韩国残疾人初级医疗保健计划:他们真的想要家庭初级医疗吗?
Hye-Jin Kim1, Jae-Young Lim2,3, Soong-Nang Jang4
1Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-Ro, Dongjak-Gu, Seoul, 06974, South Korea.
BMC health services research
|October 11, 2023
概括
残疾人对家庭初级保健 (HBPC) 的需求源于护理缺口,而不仅仅是医疗需求. 老年人和有流动性问题的人对HBPC服务的需求更高.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 关于残疾人的研究.
- 老年学是指老年学的学科.
背景情况:
- 对于家庭初级保健 (HBPC) 潜在用户的需求和偏好,人们的了解有限.
- 研究主要集中在HBPC的好处和挑战上,忽视了目标人群的观点.
研究的目的:
- 探索残疾人和他们的照顾者对HBPC的需求.
- 确定影响HBPC服务需求的关键因素.
主要方法:
- 分析了韩国一项以人口为基础的调查数据.
- 使用后勤回归来确定HBPC需求的显著预测因素.
主要成果:
- 总体而言,22%的受访者表示需要HBPC,65岁及以上人群的需求增加到34.7%.
- 与更高的HBPC需求相关的因素包括年龄,残疾,家庭状况和日常生活需要帮助.
- 代理报告的HBPC需求明显高 (39.57%) 比自我报告的需求高 (19.49%),特别是在因进入障碍而导致外部身体残疾或未满足医疗需求的人群中.
结论:
- 对于HBPC的需求是由于难以获得门诊护理和整体护理缺口而导致的,而不仅仅是由于用户的医疗需求.
- 应该把HBPC看作是治疗护理缺陷的解决方案,也是解决残疾人医疗问题的手段.
- 解决护理缺口和促进医疗护理的准入对于有效实施HBPC至关重要.
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