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KMID : 0387320210310040518
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Korean Journal of Health Policy and Administration
2021 Volume.31 No. 4 p.518 ~ p.530
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The Effect of Having a Usual Source of Care on Patient-Centered Communication among Persons with Disabilities
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Jeon Bo-Young
Lee Min-Young
Ahn Eun-Mi
Lee Min-Young
Ahn Eun-Mi
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Abstract
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Background: This study examined the effect of having a usual source of care on the degree of patient-centered communicationamong persons with disability. The role of the usual source of care has been emphasized to improve patient experience, especiallyfor patients with complex health conditions.
Methods: This study used the 2017?2018 Korean Health Panel data, and the final study observations were 22,475 (20,806 peoplewithout disability and 1,669 people with disability). We applied generalized estimating equation model to show the effect of havinga usual source of care on patient-centered communication, and subgroup analysis considering the types and severity of disabilities.
Results: Persons who have disabilities, compared with ones without it, significantly had more usual sources of care (32.4% vs. 24.6%).
By type of disability, persons with mental (51.4%), internal organ (43.8%), visual (37%), and physical disabilities (31.6%) had moreusual sources of care than hearing/speech (26.6%), and developmental disabilities (18.6%). The average score of patient-centeredcommunication was higher among who had a usual sources of care (3.2 vs. 2.7), and the regression analysis showed that having ausual sources of care was positively associated with higher patient-centered communication score (β=0.476, p<0.05). However, thepositive effects of usual sources of care was not observed among persons with severe hearing/speech, developmental, and mentaldisabilities.
Conclusion: This study showed that role of patient-centered communication was limited in persons with severe hearing/speechdisabilities, developmental, and mental disabilities. The education programs and supports are needed to improve communication skillsbetween medical staff and persons with specific types of disabilities.
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KEYWORD
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Usual source of care, Patient-centered communication, Disability, Korea Health Panel
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