갖는 주관적 인식 유형을 탐색하고 분석하는 것을 목적으로 한다. 이를 위해 Q방법론을 활용하였으며, 문헌 조사, 인터넷 검색, 심층 면담 등을 통해 Q모집단을 수집하고, 최종 45개의 Q표본을 확정하였다. P표본은 암 환자와 가족, 전문가로 구성된 35명이며, 강제 정상분포방식에 따라 Q 진술문을 분류하도록 하였다. 수집된 자료는 PC QUANL Program을 이용하여 분석하였다. 분석 결과, 4개의 유형을 도출하고, 각 유형의 특성에 따라 암 비용에 대해 의심하고 막막해하며 불안해하는 '막막한 불안형', 암 비용을 크게 인지하고 부담스럽지만 어떻게든 마련해야하는 부담으로 여기는 '가족부담으로 수용형', 할수 있는 치료를 더 해야 한다고 생각하고 도전과제로 여기는 '적극 응전 대상형', 보험을 들 듯 개인적으로 준비하고 있어야 한다고 생각하는 '보험으로 대비형'으로 명명하였다. 본 연구결과는 의료, 간호, 사회복지 현장에서 암 환자와 가족을 위한 임상적 개입 방안과 정책 마련을 위한 근거로 활용될 수 있을 것이다.

Keywords

SHGSCZ_2019_v20n7_281_f0001.png 이미지

Fig. 1. Q-Sort(N=45)

Table 1. Q statements and Z value of each recognition type satisfying Z≧±1.00

SHGSCZ_2019_v20n7_281_t0001.png 이미지

Table 2. Eigen value

SHGSCZ_2019_v20n7_281_t0002.png 이미지

Table 3. Types, Factor weight, and Demographic Characteristics for P-sample

SHGSCZ_2019_v20n7_281_t0003.png 이미지

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