돌봄통합지원법을 기반으로 한 방문구강관리 서비스 규정 개발을 위한 포커스 그룹 연구: Levesque 접근성 프레임워크에 기반한 질적 분석

Objectives: In this study, we aimed to analyze draft regulations for home dental care services by eval uating focus group interview data and applying the five supply-side dimensions of the Levesque ac cessibility framework from the perspective of the provider. We also sought to identify key issues and suggest improvements to enhance the appropriateness of the draft and inform future implementation. Methods: Interview data were analyzed based on the five supply-side dimensions of the Levesque framework: approachability, acceptability, availability and accommodation, affordability, and ap propriateness. Key themes were extracted and comparatively analyzed among the three participant groups: academics, clinicians, and stakeholders. The findings were interpreted in alignment with the operational definitions of the framework, and representative quotations were included to em phasize the core messages. Results: The analysis indicated that public sector leadership is essential for effective home dental care services. There was a particular emphasis on enhancing service outcomes through commu nity engagement and addressing care gaps. However, participants identified the need for improved public–private collaboration, clarification of roles for public officials, workforce expansion, financial burden reduction, and the establishment of clear regulatory guidelines. Conclusions: This study highlights the necessity of establishing legal and institutional frameworks for home dental care services, including enforcement decrees, health insurance coverage, and financial support. To reduce regional disparities, policy measures should support the expansion of professional personnel, under the responsibility of local governments. These findings provide foundational evi dence for the development and sustainable implementation of home dental care services.