People with intellectual disabilities and their health care utilization in Korea.
Keywords:Intellectual disabilities, Health care, Korea welfare panel study
AbstractEmpirical studies on health care utilization by people with disabilities are rare in South Korea. There exist even fewer studies that examine health care utilization by people with intellectual disabilities and that compare the health care utilization pattern by this population vs by population with other types of disabilities. This study investigates the characteristics of people with intellectual disabilities (vs those with non-intellectual disabilities) and evaluates the relationship between the presence/absence of intellectual disabilities and health care utilization. The present study analyzed the 2005 and 2016 Korea Welfare Panel Study data. The final sample included observations from these two years that span over the ten-year period. Health care utilization was operationalized by whether the people with disabilities (intellectual and non-intellectual) participated in health screening, how often they received outpatient physician visits, and how long they received inpatients service. To examine the effect of the types of disabilities on health care utilization, random-effects logistic regression and negative binomial regression models were employed. The present study found that people with intellectual disability showed a much lower attendance rate than both people with non-intellectual disabilities and people without disabilities. The percentage of those who received outpatient service experience was higher for people with non-intellectual disabilities than for people with intellectual disabilities. The mean annual number of outpatient visits was greater for people with non-intellectual disabilities than for people with intellectual disabilities. People with intellectual disabilities also showed a lower rate of inpatient experience compared to those with non-intellectual disabilities. Based on these results, it is suggested that policy-makers should promote fuller access to the use of health care services for people with intellectual disability. In addition, more efforts should be made for people with intellectual disabilities to participate in medical research so that they can express their demands on health-related issues.
Chinn, D., & Homeyard, C. (2016). Easy read and accessible information for people with intellectual disabilities: Is it worth it? A meta-narrative literature review. Health Expectations, 20(6), 1189-1200. https://doi.org/10.1111/hex.12520
Choi, B.C., & Kim, Y.R. (2015). Parents’ perspectives on current status and support needs towards health·medical services for children with severe brain lesions. Korean Journal of Physical, Multiple & Health Disabilities, 58 (3), 111-136. https://doi.org/10.20971/kcpmd.2015.58.3.111
Coughlin, T. A., Long, S. K., & Kendall, S. (2002). Health care access, use, and satisfaction among disabled medicaid beneficiaries. Health Care Financing Review, 24(2), 115-136.
Feldman, M. A., Collet, B. C., & Burnham-Riosa, P. (2014). Where are persons with intellectual disabilities in medical research? A survey of published clinical trials. Journal of Intellectual Disability Research, 58(9), 800-809. https://doi.org/10.1111/jir.12091
Fischer, K. (2004). Health disparities and mental retardation. Journal of Nursing and Scholarship, 1, 48-53.
Focht-New, G. (2012). Transformation through health teaching for adults with intellectual and developmental disabilities: A qualitative study. Intellectual and Developmental Disabilities, 50(2), 129-139. https://doi.org/10.1352/1934-9556-50.02.129
Horwitz, S.M., Kerker, B.D., Owens, P.L., & Zigler, E. (2000). The health status and needs of people with mental retardation. New Haven, CT: Yale University School of Medicine and Special Olympics.
Jeon, B. Y., & Kwon, S. M. (2015). Access barriers to health care among persons with physical disabilities: Using three reasons for unmet need as indicators of access. Korean Social Security Studies, 31(3), 145-171.
Jeon, B. Y., Kwon, S. M., Lee, H. J., & Kim, H. S. (2011). Factors associated with health service utilization of the disabled elderly in Korea. Journal of the Korean Gerontological Society, 31(1), 171-188.
Jung, C. S. (2018). Assessment of nutritional status and annual changes in biochemical indicators according to long-term food intake in individuals with intellectual disabilities living in welfare facilities. Unpublished Doctoral Dissertation. Department of Human Ecology Graduate School Korean National Open University.
Kim, J. H. (2002). The Difference of QOL on personal characteristics and the educational placement history of high school students with disabilities. M.A. Thesis, Ewha Womens University, Seoul, Korea.
Kim, J. J. (2008). A Study on the quality of life associated with performance of daily life and cognitive ability in disabled adolescents. Unpublished Doctoral Dissertation. Department of Physical Therapy Graduate School of Dong Shin University.
Kim, K. Y., Lee, Y. S., Park, K. S., Son, J. H., Kam, S., Chun, B. Y., Park, J. Y., & Yeh, M. H. (1998). On the determinants of health care utilization of the physically disabled. Korean Journal of Preventive Medicine, 31(2), 323-334.
Kim, S. H., Hwang, J. H., Kim, Y. J., No, S. H., Jung, H. K., Ho, S. H., Kwak, M. Y., Lee, M. K. (2017). A Study on the promoting strategies for the right to health for healthy life of persons with disabilities. Korea Institute for Korea Institute for Health and Social Affairs Health and Social Affairs 2017 Annual Report.
Kim, S. J., & Jung, J. S. (2018). A Study on the current status of health screening and the health type(physical activity, and etc) of the disabled by using the statistics of health insurance corporation. Journal of Oil & Applied Science, 35(2), 433~444.
Krahn, G., Hammond, L., & Turner, A. (2006). A Cascade of disparities: health and health care access for people with intellectual disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 12, 70-82. https://doi.org/10.1002/mrdd.20098
Lee, K. I., Kim, I. S., & Kang, B. K. (2003). A study on the improvement of facilities for the physically disabled in medical facilities: Focused on the OPD in general hospital. Korean Journal of Architectural Studies, 23(1), 111-114.
Lee, S. Y. (2013). Health disparity in persons with disabilities and utilization of health indicators: Focusing on health problems of persons with developmental disabilities, Korean Journal of Converging Humanities, 1(1), 73-106. https://doi.org/10.14729/converging.k.2013.1.0.73
Mafuba, K., & Gates, B. (2013). An investigation into the public health roles of community learning disability nurses. British Journal of Learning Disabilities, 43, 1-7. https://doi.org/10.1111/bld.12071
Mastebroek, M., Naaldenberg, J., Lagro-Janssen, A. L., van Schrojenstein Lantman de Valk, H. (2014). Health information exchanges in general practice care for people with intellectual disabilities: A qualitative review of the literature. Research in Developmental Disabilities, 35(9), 1978-1987. https://doi.org/10.1016/j.ridd.2014.04.029
McDonald, K. E., & Raymaker, D. M. (2013). Paradigm shifts in disability and health: Toward more ethical public health research. American Journal of Public Health, 103(12), 2165-2173. https://doi.org/10.2105/ajph.2013.301286
Ministry of Health and Welfare. (2014). Survey of the disabled. Ministry of Health and Welfare. 56-80.
National Rehabilitation Center. (2017). National Legislation Information Center website. http://www.nrc.go.kr/eng. (accessed., May 2019).
Norton, L. (2010). Spinal cord injury Australia 2007-08. Australian Canberra Institute of Health and Welfare. p.15-16. Australian Government.
NHS Screening Programmes in England. (2006). Equal Access to Breast and Cervical Screening for Disabled Women Sheffield. Duffield Printers, Cancer Screening Series No 2. p.4-27, Public Health England.
Oh S. R. (2006). Comparison study on the quality of life between persons with and without disabilities: Focusing on adults with mental retardation. Journal of Rehabilitation Research. 10(2), 38-62.
Ouellette-Kuntz, H. (2005). Understanding health disparities and inequalities faced by individuals with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 18(2), 113-121. https://doi.org/10.1111/j.1468-3148.2005.00240.x
Shogren, K. A., Wehmeyer, M. L., Ress, R. M., & O’Hara, D. (2006). Promoting self-determination in health and medical care: A critical component of addressing health disparities in people with intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities, 3(2), 105-113. https://doi.org/10.1111/j.1741-1130.2006.00061.x
Suk-hyang Lee, S. H., & Hong, J. H. (2017). Review of supports and future directions to promote access to health and medical services for people with disabilities. Korean Journal of Physical, Multiple, & Health Disabilities. 60(2), 1-31. https://doi.org/10.20971/kcpmd.2017.60.2.1
U. S. Public Health Services. (2001). Closing the gap: A national blueprint for improving the health of people with mental retardation. Report of the Surgeon General's conference on health disparities and mental retardation(02NLM: WM 308 C645 2002) Washington, DC: U.S. Government Printing Office.
Yeum, D. M. (2014). A study on inequality of health and medical service for the households with the disabled. Journal of Rehabilitation Welfare Engineering & Assistive Technology, 8(4), 239-244.
Yoon, T. H., Jeong, B. G., Kang, Y. S., Lee, S. Y., Kim, C. W. (2007), Differences in utilization of health care services by the type of disability, Korean Journal of Health Policy & Administration, 17(2), 33-51. https://doi.org/10.4332/kjhpa.2007.17.2.033
Van Campen, C., & Iedema, J. (2007). Are persons with physical disabilities who participate in society healthier and happier? Structural equation modelling of objective participation and subjective well-being. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 16(4), 635–645. https://doi.org/10.1007/s11136-006-9147-3
How to Cite
Copyright (c) 2021 Kyungshin Kim
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share or adapt the work with an acknowledgment of the work's authorship and initial publication in this journal. Use of the work for commercial purposes are not allowed.
- Authors are able to publish the journal's published version of the work in other media (e.g., post it to an institutional repository or publish it in a book), as far as they inform the Journal of Accessibility and Design for All of that fact. When publishing their work in other sources, authors must mention the name of the Journal of Accessibility and Design for All, its ISSN, the number and issue in which the article was published and a link to the main page of the Journal of Accessibility and Design for All. Optionally, they can also include a link to the article published in the Journal of Accessibility and Design for All.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website), as it can lead to productive exchanges, as well as earlier and greater citation of published work.