Park Seungeun, Jeon Boyoung, Jung Young-Il, Moon Juhyeon, Park So-Youn
KnowledgeTree, Gangwon-do, Republic of Korea.
Myongji College, Seodaemun-gu, Seoul, Republic of Korea.
Inquiry. 2024 Jan-Dec;61:469580241305993. doi: 10.1177/00469580241305993.
Maintaining health cannot be achieved individually; it is influenced by social, legal, and institutional factors surrounding the individuals. This study aimed to identify regional-level factors that may influence the occurrence of chronic diseases among people with disabilities. To achieve this, we conducted a Delphi survey with experts to identify a set of regional indicators required for studying the health status of people with disabilities, particularly for predicting the occurrence of chronic diseases. Through the process of the Delphi survey, 24 indicators were finally selected. The major categories of the indicators were demographic factors (4 indicators), health behaviors (6 indicators), healthcare resources and utilization (11 indicators), and local community policies (3 indicators). Each category and subcategory of indicators plays a crucial role in understanding and improving the health and well-being of people with disabilities at the regional level. By addressing these factors comprehensively, policymakers and healthcare providers can develop more effective and targeted interventions, ultimately fostering a more inclusive and supportive environment for people with disabilities. The findings underscore the importance of a holistic approach to health assessment and the need for continued monitoring and evaluation to inform policy and practice.
保持健康并非个人所能实现；它受到个人周围的社会、法律和制度因素的影响。本研究旨在确定可能影响残疾人慢性病发生的区域层面因素。为实现这一目标，我们与专家进行了德尔菲调查，以确定研究残疾人健康状况所需的一组区域指标，特别是用于预测慢性病的发生。通过德尔菲调查过程，最终选定了24项指标。这些指标的主要类别有人口统计学因素（4项指标）、健康行为（6项指标）、医疗保健资源与利用（11项指标）以及地方社区政策（3项指标）。指标的每个类别和子类别在区域层面理解和改善残疾人的健康与福祉方面都起着至关重要的作用。通过全面解决这些因素，政策制定者和医疗保健提供者可以制定更有效、更有针对性的干预措施，最终为残疾人营造一个更具包容性和支持性的环境。研究结果强调了采用整体方法进行健康评估的重要性，以及持续监测和评估以指导政策和实践的必要性。
