Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
권호 표지
DOI QR코드

DOI QR Code

Qualitative Study for Medication Use among the Hearing Impaired in Korea

국내 청각장애인의 의약품 안전사용 실태에 대한 심층면접조사

  • Kim, Hyero (College of Pharmacy & Yonsei Institute of Pharmaceutical Sciences, Yonsei University) ;
  • Koo, Heejo (College of Pharmacy & Yonsei Institute of Pharmaceutical Sciences, Yonsei University) ;
  • Oh, Jung Mi (College of Pharmacy, Seoul National University) ;
  • Han, Euna (College of Pharmacy & Yonsei Institute of Pharmaceutical Sciences, Yonsei University)
  • Received : 2017.02.20
  • Accepted : 2017.06.23
  • Published : 2017.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: Because of communication difficulties, the hearing-impaired face many disadvantages throughout their lives. One of those is limited access to health care services, particularly medication service. Though they suffer from problems related to taking medication properly, there have been few studies on their actual condition of medication use in Korea. This study is to investigate any obstacles to properly taking medications and, therefore, to suggest preliminary evidence for policy measures to improve safe medication use among the hearing-impaired. Methods: Study participants consisted of hearing-impaired individuals living in Seoul. We also interviewed two sign language interpreters in order to illuminate health care state of the hearing-impaired. In-depth interview for each study participant was recorded and was translated into a written script for analysis. Results: Study participants were comprised of four women (66.6%) and two men (33.3%). There were one participants in 20's, two participants in 30's, one 40's, and two 50's. Sign language interpreters were all women. One was in her 30's and the other was in her 40's. Communication difficulties have been found to be key barrier to use medication safely. A negative image of pharmacists also hinders safe medication usage, lowering access to local pharmacy and leading discretional self-medication. This article provides pharmacists with solutions to promote adherence in this population. Conclusion: The hearing-impaired had limited access to medication-related information as well as using services in a hospital and local pharmacy due to their disability. Institutional improvement for safe medication usage among the hearing-impaired is necessary.

Keywords

References

  1. Raynor DK. Addressing medication literacy: a pharmacy practice priority. Int JPharm Pract 2009;17-257.
  2. Park E. Medication compliance: factors and interventions. Health?welfare Policy Forum 2011;179:83-4.
  3. Krueger KP, Berger BA, Felkey B. Medication adherence and persistence: a comprehensive review. Adv Ther 2005;22(4):314.
  4. Koo H, Jang S, Oh JM et al. Qualitative study for medication use among visually impaired in Korea. Korean J Clin Pharm 2016;26(1):24-32.
  5. Lim SC, Lee MK, Lee CK et al. Developing method of auxiliary label by korean braillewritier letter for drug consultation. J Pharm Soc Korea 2008;52(3):201-11.
  6. Kim KY, Lee YS, Park KS et al. On the determinants of health care utilization of the physically disabled. J Prev Med Public Health 1998;31(2):323-34.
  7. Hwang JH, Kim JH, Lee SH. Current status of legally obligated-sign language interpreter service and its active plan for people with hearing impairment -focusing on judical and medical areas-. Journal of Disability and Welfare 2013;20:64-5.
  8. Kim SH. A study on vocational understanding of hearing impaired. Case studies on employment of the hearing impaired. 2004;7-10.
  9. Korea Statistical Information Service. Number of the registered disabledby year, types of disability and gender, the whole country. Available from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11761_N001&conn_path=I2. Accessed January 9, 2017.
  10. World Health Organization. Deaf and hearing loss. Available from http://www.who.int/mediacentre/factsheets/fs300/en/. Accessed April 19, 2017.
  11. Byon Y, Kim S, Yeun S, et al. Survey on the Status of the Disabled in 2005. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs;2006.
  12. Korean Deaf Association. Deaf people and Society. Korea Deaf Association; 1999.
  13. Shin W, Lee J, Woo N, et al. A study of developoing information on safe medicinal product use tailored to the vulnerable classes with poor information access. Drug research division in Ministry of Food and Drug Safty;2016.
  14. Kim JS, Lee BS. Hearing status in korean adults according to the fourth Korea national health and nutrition examination survey 2009. J Korean Public Health Nurs 2011;25(2):197-8.
  15. Kim JW, Bae MJ. A study on hearing loss according to sound pressure level of the earphones. In: IEEK Summer Conference, Republic of Korea, July 2009.
  16. Choi J, Chung WH. Age-related hearing loss and the effects of hearing aids. J Korean Med Assoc 2011;54(9):918-9. https://doi.org/10.5124/jkma.2011.54.9.918
  17. Harmer L. Health care delivery and deaf people: practice, problems, and recommendations for change. J Deaf Stud Deaf Educ 1999;4(2):73-110. https://doi.org/10.1093/deafed/4.2.73
  18. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med 2004;36(8):588-94.
  19. Barnett S. Cross-cultural communication with patients who use American Sign Language. Fam Med 2002;34(5):376-82.
  20. Barnett S, Franks P. Health care utilization and adults who are deaf: relationship with age at onset of deafness. Health Serv Res 2002;37(1):105-20.
  21. Ralston E, Zazove P, Gorenflo DW. Physicians' attitudes and beliefs about deaf patients. J Am Board Fam Pract 1996;9(3):167-73.
  22. Steinberg AG, Sullivan VJ, Loew RC. Cultural and linguistic barriers to mental health service access: the deaf consumer's perspective. Am J Psychiatry 1998;155(7):982-984. https://doi.org/10.1176/ajp.155.7.982
  23. Lezzoni LL, O'Day BL, Killeen M et al. Communicating about health care: observations from persons who are deaf of hard of hearing. Ann Intern Med 2004;140(5):356-62. https://doi.org/10.7326/0003-4819-140-5-200403020-00011
  24. Hines J. Communication problems of hearing-impaired patients. Nursing Standard. 2000;14(19):33-7. https://doi.org/10.7748/ns2000.01.14.19.33.c2752
  25. Jang C, Lee D, Kim H et al. A study on measures to vacational rehabilitation and employment promotion for the hearing impaired. 1st ed. Korea Employment Agency for the Disabled 2004;1-144.
  26. Kwon SW. The qualitative case study on the restructuring school curriculum of deaf school. Korean J Spec Edu 2005;40(3):23-44.
  27. Kim SA, Choi SK. The qualitative research for reality, problems and future direction on inclusion for students with hearing impairment. J Spec Ped Edu 2009;10(4):471-90.
  28. Joo BY, Jeong SW. Cochlear implantation using the endomeatal approach in a child with a extremely hypoplastic mastoid. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(5):402-5. https://doi.org/10.3342/kjorl-hns.2016.59.5.402
  29. Lezzoni L, O'day B, Killeen M, Harker H. Communicating about health care: Observations from persons who are deaf or hard of hearing. Ann Intern Med 2004;140(5):356-362. https://doi.org/10.7326/0003-4819-140-5-200403020-00011
  30. Jo YH. Qualitative research and qualitative education. JAE 2004;7(2):55-75.
  31. Chung J, Cho JJ. Use of qualitative research in the field of health. J Korean Acad Fam Med 2008;29(8):553-5.
  32. National Legal Information Center. Enforcement decree of the act on welfare of persons with disabilities, Article 2 ${\S}1$. Available from http://www.law.go.kr/. Accessed January 10, 2017.
  33. Lee JW, Seo JH, Kim YS et al. A study on measures to improve communication accessibility of the hearing and speech impaired(deaf). 1st ed. Ministry of Health and Welfare 2013;15-6.
  34. Hwang JH, Kim JH, Lee SH. A study on the actual condition of the sign language interpretation service and measures to build network. 1st ed. Korea Disabled People's Development Institute. 2012;11-4,26.
  35. Youn SM, Seo KJ. A study on the characteristics in literacy of the deaf. Korean Lang Liter 2014;91:36-52.
  36. Youn SM, Lee YJ, Seo KJ et al. A basic study on the literacy education of the deaf. 1st ed. National Institute of Korean Language 2014.
  37. Yuon SM, Go A. An interpretive study for establishing a literacy education system for deaf adults. J Korean Lang Liter 2015;60: 42-3.
  38. Pollard RQ, Barnett S. Health-related vocabulary knowledge among deaf adults. Rehabil Psychol 2009;52(2):182-5.
  39. Katz MG, Kripalani S, Weiss BD. Use of pictorial aids in medication instructions: a review of the literature. Am J Health-Syst Pharm 2006;63:2391-7. https://doi.org/10.2146/ajhp060162