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김상엽 ( Sang Youp Kim ),강경숙 ( Kyung Sook Kang ),김승희 ( Seung Hee Kim ),이정운 ( Jeong Un Lee ),장미영 ( Mi Young Chang ) 한국보건정보통계학회(구 한국보건통계학회) 2015 보건정보통계학회지 Vol.40 No.1
Objectives: This study was conducted to investigate the utilization and its determinants of community- based rehabilitation services and influencing factors on depression of people with disabilities. Methods: From November 3 to November 7. 2014, we interviewed 102 disabled people visited the community health center. The subjects completed questionnaires about the utilization of rehabilitation services, general characteristics and disability characteristics. Depression was measured using the CES-D. Descriptive statistics, t-test, ANOVA were used for statistics. Results: About 98.0% of subjects experienced CBR Services. 60.8% of subjects are using the CBR services every day. The two most common reasons for using the services were “Good to be effective for the service” and “Low price of service.” The facilities that the disabled people were currently using, in the order of most used, were Community health center, general hospitals or clinics, rehabilitation centers, and oriental medicine clinics. 93.1% of subjects responded they would continue to use the community-based rehabilitation services. Among the subjects 53.9% were found to be on the level of depressed state. Depression significantly is related with use of prosthetics (p=0.025) and satisfactory program of CBR service (p=0.024). Conclusions: Since the community-based rehabilitation services (CBR) for the disabled is being operated centering around the supplier’s side, it fails short of supply in terms of quality and quantity. And the real need of the disabled is not very well reflected. Therefore, more effectively operated CBR for the disabled, service facilities should be expanded and effective delivery system should be reorganized responding to their needs.