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KMID : 1143320200090030103
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Therapeutic Science for Neurorehabilitation
2020 Volume.9 No. 3 p.103 ~ p.120
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Phenomenological Qualitative Research of Social Admission in Rehab hospitals: Occupational Therapists’ Perspectives
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Kim Jung-Hun
Hwang Na-Kyoung
Kim Jong-Sung
Song Young-Jin
Choi Min-Kyung
Kim Hyung-Sun
Han Ga-Ram
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Abstract
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Objective : This study aims to understand the phenomenon of social admission in Korea’s rehabilitation system by analyzing the perspectives of occupational therapists.
Methods : We developed a written questionnaire based on RSAT and, in August 2019, distributed it to occupational therapists with more than three years of experience at the time. Data were analyzed using the van Kaam's method. Further, high frequency words were analyzed by word cloud in order to extract significant statements.
Results : Forty-six written interviews were collected from various areas of Korea. We analyzed the data into 2 categories, 4 themes, 13 sub-themes. The two categories were ‘hospital system’ and ‘external factors of occupational therapy practice’. The themes according to ‘hospital system’ were ‘difficulties in implementing multidisciplinary approach’ and ‘inadequate discharge planning system’. The themes according to ‘internal and external factors of occupational therapy’ were analyzed as ‘difficulties of occupational therapists’ and ‘difficulties in occupational therapy practice’.
Conclusion : Occupational therapists in rehabilitation hospitals recognize that the reason for social admission is insufficient insurance systems related to occupational therapy services in rehab hospitals. This leads to difficulties in occupational therapy practice. We need to develop the insurance systems that can meet patient needs for social recovery.
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KEYWORD
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Occupational therapy, Rehabilitation hospital, Returning to the community, Social admission
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