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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.12
- 수록면
- 41 - 53 (13page)
- DOI
- 10.17262/KJPH.2018.12.55.2.41
이용수
초록· 키워드
오류제보하기
Objectives: Multiple chronic diseases are known to affect the amount of medical service use such as the number of visiting medical institutions and outpatient medical expenses. The purpose of this study was to investigate the characteristics of multiple chronic diseases experience of frequent medical service user living in the rural area which can provide basic data on the chronic disease policy
Methods: The participants of the study were multiple chronic patients with more than 4 chronic diseases among the highest 1% of all medical service users based on the National Health Insurance claims data of 2013. Patient and their doctors randomly selected, qualified researchers performed semi-structured in-depth interviews. 10 cases as ‘residents’ of the rural area and 3 cases of doctors were analyzed using the consensual qualitative research method.
Results: The subject areas of the individual cases were extracted from thematic domain: the perception of cause of the disease, the local primary medical institution, and the disease management behavior, five key concepts were extracted to explain the disease experience characteristics of the chronic disease patients in the rural area. For cross cases it has been shown that the experience of multiple chronic illnesses is a trail of a tough life, being fixed through repetitive controlling body to work. In addition, the lack of medical goals and the visit to medical institutions as a leisure activity shows that there was a need to understand the nature of the disease experience in the organizational context of the healthcare infrastructure.
Conclusion: Chronic diseases can’t be cured, and the improvement and deterioration of the condition are repeated throughout life, so a supportive primary health care is essential as well as self-management in rural area
Methods: The participants of the study were multiple chronic patients with more than 4 chronic diseases among the highest 1% of all medical service users based on the National Health Insurance claims data of 2013. Patient and their doctors randomly selected, qualified researchers performed semi-structured in-depth interviews. 10 cases as ‘residents’ of the rural area and 3 cases of doctors were analyzed using the consensual qualitative research method.
Results: The subject areas of the individual cases were extracted from thematic domain: the perception of cause of the disease, the local primary medical institution, and the disease management behavior, five key concepts were extracted to explain the disease experience characteristics of the chronic disease patients in the rural area. For cross cases it has been shown that the experience of multiple chronic illnesses is a trail of a tough life, being fixed through repetitive controlling body to work. In addition, the lack of medical goals and the visit to medical institutions as a leisure activity shows that there was a need to understand the nature of the disease experience in the organizational context of the healthcare infrastructure.
Conclusion: Chronic diseases can’t be cured, and the improvement and deterioration of the condition are repeated throughout life, so a supportive primary health care is essential as well as self-management in rural area
목차
Abstract
Introduction
Methods
Results
Discussion
Conclusion
References
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UCI(KEPA) : I410-ECN-0101-2019-517-000337403