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일부 지역사회 노인들의 의료서비스 접근성에 관한 조사 연구

 Accessibility of Medical Care in an Elderly Population

성인간호학회지 2000년 12권 4호 p.641 ~ 653
KMID : 0367020000120040641
조경순 ( Cho Kyung-Soon ) - 혜천대학 간호과

이현주 ( Lee Hyun-Joo ) - 혜천대학 간호과

Abstract

A quantitative descriptive survery was conducted to assess the needs of elderly people in relation to accessibility of medical care. Identifying their functional status was done and accessibility of medical care was ascertained. Using a convenient sampling method. 856 elderly aged 65 and over in Taejon-city participated. A multi-dimensional questionnaire containing sections on health status. Activities of Daily Living(ADLs) and accessibility of medical care in terms of use, time, distance, transport, cost and feeling at ease was developed by the researchers of this study to collect data. Data were collected between October and December. 1999. In general, the result of the self-reports from this study found that approximately 40% of participants had difficulties with their health status and ADLs while about 45% of the population did not access medical care. The majority of respondents stated that they had no difficulties with time distance and transport to access medical care. About two-thirds of the respondents felt that they had many or some difficulties with expenses and strategies for emergency to access medical care. Even though these findings need to bo generalized. Several recommendations for appropriate medical care delivery for the elderly still can be outlined from the study findings. Recommendations suggested are: To identify impediments to access medical care in emergency in elderly people and to remove those factors preventively are required. Responsible governmental involvement for solving problems of the medical care cost and additional costs in relation to separation of dispensary from medical practice for the elderly in required. More constructive and practical used of public health community centers are recommended
KeyWords
건강상태 일상활동능력 의료서비스 접근성
원문 및 링크아웃 정보
 
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학술진흥재단(KCI) KoreaMed