만성복합질환을 지닌 노인의 전문건강관리 추구행위
Health Care Seeking Behavior among Elderly with Chronic Diseases
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참고문헌
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초록
Purpose: This narrative ethnography aimed to explore the trajectory of health care seeking behavior in the professionalhealth care sector among elderly with chronic diseases. The study question was “how and why a personwho have two or more chronic disease approaches and utilizes orthodox health care services?” Methods:Fieldwork were conducted between December 2011 and January 2013 in a general hospital, a clinic of westernmedicine, and a clinic of Korean medicine. Data were collected using participant observation and ethnographicinterviews with seven key informants and 12 general informants. Analyzing frames were time, space, relation,and interaction. Results: Informants with multiple chronic diseases seek tailored care. On the journey of healthcare seeking 3 constituents were emerged; focusing on a change of the body and defining its meaning; selectinga confidential profession or facility based on psychosocial accessibility and efficiency on to get their goal: codingwith health profession and treatment modality by conditional accepting, contraction, negotiation, and activeassertion. Conclusion: Health care seeking behavior is important for patients who suffer from multiple chronic diseaseto keep their health and quality of life. On the journey of seeking tailored care, informants and their familiesfaced many barriers. It is the nurse who could to guide them to the safe and efficient journey of health care.
Abstract
Purpose: This narrative ethnography aimed to explore the trajectory of health care seeking behavior in the professionalhealth care sector among elderly with chronic diseases. The study question was “how and why a personwho have two or more chronic disease approaches and utilizes orthodox health care services?” Methods:Fieldwork were conducted between December 2011 and January 2013 in a general hospital, a clinic of westernmedicine, and a clinic of Korean medicine. Data were collected using participant observation and ethnographicinterviews with seven key informants and 12 general informants. Analyzing frames were time, space, relation,and interaction. Results: Informants with multiple chronic diseases seek tailored care. On the journey of healthcare seeking 3 constituents were emerged; focusing on a change of the body and defining its meaning; selectinga confidential profession or facility based on psychosocial accessibility and efficiency on to get their goal: codingwith health profession and treatment modality by conditional accepting, contraction, negotiation, and activeassertion. Conclusion: Health care seeking behavior is important for patients who suffer from multiple chronic diseaseto keep their health and quality of life. On the journey of seeking tailored care, informants and their familiesfaced many barriers. It is the nurse who could to guide them to the safe and efficient journey of health care.
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