Korean J Fam Pract.  2021 Apr;11(2):147-150. 10.21215/kjfp.2021.11.2.147.

Physicians’ Experience from the Pilot Project for Primary Care for People with Disabilities

Affiliations
  • 1Department of Family Medicine and Supportive Care Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 2Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine, Suwon, Korea
  • 3Department of Nursing, Far East University, Eumseong, Korea
  • 4Department of Social and Preventive Medicine & Health Services Research Center, College of Medicine, Hallym University, Chuncheon, Korea
  • 5Korea Institute for Health and Social Affairs, Sejong, Cheongju, Korea
  • 6Department of Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
  • 7Department of Preventive Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
  • 8Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Korea

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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