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Life Experiences with Using Community Care among People with Severe Physical Disabilities: A Comparative Analysis between South Korea and Japan

机译:利用严重身体残疾人使用社区护理的生活经验:韩国和日本的比较分析

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摘要

This study identified the pathways chosen by people with severe physical disabilities (PWSPD) in South Korea and Japan in using community care throughout their life and compared their experiences while navigating these pathways from their perspective. A concurrent nested mixed-method design was adopted. Quantitative data analysis included pathway mapping of facilities and services used throughout their lives. For qualitative data, interpretative phenomenological analysis (IPA) was applied. Eleven South Korean (congenital 7, acquired 4) and nine Japanese (congenital 6, acquired 3) participants were surveyed and interviewed. Pathway mapping was conducted by classifying the participants into focus groups. South Korean participants took nine years more than the Japanese participants to reach independence and showed different pathway characteristics. Superordinate themes from the IPA provided insight into the differences in experiences between PWSPD of the two countries: (1) accessibility and continuity of medical services; (2) experience of vocational training; (3) way and degree of social support for independent living; (4) care planning for receiving comprehensive services. In developing a community care model for the PWSPD to accelerate their time to independence, the government should strive for accessibility and connectivity of medical services, strengthen vocational training, social support for independent living, and information provision for the PWSPD.
机译:本研究确定了韩国和日本严重身体残疾人(PWSPD)所选择的途径,在他们的生命中使用社区护理,并在从他们的角度导航这些途径时比较了他们的经验。采用并发嵌套混合方法设计。定量数据分析包括整个生活中使用的设施和服务的途径映射。对于定性数据,施加解释性现象学分析(IPA)。接受了调查和采访了11韩国韩国(先天性7,收购4)和九个日语(先天性6,收购3)参与者。通过将参与者分类为焦点组进行途径映射。韩国参与者比日本参与者达到了九年,以达到独立,并显示出不同的途径特征。来自IPA的上级主题提供了洞察两国PWSPD之间经验的差异:(1)医疗服务的可访问性和连续性; (2)职业培训经验; (3)独立生活的方式和社会支持程度; (4)护理计划接受全面的服务。在为普遍策划的社区护理模型加速他们的独立时间时,政府应努力寻求医疗服务的可访问性和连接,加强职业培训,对独立生活的社会支持以及PWSPD的信息规定。

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