Korean primary health care program for people with disabilities: do they really want home-based primary care?
Abstract Background Despite many studies on home-based primary care (HBPC)-related benefits and challenges, little is known about the perspectives of potential target groups of the care and their intention or preference for using it. This study aimed to explore the demand for HBPC from the perspecti...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10102-9 |
| _version_ | 1797577243525906432 |
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| author | Hye-Jin Kim Jae-Young Lim Soong-Nang Jang |
| author_facet | Hye-Jin Kim Jae-Young Lim Soong-Nang Jang |
| author_sort | Hye-Jin Kim |
| collection | DOAJ |
| description | Abstract Background Despite many studies on home-based primary care (HBPC)-related benefits and challenges, little is known about the perspectives of potential target groups of the care and their intention or preference for using it. This study aimed to explore the demand for HBPC from the perspective of people with disabilities (PWDs) and caregivers and identify relevant determinants for that demand. Methods Data from the population-based survey conducted in the Gyeonggi Regional Health & Medical Center for People with Disabilities in South Korea were analyzed. Logistic regression analysis was performed to identify relevant determinants for the demand on HBPC. Results Overall, 22% of respondents required HBPC, and 34.7% of persons aged ≥ 65 years demanded it. Older adults with disability, homebound status, and a need for assistance with daily living activities were associated with a demand for HBPC. Though having severe disability, only 19.49% of self-reported respondents demanded for HBPC, while 39.57% of proxy-reported respondents demanded for HBPC. Among self-reported group, only marital status was a predictor associated with a demand for HBPC. In contrast, among proxy-reported groups, PWDs with external physical disabilities, or with unmet medical needs due to availability barriers reported a higher demand for HBPC. Conclusions The demand for HBPC does not derive from the medical demands of the users themselves, but rather the care deficit by difficulty in getting out of the house or in outpatient care. Beyond an alternative to office-based care, HBPC needs to be considered to solve the care deficit and as well as to deal with PWDs’ medical problems. |
| first_indexed | 2024-03-10T22:05:29Z |
| format | Article |
| id | doaj.art-7ad448342d4042998fd7b1862d07e6c1 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:29Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7ad448342d4042998fd7b1862d07e6c12023-11-19T12:48:13ZengBMCBMC Health Services Research1472-69632023-10-0123111410.1186/s12913-023-10102-9Korean primary health care program for people with disabilities: do they really want home-based primary care?Hye-Jin Kim0Jae-Young Lim1Soong-Nang Jang2Red Cross College of Nursing, Chung-Ang UniversityDepartment of Gyeonggi Regional Health & Medical Center for Persons with Disabilities, Seoul National University Bundang HospitalRed Cross College of Nursing, Chung-Ang UniversityAbstract Background Despite many studies on home-based primary care (HBPC)-related benefits and challenges, little is known about the perspectives of potential target groups of the care and their intention or preference for using it. This study aimed to explore the demand for HBPC from the perspective of people with disabilities (PWDs) and caregivers and identify relevant determinants for that demand. Methods Data from the population-based survey conducted in the Gyeonggi Regional Health & Medical Center for People with Disabilities in South Korea were analyzed. Logistic regression analysis was performed to identify relevant determinants for the demand on HBPC. Results Overall, 22% of respondents required HBPC, and 34.7% of persons aged ≥ 65 years demanded it. Older adults with disability, homebound status, and a need for assistance with daily living activities were associated with a demand for HBPC. Though having severe disability, only 19.49% of self-reported respondents demanded for HBPC, while 39.57% of proxy-reported respondents demanded for HBPC. Among self-reported group, only marital status was a predictor associated with a demand for HBPC. In contrast, among proxy-reported groups, PWDs with external physical disabilities, or with unmet medical needs due to availability barriers reported a higher demand for HBPC. Conclusions The demand for HBPC does not derive from the medical demands of the users themselves, but rather the care deficit by difficulty in getting out of the house or in outpatient care. Beyond an alternative to office-based care, HBPC needs to be considered to solve the care deficit and as well as to deal with PWDs’ medical problems.https://doi.org/10.1186/s12913-023-10102-9Home-Based Primary CareDisabilitiesHealthcare accessHealth services for people with disabilitiesService demand |
| spellingShingle | Hye-Jin Kim Jae-Young Lim Soong-Nang Jang Korean primary health care program for people with disabilities: do they really want home-based primary care? BMC Health Services Research Home-Based Primary Care Disabilities Healthcare access Health services for people with disabilities Service demand |
| title | Korean primary health care program for people with disabilities: do they really want home-based primary care? |
| title_full | Korean primary health care program for people with disabilities: do they really want home-based primary care? |
| title_fullStr | Korean primary health care program for people with disabilities: do they really want home-based primary care? |
| title_full_unstemmed | Korean primary health care program for people with disabilities: do they really want home-based primary care? |
| title_short | Korean primary health care program for people with disabilities: do they really want home-based primary care? |
| title_sort | korean primary health care program for people with disabilities do they really want home based primary care |
| topic | Home-Based Primary Care Disabilities Healthcare access Health services for people with disabilities Service demand |
| url | https://doi.org/10.1186/s12913-023-10102-9 |
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