• Health Policy and Management
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• v.34 no.2
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• pp.185-195
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• 2024

Background: Disabled people have particularly restricted access to health care. In response to this, the pilot project for the general physician (GP) system for disabled people was implemented in 2018, based on the rights of people with disability to the Health Act in South Korea. However, its participants were 0.2% among the total of those with severe disabilities in 2021. Therefore, this study examined the factors related to registering with a GP and the access level to its services to suggest implications for activating the participation of disabled people. Methods: We analyzed factors affecting the registration with a GP and the number of using the services among the participants of the GP system during May 2018 and December 2021 by conducting hierarchical logistic regression and hierarchical regression. The data were linked with the national health insurance data to examine various predictors, including disability types, socioeconomic status, health status, and GP registration. Results: As a result of analyzing the factors affecting whether or not to register for the pilot project, those with disabilities (physical disabilities, brain lesions, visual, intellectual, mental, and autistic disability) eligible for disability care (odds ratio [OR], 4.157) than other disability, and those living in metropolitan (OR, 4.330) or cities (OR, 3.332) than rural residences were highly likely to enroll the pilot study. Health-related variables also predicted the registration status of the pilot project. The predictors related to GP enrollment types (membership type: general health or disability care, GP's affiliation: clinics or hospitals) significantly influenced levels of access to services. Conclusion: It is necessary to develop the GP project for disabled people by considering the variation in types of disability, residences, and health. Further study will be needed to investigate the impact of GPs on the level of participation among disabled people.

• 재활복지
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• v.18 no.4
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• pp.25-45
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• 2014

The present report aims to examine the assistive technology(AT) service operating system for the Disabled in Sweden, and will give it to NHIS(National Health Insurance Service) to manage of policy for AT service operating system. The user of AT is around 10% of the Disabled in Sweden which is introduced the AT service system to support the independence for the Disabled. To provide AT service, the role of the Ministry of Health(planning and regulation, controling Handisam and Hi as a subsidiary), County councils(providing and follow up medical AT service, operating AT service center) and Municipalities(providing general AT service) in Sweden is decentralized strictly. Specially, all the AT device is lent freely and recycled suitably for persons with Disabilities, moreover nurses, physical therapist and occupational therapist has a qualification for prescription of AT device . This finding will be the basis to improve Assistive Technology Operating System in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.333-344
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• 2017

This research analyzes Seoul station, a typical transfer station complex, focusing on the evaluation of its barrier free design suitable for vulnerable persons such as senior citizens. The analysis was conducted to assess its compliance with the "barrier-free" design standard for those with physical or other disabilities. This paper proposes a list of items to evaluate for transfer station complexes with a barrier-free design. The results showed that the overall connections and internal and sanitation facilities of (Seoul station/the design?)were excellent. However, because of the lack of transfer and guidance facilities, vulnerable persons felt uncomfortable when searching for information about transferring from one means of transport to another. Furthermore, there was an extremely high risk of accidents when they transferred to the bus station. Therefore, it is necessary to arrange the transfer information facilities, in order to improve their readability and visibility. Once this is done, vulnerable people will be able to use this station more safely and conveniently.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.34 no.1
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• pp.112-135
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• 2021

Objectives : To report a case of drug-induced xerostomia treated with Integrative Korean Medicine Visiting Care Service of a Public Health Center. Methods : Home visit treatment and telemedicine were provided by public health doctor(Korean medicine doctor) for person with physical disability who were diagnosed with Behcet's Disease. Palmul-tang(PMT) soft extract was provided steadily 3 times a day for 6 months, and acupuncture, electro-acupuncture, and electro-moxibustion were provided irregularly 6 times for 6 months. Yin-deficiency questionnaire(YDQ), oral health impact profile-14(OHIP-14), oral pain visual analogue scale(VAS), and xerostomia inventory(XI) were used 3 times(baseline, intermediate and termination) to evaluate the changes. Results : YDQ decreased from 620 to 375, OHIP-14 decreased from 34 to 6, VAS decreased from 70 to 40, and XI decreased from 44 to 34. Four scales all gradually decreased. Conclusions : Integrative Korean Medicine Treatments in health insurance including PMT soft extract through home visit treatment can improve drug-induced xerostomia and Quality of life(QoL) of person with disabilities.

• Korean Journal of Forensic Psychology
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• v.12 no.2
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• pp.223-251
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• 2021

Statement analysis is a technique that examines the credibility of a statement by scientifically analyzing problems and psychological characteristics that appear in the content of the statement. The statement analysis report is prepared, submitted, and used for legal judgments when there is a suspicion of sexual abuse for children(under 13 years of age) and persons with disabilities since it is usually difficult to secure physical evidence nor eyewitnesses. However, the criteria for evaluating the quality of a statement analysis report or testimony are not available in Korea. Although forensic experts and professional organizations in North America and Europe are providing recommendations and guidelines for preparing forensic assessment reports, qualitative analysis research studies for forensic reports revealed a number of problems such as missing or poorly described essential information and lack of logical connection between evaluation results and forensic opinions. Therefore, forensic evaluation guidelines and forensic reports submitted to the courts in the United States, as well as the Structured Quality assessment of eXpert testimony (SQX-12) developed in Sweden were examined to suggest the Korean version of quality evaluation criteria for statement analysis report and testimony. This criteria can be used to improve effectiveness of forensic reports within criminal justice system and used as a guideline to assess the quality forensic reports or expert testimony prepared by experts. However, this criteria do not guarantee the reliability of the statement itself.