정신질환자 가족 관점에서의 정신건강서비스 이용 경험
Experience of Mental Healthcare Services by Family Caregivers of Patients With Mental Disorders
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives This study was conducted to examine the obstacles in the use of healthcare from the perspective of family caregivers based on their experience of mental healthcare services and to identify practical recommendations according to the family’s needs. Methods A focus group interview was conducted with 59 family caregivers of patients with mental disorders. They were asked about the first moment when they took the patient to a psychiatric hospital, their feelings, and experiences during the treatment, relapse or readmission, access to healthcare and obstacles. The results were analyzed in a three-step procedure using grounded theory analysis. Results The results showed that the social prejudice and stigma toward mental disorders experienced by the family caregivers hindered the initial treatment approach. Discrimination and disadvantages in healthcare, and poor access to community mental healthcare services, lowered the reliability of institutions and services. A decrease in the sense of healing due to distrust in the treatment and disruption of family life can lead to a vicious circle that affects the continuity of treatment and could result in issues such as the stopping of treatment or difficulty in accessing treatment in case of relapse. Conclusion Based on these results, policy tasks were proposed to improve accessibility to mental health services according to the needs of the patient’s family.
Abstract
Objectives This study was conducted to examine the obstacles in the use of healthcare from the perspective of family caregivers based on their experience of mental healthcare services and to identify practical recommendations according to the family’s needs. Methods A focus group interview was conducted with 59 family caregivers of patients with mental disorders. They were asked about the first moment when they took the patient to a psychiatric hospital, their feelings, and experiences during the treatment, relapse or readmission, access to healthcare and obstacles. The results were analyzed in a three-step procedure using grounded theory analysis. Results The results showed that the social prejudice and stigma toward mental disorders experienced by the family caregivers hindered the initial treatment approach. Discrimination and disadvantages in healthcare, and poor access to community mental healthcare services, lowered the reliability of institutions and services. A decrease in the sense of healing due to distrust in the treatment and disruption of family life can lead to a vicious circle that affects the continuity of treatment and could result in issues such as the stopping of treatment or difficulty in accessing treatment in case of relapse. Conclusion Based on these results, policy tasks were proposed to improve accessibility to mental health services according to the needs of the patient’s family.
참고문헌 (18)
- National mental health survey 2021, "National Center for Mental Health", National Center for Mental Health, ~ (2021)
- Survey on the medical system for the severe mental disabilities, "Yoon SJ", National Human Rights Commission of Korea, ~ (2019)
- Basic study on comprehensive care system for persons with serious mentally illness, "Ki SW", National Center for Mental Health, ~ (2022)
- Park SJ, "The differences between patients and guardians in the impacts of service quality factors on overall satisfaction of medical treatment service", Korean Manag Sci Rev, 26, pp.133~144 (2009)
- Report on the human rights of persons with mental disabilities 2021, "National Human Rights Commission of Korea", National Human Rights Commission of Korea, ~ (2021)
- Kim IH, "The relationship between family burden and mental health service needs of family for home-based chronic mental patients in community", J Agri Med Community Health, 33, pp.269~278 (2008)
- Koujalgi SR, "Family burden in patient with schizophrenia and depressive disorder : a comparative study", Indian J Psychol Med, 35, pp.251~255 (2013)
- Kim HJ, "A qualitative study on the acceptance of disabilities of mothers of with autistic spectrum disorder", Ewha J Soc Sci, 30, pp.279~316 (2014)
- Choi EJ, "Suffering experience of primary caregivers of people with mental disabilities in community dwellings", J Korean Acad Psychiatr Ment Health Nurs, 29, pp.218~228 (2020)
- Oh IO, "Structural equation model for caregiving experience of families providing care for family members with mental disorders", J Korean Acad Nurs, 45, pp.97~106 (2015)
- Kim Y, "Factors affecting supply of mental health care services in Korea", J Korean Neuropsychiatr Assoc, 39, pp.860~869 (2000)
- Lee SJ, "Comparison between users of community mental health services and psychiatric patients in mental health related facilities in Korea", Korean J Schizophr Res, 16, pp.51~61 (2013)
- Bremmers LGM, "Assessing the impact of caregiving on informal caregivers of adults with a mental disorder in OECD countries : a systematic literature review of concepts and their respective questionnaires", PLoS One, 17, pp.e0270278~ (2022)
- Lee JE, "Burden, self-esteem and hope in the family caregivers of mentally ill persons", J Korean Acad Psychiatr Ment Health Nurs, 12, pp.268~278 (2003)
- Charmaz K, "Construction grounded theory : a practical guide through qualitative analysis" (2006), Sage Publications
- Yoo JY, "Effectiveness of patient and family-centered care interventions : a systematic review", J Korea Converg Soc, 10, pp.365~379 (2019)
- Research report for development of healthcare quality management and evaluation criteria in the mental health, "Korean Mental Health Foundation", Health Insurance Review & Assessment Service, ~ (2017)
- Kim JW, "Changes in pattern of the medical care use of outpatient with mental disorder according to medical coverage types and medical payment system", J Korean Neuropsychiatr Assoc, 61, pp.150~155 (2022)
