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KMID : 1039620210110020147
Korean Journal of Family Practice
2021 Volume.11 No. 2 p.147 ~ p.150
Physicians¡¯ Experience from the Pilot Project for Primary Care for People with Disabilities
Jeon Keun-Hye

Cho In-Young
Yoo Jung-Eun
Park Jae-Hyun
Kang Mi-Wha
Choi Yong-Jun
Kim Seong-Hee
Park Jong-Eun
Park Jong-Hyock
Kim So-Young
Shin Dong-Wook
Abstract
Background: Disabled people are considered a vulnerable population in terms of health and social care. With the disability act having been enacted in 2015, the primary care physician system for disabled people was designed and implemented as a pilot project as of May 2018. This study was designed to assess the suitability and effectiveness of this pilot project. To this end, we conducted a survey of medical staff who participated in the pilot project, making use of questionnaires derived from preceding focused group interviews.

Methods: We first conducted focused group interviews with experts who were actively engaged in the pilot project. Questionnaires were then prepared based on these focused group interviews, which were then administered electronically to 23 physicians who had provided medical services for disabled people throughout the pilot project.

Results: In this study, physicians noted that all the services in the pilot program are useful for the healthcare of disabled people in the following order: comprehensive evaluation, education and counselling, coordination of care and medical referral, and comprehensive planning. The biggest problem identified was the complexity of the administrative procedure and the inadequacy of medical fees. The participants endorsed greater participation of secondary/tertiary hospitals, the establishment of links within the local community, and the strengthening of the role of public medical centers.

Conclusion: All the services in the pilot program appear to be useful in the provision of healthcare of disabled people, and several measures are suggested for the improvement of the program prior to the actual implementation of the project.
KEYWORD
Disabled Persons, Primary Health Care, Physicians, primary care, Surveys and Questionnaires
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