残疾人基层医疗试点项目的服务需求和认知。

Service Demand for and Awareness of a Primary Healthcare Pilot Project for People With Disabilities.

机构信息

Gyeonggi Regional Health & Medical Center for People with Disabilities, Seoul National University Bundang Hospital, Seongnam, Korea.

Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

出版信息

J Korean Med Sci. 2022 Aug 1;37(30):e241. doi: 10.3346/jkms.2022.37.e241.

DOI:10.3346/jkms.2022.37.e241

PMID:35916049

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9344037/

Abstract

BACKGROUND

This study investigated the demand for and awareness of a primary healthcare pilot project for people with disabilities; it also sought to identify relevant determinants for demand and awareness using Andersen's behavioral model of health service use.

METHODS

This study is a secondary analysis of data from the population-based survey conducted in Gyeonggi Regional Health & Medical Center for People with Disabilities. The data was designed with quota random sampling based on the population with disabilities in each district (city [si] and county [gun]) across the Gyeonggi province (do) to evaluate the health and healthcare accessibility of the disabled people living in the Gyeonggi province. The data was collected through the mobile-based survey of 1,140 people with disabilities living in Gyeonggi-do between March 2021 and June 2021.

RESULTS

Awareness of the service (12.1%) was remarkably low, while the demand (80.5%) was high. The gap between respondents who needed the service but were unaware of it differed according to age, education, activities of daily living, health information sources, chronic disease, depression, subjective health status, and unmet healthcare needs. Chronic disease (odds ratio [OR], 1.86; = 0.001) and an unmet need for medical care (OR, 2.30; = 0.002) had significant influences on demand for the service. Furthermore, living alone (OR, 0.42; = 0.023), medical aid program beneficiary status (OR, 2.10; = 0.020), access to health information from health service centers (OR, 4.00; = 0.002), chronic disease (OR, 1.68; = 0.043), severity of disability (OR, 1.78; = 0.025), and subjective health status (OR, 4.51; < 0.001) significantly affected awareness of the program.

CONCLUSION

Chronic disease and an unmet need for medical care were key determinants of service demand, while the severity of disability was not. Thus, there is a need to review the initiative that defines service beneficiaries as people with severe disabilities. Policy makers should consider advertising programs to improve service awareness among people with disabilities.

摘要

背景

本研究旨在调查人们对残疾人初级保健试点项目的需求和认知，并利用安德森健康服务使用行为模型确定需求和认知的相关决定因素。

方法

本研究是对在京畿道残疾人地区健康与医疗中心进行的基于人群的调查数据进行的二次分析。该数据是基于京畿道（道）每个区（市[si]和县[gun]）的残疾人口进行配额随机抽样设计的，旨在评估居住在京畿道的残疾人的健康和医疗可及性。数据是通过对 2021 年 3 月至 2021 年 6 月期间居住在京畿道的 1140 名残疾人进行基于移动的调查收集的。

结果

服务认知度（12.1%）显著较低，而需求度（80.5%）较高。对服务有需求但不了解的受访者之间的差距因年龄、教育程度、日常生活活动、健康信息来源、慢性病、抑郁、主观健康状况和未满足的医疗需求而有所不同。慢性病（比值比[OR]，1.86； = 0.001）和未满足的医疗需求（OR，2.30； = 0.002）对服务需求有显著影响。此外，独居（OR，0.42； = 0.023）、医疗救助计划受益身份（OR，2.10； = 0.020）、从卫生服务中心获取健康信息（OR，4.00； = 0.002）、慢性病（OR，1.68； = 0.043）、残疾严重程度（OR，1.78； = 0.025）和主观健康状况（OR，4.51； < 0.001）显著影响了对该计划的认知。