ABSTRACT

Objective : This study explored practical experiences of occupational therapists providing visiting rehabilitation at Korean rehabilitation hospitals and identified the current status and essential meaning of these services. Methods : In-depth phenomenological interviews were conducted from June to July 2024 with seven occupational therapists with over one year of visiting rehabilitation experience. Interviews continued until saturation and were recorded with consent. Data were analyzed using Giorgi's method with MAXQDA. Results : The analysis yielded 39 meaning units, 11 subcomponents, and five themes. Occupational therapists recognized limitations of hospital-centered treatment and emphasized the need for interventions in everyday environments. Home structure and caregiver roles strongly influenced outcomes, and environmental modifications and patient-centered approaches improved independence and self-esteem. However, barriers included limited access, insufficient multidisciplinary collaboration, and lack of insurance and safety measures. Suggested improvements included establishing legal frameworks, building collaboration systems, ensuring therapist safety, and expanding support for equipment and transportation. Creative and flexible approaches, expanded caregiver education, enhanced therapist expertise, and role redefinition were also emphasized. Conclusion : This study confirmed that visiting rehabilitation can strengthen patient-centered care and positively contribute to community integration. Future research should comprehensively evaluate effectiveness from patient and caregiver perspectives and establish sustainable policies.