Kim Y J, Lim Y W, Paik H R, Lee J Y, Kim S Y
Pediatric Dentistry, School of Dentistry, Seoul National University.
Department of Consumer Sciences, Seoul National University.
Community Dent Health. 2019 May 30;36(2):101-105. doi: 10.1922/CDH_4456Young05.
To identify the perceived barriers to dental care for disabled people in South Korea using the revised Andersen's model of access to health care.
Cross-sectional analytic interview study.
Korean people with a disability residing in residential facilities, or those at home who attend vocational rehabilitation facilities, special schools, or welfare facilities, were sampled from Seoul and non-Seoul areas in 2016 and were interviewed face-to-face. In total, 456 disabled Koreans, or their primary caregivers participated.
Household income, disability duration and perceived barriers in the dental care system were perceived to impact on dental care utilisation, while the need for dental care services did not significantly explain the use of dental care by disabled people in South Korea. Those with low household incomes were less likely to use dental care services, compared to people with moderate and high household incomes. As disability duration increased, disabled people were more likely to use dental services. Those who perceived the barriers to dental care as higher were less likely to use dental services.
These data suggest that policies are needed to support disabled people with low household incomes. Lowering barriers in the dental care system may encourage people with disabilities to access timely and adequate dental services.
运用修订后的安德森医疗保健可及性模型，确定韩国残疾人在获得牙科护理方面所感知到的障碍。
横断面分析访谈研究。
2016年从首尔及首尔以外地区抽取居住在住宿机构的韩国残疾人，或在家中但就读于职业康复机构、特殊学校或福利机构的残疾人进行面对面访谈。共有456名韩国残疾人士或其主要照顾者参与。
家庭收入、残疾持续时间以及牙科护理系统中所感知到的障碍被认为会影响牙科护理的利用情况，而牙科护理服务需求并不能显著解释韩国残疾人对牙科护理的使用情况。与中等和高家庭收入人群相比，低家庭收入者使用牙科护理服务的可能性较小。随着残疾持续时间的增加，残疾人使用牙科服务的可能性更大。那些认为牙科护理障碍更高的人使用牙科服务的可能性较小。
这些数据表明，需要制定政策来支持低家庭收入的残疾人。降低牙科护理系统中的障碍可能会鼓励残疾人及时获得充分的牙科服务。
