KMID : 0387320200300030335
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Korean Journal of Health Policy and Administration 2020 Volume.30 No. 3 p.335 ~ p.344
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Accessibility Factors to Health Check-Ups for People with Disability: A Qualitative Study
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Hong Hye-Su
Lim Myung-Joon Kim Oi-Sook Choi Eun-Sook Kim Jung-Hwan
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Abstract
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Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement.
Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss.
Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was ¡®failure to obtain check-ups.¡¯ Causal conditions were observed as a ¡®lack of communication method,¡¯ ¡®physical difficulties,¡¯ and ¡®staff unfamiliar with people with disability,¡¯ Interventional conditions comprised ¡®physical accessibility,¡¯ ¡®staffs¡¯ competency,¡¯ and ¡®assistant manpower.¡¯ The active strategy was included ¡®to investigate the professional medical institution,¡¯ ¡®to find the medical institution of convenient traffic accessibility,¡¯ ¡®to overcome communication difficulties through equipment,¡¯ and ¡®to overcome linguistic barriers through sufficient communication.¡¯ Whereas, ¡®utilization of ancillary equipment,¡¯ ¡®the education of staffs on people with disability,¡¯ ¡®universal design manual,¡¯ and ¡®customized check-ups¡¯ were included in the passive strategy. Such processes arose in the contextual conditions of ¡®lack of expectations for daily lives¡¯ and ¡®lack of government support.¡¯ As a consequence, the subjects participated experienced the ¡®disadvantages,¡¯ ¡®discrimination,¡¯ and ¡®reduced reliability of the health check-ups.¡¯
Conclusion: The subjects who participated in this study emphasized ¡®staffs familiar with people with disability¡¯ and ¡®systems customized for people with disability¡¯ are mandatory to secure complete health check-ups for people with disability.
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KEYWORD
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Health check-ups, Disability, Health and welfare policy, Qualitative research, Physical examination
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