“…The Act on Right to Health for Persons with Disabilities is of great significance in that the rights to health of PWDs are stated in the law for the first time and their healthcare access is legally guaranteed. For factors hindering the health care access of PWDs, previous studies have identified the following: economic hardship, physical difficulties (i.e., difficult to visit a health care facility owing to transportation problems), difficulty in accessing information, medical staff’s negative perception of PWDs, among others [18–20]. According to a survey in Korea, the most uncomfortable experience by PWDs in using hospitals/clinics and receiving medical care is “physicians’ lack of understanding of disability and insufficient consideration” (34.8%), followed by “lack of PWD-friendly facilities in hospitals/clinics” (26.8%) and “difficulties in communication and information access” (14.1%) [21].…”
Recently, the Act on Guarantee of Right to Health and Access to Medical Service for Persons with Disabilities was implemented to legally define the health care system for persons with disabilities (PWDs) and the guarantee of access to medical care in Korea. This study aimed to develop specific goals and performance indicators to establish a system to guarantee right to health and access to medical service for PWDs. The first procedure was the establishment of the performance indicators, and the second was the content validity verification of the established performance indicators. To establish the performance indicators, we used the policy indicators of the government to improve the health of the Korean people. The indicators that needed to be newly developed were established based on literature review and expert consultation. Three Delphi surveys were conducted to verify the content validity of the established performance indicators. The content validity index (CVI) was obtained for the importance and possibility of the performance indicators. The indicators using the existing policy indicators are “proportion of public health centers” and “rate of health checkup of PWDs,” and newly developed indicators are “establishment of facilities for PWDs in health care facilities (buildings and personnel)” and “diagnosis of autism spectrum disorder in early childhood (average age and awareness).” The final performance indicators consist of a total of six areas, 22 sub-areas, and 40 individual indicators. The final performance indicators in this study can be used as basic data for continuously identifying the health status of PWDs in Korea and establishing the national policy for their health promotion. This study is also expected to serve as a framework to guarantee the right to health and access to medical service for PWDs rather than simply containing declarative content.
“…The Act on Right to Health for Persons with Disabilities is of great significance in that the rights to health of PWDs are stated in the law for the first time and their healthcare access is legally guaranteed. For factors hindering the health care access of PWDs, previous studies have identified the following: economic hardship, physical difficulties (i.e., difficult to visit a health care facility owing to transportation problems), difficulty in accessing information, medical staff’s negative perception of PWDs, among others [18–20]. According to a survey in Korea, the most uncomfortable experience by PWDs in using hospitals/clinics and receiving medical care is “physicians’ lack of understanding of disability and insufficient consideration” (34.8%), followed by “lack of PWD-friendly facilities in hospitals/clinics” (26.8%) and “difficulties in communication and information access” (14.1%) [21].…”
Recently, the Act on Guarantee of Right to Health and Access to Medical Service for Persons with Disabilities was implemented to legally define the health care system for persons with disabilities (PWDs) and the guarantee of access to medical care in Korea. This study aimed to develop specific goals and performance indicators to establish a system to guarantee right to health and access to medical service for PWDs. The first procedure was the establishment of the performance indicators, and the second was the content validity verification of the established performance indicators. To establish the performance indicators, we used the policy indicators of the government to improve the health of the Korean people. The indicators that needed to be newly developed were established based on literature review and expert consultation. Three Delphi surveys were conducted to verify the content validity of the established performance indicators. The content validity index (CVI) was obtained for the importance and possibility of the performance indicators. The indicators using the existing policy indicators are “proportion of public health centers” and “rate of health checkup of PWDs,” and newly developed indicators are “establishment of facilities for PWDs in health care facilities (buildings and personnel)” and “diagnosis of autism spectrum disorder in early childhood (average age and awareness).” The final performance indicators consist of a total of six areas, 22 sub-areas, and 40 individual indicators. The final performance indicators in this study can be used as basic data for continuously identifying the health status of PWDs in Korea and establishing the national policy for their health promotion. This study is also expected to serve as a framework to guarantee the right to health and access to medical service for PWDs rather than simply containing declarative content.
The demand for medical care and welfare for patients with disabilities is expanding, and healthcare professionals are also increasingly interested in the need for medical care for patients with disabilities. The purpose of this study was to evaluate the competency of disabled patients' management and the education experience of dental hygiene students, who are the main players of oral health care for disabled patients. A total of 196 students in the dental hygiene department and 3rd and 4th grade students were surveyed using questionnaires. As a result, most of the students had a positive awareness of disabled patients; 84.7% answered with the need to train dental hygienists in specializing in handicapped patients, 76.5% were willing to attend seminars related to disabled patients after graduation, and 71.4% of the students provided dental treatment for patients with disabilities in curriculum and comparative curriculum. The students who provided treatment for disabled patients showed that their competence in most areas of knowledge of disabled patients, oral health education, and oral disease prevention was highly evaluated as significant. The competence of respondents who answered that the theoretical education was sufficient was significantly higher. Based on this, institutional support for the education of dentistry for disabled patients is needed, and sufficient theoretical education and practical training should be offered to foster personnel capable of contributing to the improvement in the oral health of patients with disabilities. In addition, in-depth discussions on the training of dental hygienists specialized in handicapped patients should be conducted.
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