복합만성질환자의 의료이용 과정에 관한 근거이론적 탐색
An Exploratory Study of Healthcare Utilization Process among Patients with Multimorbidity
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Purpose: This study examined: 1) what it meant for patients to have multimorbidity 2) how they manage their illness usinghealth care facilities, and 3) what contextual backgrounds exist regarding the health care system. Methods: Thisqualitative research obtained individual in-depth interviews from 22 patients. Participants were selected by purposivesampling among those who saw physicians more often than the national average from the 2013 medical-claim data. Thetranscribed data were analyzed using Ground theory. Results: Multimorbidity patients suffered from "chain-like serialsymptoms" and "pain without a breakthrough". They expressed themselves as "indeed patients among patients", "mybody is a general hospital", and "an incompletely normal person". There was a demand to resolve the anxiety arising fromthe situation in which the body keeps getting sicker without showing any signs of recovery. In a state of reduced socialsupport and a lack of trust in the doctor, their desire to be healed led them to receive a temporary relief through dependenceon medical institutions. Conclusion: This research recognized the desire of multimorbidity patients to seek temporary reliefthrough dependence on medical institutions. A more patient-centered directed care plan, specific to the needs of thepatients with multimorbidity is required
Abstract
Purpose: This study examined: 1) what it meant for patients to have multimorbidity 2) how they manage their illness usinghealth care facilities, and 3) what contextual backgrounds exist regarding the health care system. Methods: Thisqualitative research obtained individual in-depth interviews from 22 patients. Participants were selected by purposivesampling among those who saw physicians more often than the national average from the 2013 medical-claim data. Thetranscribed data were analyzed using Ground theory. Results: Multimorbidity patients suffered from "chain-like serialsymptoms" and "pain without a breakthrough". They expressed themselves as "indeed patients among patients", "mybody is a general hospital", and "an incompletely normal person". There was a demand to resolve the anxiety arising fromthe situation in which the body keeps getting sicker without showing any signs of recovery. In a state of reduced socialsupport and a lack of trust in the doctor, their desire to be healed led them to receive a temporary relief through dependenceon medical institutions. Conclusion: This research recognized the desire of multimorbidity patients to seek temporary reliefthrough dependence on medical institutions. A more patient-centered directed care plan, specific to the needs of thepatients with multimorbidity is required
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