중도중복장애학생을 위한 의료적 지원의 도입과 과제

Abstract

Objectives The medical support policy for students with severe and multiple disabilities (SSMD) was adopted as one of the 2017 National Base Plans. The purposes of the present study was to clarify the contents of medical support policy for SSMD, and to derive future tasks to be solved by the nation, the office of education, and school. Methods The analysis data were 42 official documents published between 2017 and 2022. The 42 documents were analyzed by content analysis. Each content was classified into ‘planning’, ‘preparation’, ‘implementation’, and ‘evaluation’ stages, and divided into the finished and unfinished tasks. The future tasks were selected from the finished and unfinished tasks. Results First, the 42 documents of medical support policy for SSMD were classified into four stages. The planning was the most common with 19 cases (45.2%), and followed by preparation with 13 cases (31.0%), implementation with 7 cases (16.7%), and evaluation with 3 cases (7.1%). Second, after analyzing the finished and unfinished tasks, the 4 future tasks were selected: (a) Law revision, (b) Policy support and institutional improvement, (c) Collaboration of related departments, (d) Budget expansion. Conclusions In order to provide more stable and systematic medical support to SSMD, it is necessary to focus on law revision based on experimental operation for medical support at the school level, promotion of policy support and system improvement at the national levels, promotion of disability understanding, collaboration of related departments, and expansion of qualitative research.