Jung Ae Kim1,2, Yong-Jun Choi3,4, Myung-Seok Heo2,5, Chun-Hee Oh2, Kyung-Hwa Choi2,6. 1. Nursing Policy Bureau, Korean Nurses Association, Seoul, Republic of Korea. 2. Policy Bureau, Cooperative Institute for Health Plus, Ansan, Republic of Korea. 3. Department of Social and Preventive Medicine, Hallym University College of Medicine, Chuncheon, Republic of Korea. 4. Health Services Research Center, Hallym University College of Medicine, Chuncheon, Republic of Korea. 5. Saeansan Korean Medicine Clinic, Ansan Health Welfare Social Cooperation, Ansan, Republic of Korea. 6. Department of Preventive Medicine, Dankook University College of Medicine, Cheonan, Republic of Korea.
Abstract
BACKGROUND: Few studies have been conducted on the application of specific and practical methods, such as interventions, for reducing the unmet health care needs (UHCN) of disabled people. OBJECTIVES: The study aims to evaluate the impact of the team-based primary care program (TPCP) for disabled people on UHCN. METHOD: In 2017, we surveyed 696 disabled people who were enrolled in the TPCP at one of the 11 institutions belonging to the Korea Health Welfare Social Cooperative Federation from 2015 to 2017 to assess their unmet needs before and after enrolment. We conducted a logistic regression analysis before and after the program to evaluate the relationship between participation period and unmet needs after adjusting for physician type, gender, age, drinking, monthly income, disability type, personal assistance services and living alone. RESULT: After using the service, the proportion of disabled people with unmet needs decreased from 42.9% to 20.4% for a medical doctor and 43.6% to 18.6% for a Korean medical (KM) doctor. After adjusting for related factors and stratifying with type of physician, the proportion of disabled people with unmet needs decreased significantly in response to the participation period for the medical doctor-involved program (P-trend < 0.001); this was not observed in the KM counterpart (P-trend = 0.6). CONCLUSION: The TPCP for disabled people provides disease prevention, health care and health promotion activities and is crucial for solving the unmet needs.
BACKGROUND: Few studies have been conducted on the application of specific and practical methods, such as interventions, for reducing the unmet health care needs (UHCN) of disabled people. OBJECTIVES: The study aims to evaluate the impact of the team-based primary care program (TPCP) for disabled people on UHCN. METHOD: In 2017, we surveyed 696 disabled people who were enrolled in the TPCP at one of the 11 institutions belonging to the Korea Health Welfare Social Cooperative Federation from 2015 to 2017 to assess their unmet needs before and after enrolment. We conducted a logistic regression analysis before and after the program to evaluate the relationship between participation period and unmet needs after adjusting for physician type, gender, age, drinking, monthly income, disability type, personal assistance services and living alone. RESULT: After using the service, the proportion of disabled people with unmet needs decreased from 42.9% to 20.4% for a medical doctor and 43.6% to 18.6% for a Korean medical (KM) doctor. After adjusting for related factors and stratifying with type of physician, the proportion of disabled people with unmet needs decreased significantly in response to the participation period for the medical doctor-involved program (P-trend < 0.001); this was not observed in the KM counterpart (P-trend = 0.6). CONCLUSION: The TPCP for disabled people provides disease prevention, health care and health promotion activities and is crucial for solving the unmet needs.
Keywords:
Disabled persons; health services for disabled person; health services needs and demand; home care services; primary health care; team-based primary care program
Authors: Shanquan Chen; Linda A Jones; Shan Jiang; Huajie Jin; Dong Dong; Xi Chen; Dan Wang; Yun Zhang; Li Xiang; Anna Zhu; Rudolf N Cardinal Journal: BMC Geriatr Date: 2022-03-04 Impact factor: 4.070