• 한국보건간호학회지
• /
• 제17권1호
• /
• pp.5-16
• /
• 2003

This policy alternatives for establishment of rehabilitation health care delivery system for the disabled in the community were developed based on the data of current health status and situations of health care management for disabled persons in Korea. This research was conducted with secondary data analysis for identifying health status and current situations of managing health of disabled persons, and discussed current issues for establishing rehabilitation health care delivery systems in the community. Observing the health status and current situations of managing health of disabled persons, scope and target population of disabled person extended. so prevalence rates increased. and the severity of disability intensified and specified. The summary of issues of health management for disabled persons included; 1) absence of comprehensive and systematic policy in rehabilitation health care systems. 2) absence of consumer based rehabilitation health care facilities and delivery systems that are considered as the characteristics of disabled persons 3) fixed form of projects based on the provider and lack of variety in the programs. Hereafter. to overcome these problems. policy alternatives should 1) establish a comprehensive rehabilitation health care policy for disabled persons. 2) establish comprehensive and specific community based rehabilitation health care delivery systems that can promote preventing disability. providing medical care for disabled persons, establishing rehabilitation management for disabled persons and health care when returning to society. 3) provide training and secure manpower for rehabilitation, but the training case managers who will take the roles as an expert rehabilitation nurse mediators for multidisciplinary team work are needed immediately. and 4) include efficient connection and provision of independent services for welfare rehabilitation service and health care. Conclusively. a community based rehabilitation health care delivery system should be comprehensive policy vision of the government on rehabilitation health care delivery System rehabilitation service has to be constructed systematically under suitable facilities con consumer characteristics and rehabilitation health care policy. By doing this, consumer comprehensive community rehabilitation health care delivery system could be constructed disabled person.

• 대한치과의사협회지
• /
• 제49권12호
• /
• pp.749-757
• /
• 2011

In the welfare law for the disabled in Korea, the disabled is defined as "the persons sho have significant limitations of daily or social life due to physical or mental disabilities over a long period." The number of registered domestic disabled person in 2008 survey was approximately 2.1 million. 90% of the disabled was caused by the aposteriori illness or accidents. So, in this aging society, the number of people with disabilities will increase even more. In general, people with physical and mental disabilities tend to have more oral diseases, but, are difficult to get treated. Therefore, a thorough oral care through individualized prevention is more important than ever. In this article, we review the oral care methods in dental office and home and in the hospital for the elderly and finally focus on a denture care method. According to this article, the dental professionals can be able to select and apply the oral care method in agreement with the characteristics of the disabilities. Particularly, it is important to prevent the aspiration pneumonia in the elderly in hospital.

• 한국보건간호학회지
• /
• 제17권2호
• /
• pp.287-298
• /
• 2003

This study was conducted to identify the health care utilization, health care costs, and potential health care demands of the disabled in the Medicaid Aid beneficiaries. This study focused on the heath care costs not included in the medical aid allowance such as transportation, informal nursing costs, and ambulatory aids etc. Participants were the 864 subjects who were beneficiaries of the National Medical Aid program living in 10 district of Korea. A questionnaires were distributed to the disabled in the Medical Aid beneficiaries during August to September, 2001 through public offices. Data were collected through a home visiting by social workers working in public offices. Direct and indirect medical costs expended for one month by the participating disabled were examined. They expended 110.748 won $({\$}100)$ for heath care costs, which was not included in the medical aid allowance during the month. The disabled with cerebral diseases or who have level 4 disability expended more health care costs compare to those with other diseases. Gradual expansion of medical aid allowance for the disabled is recommended to alleviate economic burden of the disabled and their family.

• 치위생과학회지
• /
• 제24권2호
• /
• pp.107-114
• /
• 2024

Background: This study aimed to analyze trends in oral health research among people with disabilities. Methods: Data were obtained from 70 oral studies on individuals with disabilities from 2000 to 2024. Keywords were analyzed. Frequency, betweenness centrality, and cluster analyses were performed using NetMiner. Results: The main keywords for oral health research on disabled people were oral health, dental caries, DMFT (decayed-missing-filled-teeth), dental treatment, oral health centers, and disabled children. As a result of the centrality analysis, DMFT had the highest connectivity, followed by disabled children, special care dentistry, oral health behavior, periodontitis, and health insurance. Cluster analysis results of research on disabled people: Group 1, oral diseases and functions of disabled people; Group 2, oral care for disabled children; Group 3, dental treatment for disabled people; Group 4, oral health policy; Group 5, oral care by dental hygienists; and Group 6, conservative dentistry. Conclusion: Considering the increase in the number of disabled people in a super-aging society, research on ways to promote oral health for disabled people, oral health policies, and training of oral health experts for disabled people is required.

• Journal of Preventive Medicine and Public Health
• /
• 제39권5호
• /
• pp.411-418
• /
• 2006

Objectives: The purpose of this study was to determine whether the disabled have worse access to primary care than the non-disabled. Methods: We used the National Disability Registry data and the National Health Insurance data for the calendar year 2003, and we analyzed 807,380 disabled persons who had been registered until December 2001 and we also analyzed 1,614,760 non-disabled persons for nine ambulatory care sensitive conditions (ACSCs). The rates of physician visits and hospitalizations for the patients with ACSCs were compared between the disabled and the nondisabled. Multiple logistic regression analysis was used to evaluate the association between medical care utilization and disability and to assess the association between hospitalization and the number of physician visits while controlling for potential confounders. Results: The numbers of physician visits per 100 patients were $0.78{\sim}0.97$ times lower for the disabled than that for the non-disabled with five of nine ACSCs. The numbers of hospitalizations per 100 patients were $1.16{\sim}1.77$ times higher for the disabled than that for the non-disabled with all the ACSCs. While the ORs of a physician visit for the disabled were significantly lower than that for the non-disabled with all the ACSCs (OR: $0.44{\sim}0.70$), and the ORs of hospitalization for the disabled were significantly higher (OR: $1.16{\sim}1.89$). The lower physician visit group (number of physician visits ${\leq}$1) was more likely to be hospitalized than the higher physician visit group (number of physician visits ${\geq}$2) (OR: $1.69{\sim}19.77$). The effect of the physician visit rate on hospitalization was larger than the effect of disability on hospitalization. Conclusions: The results suggest that the disabled were more likely to be hospitalized for ACSCs due to their lower access to primary care.

• 재활간호학회지
• /
• 제13권1호
• /
• pp.13-22
• /
• 2010

Purpose: The aim of this study was to compare the attitudes toward and contact with people with disabilities among health care professional, lay persons, and disabled persons. Method: Using 270 subjects (141 health care professionals, 79 lay persons, and 50 disabled persons), the self report or face-to-face interview were conducted from April to October in 2007. Attitudes and contacts were assessed respectively using the Attitude Towards Disabled Person scale and the Contact with Disabled Persons. Result: Overall attitude scores of the subjects in groups of health care professionals, lay persons, and disabled persons were lower than those of individuals in the corresponding groups in other countries (F=3.232, p=.031). Health care professionals and lay persons had more negative attitudes towards disabled persons than those of disabled persons. Scores of the Contact with Disabled Persons were also lower in all three groups, as compared to those of the corresponding groups from other countries. Disabled persons had significantly more contact experiences with disabled persons than individuals in other two groups. Conclusion: Health care professionals as well as lay persons and disabled persons have negative attitudes toward people with disabilities. It is needed that the modification of educational curriculums in nursing school for promoting more positive attitudes toward people with disabilities.

• 한국병원경영학회지
• /
• 제22권3호
• /
• pp.118-132
• /
• 2017

This study developed key elements of dental service guidelines for the disabled patients. In order to provide consumer-oriented service guidelines for the dental patients with disability, service design method was applied. Using service design method guided by the double diamond design process, this study implemented consumer survey, observation, and contextual interviews for consumers' needs assessment. And customer journey map, mind maps, and blueprints were utilized to visualize consumer needs and guidelines for dental care services for the disabled. According to the study, disabled consumers have needs for expertise of the medical staff, dental care institutions specialized on the disabled, financial support, establishment of the facilities for the disabled, comfortable atmosphere in the institutions, and communication with medical staffs. Based on the needs of the disabled, 5 key elements of the dental care services were developed: convenience, expertise, empathy, financial support, and education and management. And service design guidelines were proposed to implement key elements of dental care services for the patients with disability. This study is significant in that it is the first attempt to apply the service design technique from the consumer perspectives in the field of dental care for the disabled. Furthermore the process of this study has become a reference that can be utilized and applied to other medical institution.

• 한국주거학회논문집
• /
• 제20권6호
• /
• pp.77-88
• /
• 2009

The nursing space and sanitary space are main living spaces for children in the child care center. The purpose of this study is to examine the characteristics in terms of planning by mainly focusing on the nursing space and sanitary space of the disabled child care center in Japan. Since Japan has cultural backgrounds similar to those of Korea while providing systematic child care centers according to the symptom and grade of disability, it is anticipated that this case study on the disabled child care center in Japan will help establish standards related to disabled child care centers in Korea. To conduct the study in a more efficient way, the case study was divided into the space planning of nursing spaces and sanitary spaces and the installation of sanitary tools and handrails in the disabled child care center. The findings of investigating into actual conditions were analyzed by comparing them with Japanese laws and literary and documentary records relevant to this study. Through this study, it is expected that Korean child care centers, having constantly expanded their quantitative growth, will also improve the qualitative level of their atmospheres so that they may provide more proper conditions even for disabled children to get better used to child care centers in Korea.

• 한국사회복지학
• /
• 제60권1호
• /
• pp.29-51
• /
• 2008

이 연구에서는 장애인거주시설 관련 집단들인 거주시설 운영자와 직원, 관계 공무원, 장애인단체 활동가 등을 대상으로 Q 방법론을 적용하여 거주시설에 대한 인식유형과 각 인식유형의 특성을 살펴보았다. 연구결과 시설 내 서비스의 다양화와 전문화를 강조하는 '시설 전문화 형'과 시설은 무엇보다 이용자 참여가 중심이어야 함을 강조하는 '이용자 참여 형', 시설은 일반가정과 유사한 기능을 해야 함을 강조하는 '일반가정 유사형', 시설은 그 존재 자체가 불필요하며 자립지원정책을 중심으로 해야 함을 강조하는 '시설 불필요 형'으로 유형화할 수 있었다. 이러한 결과는 그 동안 논의되어 왔던 장애인거주시설에 대한 다양한 입장들의 실체를 이론적으로 정리해 낸데 의의가 있으며, 거주시설 관련 정책결정 집행과정에서 서로 다른 요구를 조율하고 합의를 이끌어내는 데 유용하게 활용될 수 있을 것이다.

• 가정∙방문간호학회지
• /
• 제18권1호
• /
• pp.5-12
• /
• 2011

Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.