Team-based primary care program for disabled people and changes in rate of unmet health care needs

Kim, Jung Ae; Choi, Yong-Jun; Heo, Myung-Seok; Oh, Chun-Hee; Choi, Kyoung-Seong

doi:10.1093/fampra/cmaa089

Cited by 4 publications

(5 citation statements)

References 14 publications

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“… 19 A longitudinal study conducted in South Korea by Kim et al revealed a significant reduction in unmet health care needs among disabled patients following medical care provided by medical doctors and Korean medical doctors. 36 However, in our analysis, we observed that the motivation for providing HMCS among Chinese medicine practitioners was notably weaker compared to that of clinical doctors. The reasons might be complex.…”

Section: Discussionmentioning

confidence: 58%

Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support

Yang,

Gu,

et al. 2024

JMDH

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Background Home-based medical care services (HMCS) play a crucial role in China’s response to an aging population. Given the scarcity of quantitative research on motivating medical staff in relevant institutions, this study aimed to explore the impact of institutional support on motivating the provision of HMCS. Methods The medical staff involved in this study originated from seven community health service centers in Beijing. We utilized a self-designed questionnaire to conduct the survey, gathering socioeconomic information, institutional support for service delivery, as well as the frequency and types of services the respondents provided. Statistical analysis involved the one-way tests and multivariate regressions, and structural equation modeling (SEM) was employed to enhance the results obtained from the regression analysis. Results A total of 673 valid questionnaires were considered, with 66.12% of respondents indicating their involvement in offering HMCS services and 51.86% reporting the provision of home-based treatment and care services. Upon adjusting for all covariates, multiple regression results highlighted that the establishment of a clear service pathway significantly influenced the motivation to provide services. Furthermore, the results obtained from SEM validated the findings derived from the regression analysis. Conclusion Standardized institutional support is an essential means of bolstering the motivation of medical staff to provide HMCS and deserves heightened attention from health administrators.

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Section: Discussionmentioning

confidence: 58%

Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support

Yang,

Gu,

et al. 2024

JMDH

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“…Despite the need for more systemic health-focused healthcare because of the high prevalence of chronic diseases and the risk of secondary functional decline that is distinct from the original disabling condition, 41 42 43 44 45 46 PWD remain doubly disadvantaged because of their lack of access to healthcare. The PHC pilot project for PWD represents major progress toward improved healthcare access and solution of unmet need for medical care 15 ; however, it is insufficient to address the unmet need for medical care among medically disadvantaged populations. Diverse institutions that provide health services for PWD should cooperate with each other; in particular, interdisciplinary cooperation, interprofessional teamwork, and community participation are key areas for success.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies on the topic of the PHC pilot project for PWD, explored the experience and perception of disabled people or effectiveness of the pilot using the data only from who participated in the pilot project. 12 14 15 16 However, there is no study identified the demand for or awareness of the pilot project among the PWD living in the community.…”

Section: Introductionmentioning

confidence: 99%

Service Demand for and Awareness of a Primary Healthcare Pilot Project for People With Disabilities

2022

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Background This study investigated the demand for and awareness of a primary healthcare pilot project for people with disabilities; it also sought to identify relevant determinants for demand and awareness using Andersen’s behavioral model of health service use. Methods This study is a secondary analysis of data from the population-based survey conducted in Gyeonggi Regional Health & Medical Center for People with Disabilities. The data was designed with quota random sampling based on the population with disabilities in each district (city [si] and county [gun]) across the Gyeonggi province (do) to evaluate the health and healthcare accessibility of the disabled people living in the Gyeonggi province. The data was collected through the mobile-based survey of 1,140 people with disabilities living in Gyeonggi-do between March 2021 and June 2021. Results Awareness of the service (12.1%) was remarkably low, while the demand (80.5%) was high. The gap between respondents who needed the service but were unaware of it differed according to age, education, activities of daily living, health information sources, chronic disease, depression, subjective health status, and unmet healthcare needs. Chronic disease (odds ratio [OR], 1.86; P = 0.001) and an unmet need for medical care (OR, 2.30; P = 0.002) had significant influences on demand for the service. Furthermore, living alone (OR, 0.42; P = 0.023), medical aid program beneficiary status (OR, 2.10; P = 0.020), access to health information from health service centers (OR, 4.00; P = 0.002), chronic disease (OR, 1.68; P = 0.043), severity of disability (OR, 1.78; P = 0.025), and subjective health status (OR, 4.51; P < 0.001) significantly affected awareness of the program. Conclusion Chronic disease and an unmet need for medical care were key determinants of service demand, while the severity of disability was not. Thus, there is a need to review the initiative that defines service beneficiaries as people with severe disabilities. Policy makers should consider advertising programs to improve service awareness among people with disabilities.

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“…Accordingly, the Korean government has established a community program called the “Pilot Family Doctor Program for the Health of Disabilities” for two years since 2015, and the house-call satisfaction of individuals with disability has been reported to be very high [ 24 ]. Furthermore, according to the “Team-based primary care program” implemented by the “Korea Health Welfare Social Cooperative Federation” between 2015 and 2017, patients with disability reported high satisfaction with the TKM treatment and a decrease in dissatisfaction with health management [ 25 ]. Hence, the TKM health insurance needs to be promptly extended to people with disabilities.…”

Section: Discussionmentioning

confidence: 99%

Traditional Korean Medicine Usage and Perception: a comparative study between the general population and the disabilities

Han

Kim²,

Kim

et al. 2022

J Pharmacopuncture

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Objectives This study is a comparative analysis of the satisfaction and recognition characteristics for traditional Korean medicine (TKM) in people with disabilities and the general population of Korea. Methods Here, 5,000 subjects were categorized into two groups based on a disability rating using the data from the 2017 National Survey for the Usage of Korean Medicine. The relationships among the sociodemographic characteristics, TKM usage status, recognition of TKM usage, and recognition of the effectiveness of the TKM treatment were analyzed based on the disease. The response reliability was verified using the chi-square test analysis method. Results Disabilities corresponded with low rates of high school or higher education (44%, 83.5%) and no jobs (56.9%, 33.5%), mostly the status of the low-income class with a monthly household income of < 1,500 USD (50.9%, 10.5%), poor health conditions (55.2%, 9.8%), high chronic disease prevalence rate (69.0%, 19.9%), high medical care rate (11.2%, 0.5%), and low commercial health insurance subscription rate (44%, 74.2%). Furthermore, people with disabilities visited TKM institutions more often (88.8%, 74.1%) with a high frequency TKM usage rate of ≥ 1-2 times a month (26.2%, 15.3%). They also reported that the cost of using the TKM was very high (14.7%, 8.8%) and that primarily the application of insurance benefits should be improved (52.6%, 47.5%). The treatment effectiveness for diseases was high for musculoskeletal disorders for both people with disabilities and the general population. Conclusion Preferential application of insurance benefits for musculoskeletal diseases must be extended to the TKM treatment as well, as people with disabilities have a high recognition for these conditions with TKM. It is difficult to perform randomized controlled trials on people with disability. Therefore, large-scale observational and cohort studies should be conducted. We hope this study will help establish a suitable TKM policy for people with disabilities.

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Team-based primary care program for disabled people and changes in rate of unmet health care needs

Cited by 4 publications

References 14 publications

Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support

Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support

Service Demand for and Awareness of a Primary Healthcare Pilot Project for People With Disabilities

Traditional Korean Medicine Usage and Perception: a comparative study between the general population and the disabilities

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