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J Health Info Stat > Volume 40(1); 2015 > Article
J Health Info Stat 2015;40(1):101-117.
재가 장애인의 지역사회중심 재활서비스 이용실태와 우울에 관한 연구
김상엽 , 강경숙 , 김승희 , 이정운 , 장미영
Utilization Status of Community-based Rehabilitation Services and Depression by the Persons with Disabilities in Community
Sang Youp Kim , Kyung Sook Kang , Seung Hee Kim , Jeong Un Lee , Mi Young Chang
ABSTRACT
Objectives:
This study was conducted to investigate the utilization and its determinants of community- based rehabilitation services and influencing factors on depression of people with disabilities.
Methods:
From November 3 to November 7. 2014, we interviewed 102 disabled people visited the community health center. The subjects completed questionnaires about the utilization of rehabilitation services, general characteristics and disability characteristics. Depression was measured using the CES-D. Descriptive statistics, t-test, ANOVA were used for statistics.
Results:
About 98.0% of subjects experienced CBR Services. 60.8% of subjects are using the CBR services every day. The two most common reasons for using the services were “Good to be effective for the service” and “Low price of service.” The facilities that the disabled people were currently using, in the order of most used, were Community health center, general hospitals or clinics, rehabilitation centers, and oriental medicine clinics. 93.1% of subjects responded they would continue to use the community-based rehabilitation services. Among the subjects 53.9% were found to be on the level of depressed state. Depression significantly is related with use of prosthetics (p=0.025) and satisfactory program of CBR service (p=0.024).
Conclusions:
Since the community-based rehabilitation services (CBR) for the disabled is being operated centering around the supplier’s side, it fails short of supply in terms of quality and quantity. And the real need of the disabled is not very well reflected. Therefore, more effectively operated CBR for the disabled, service facilities should be expanded and effective delivery system should be reorganized responding to their needs.
Key words: Community-based rehabilitation, People with disabilities, Depression
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