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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(1):106-111.
Comparison of Re-evaluated Disability Grades with the First Registered Grade in the Seoul-living Disabled for National Registration for Disability.
Lee, Bum Suk , Kim, Wan Ho , Kim, Eun Soo , Kang, Se Young , Kim, Myung Soo , Ahn, Mi Ra , Moon, Nam Ju , Lee, Kwang Sun , Lee, Jin Yong , Park, Jong Hyock , Kim, Yoon , Kim, Yong Ik
1Department of Rehabilitation Medicine, National Rehabilitation Hospital, Seoul, Korea. pmrdoc@hotmail.com
2Department of Ophthalmology, College of Medicine, Chung-Ang University, Seoul, Korea.
3Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
4Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
서울시 거주 등록 장애인에서의 초기 장애등급과 현재 장애등급 간의 비교
이범석, 김완호, 김은수, 강세영, 김명수, 안미라, 문남주1, 이광선2, 이진용3, 박종혁3, 김윤3, 김용익3
국립재활병원 재활의학과, 1중앙대학교 의과대학 안과학교실, 2울산대학교 의과대학 서울아산병원 이비인후과학교실, 3서울대학교 의과대학 의료관리학교실
Abstract
Objective
To compare the disability grades previously evaluated and registered, with the re-evaluated ones for individuals with disability living in Seoul.
Method
Thee hundred and eleven people with disability living in Seoul were selected by the hierarchical systematic extraction method. Their disability grade was re-evaluated in the otolaryngology, ophthalmology, rehabilitation outpatient clinic or via home visit. And the disability level of each person was evaluated by the Korean Activities of Daily Living (K-ADL).
Results
Two hundred and twenty nine people with disability were re-evaluated on their disability grades. One hundred and thirty four (58.5%) cases had the same disability grade as initially evaluated. Thirty three cases were re-adjusted to a higher disability grade and sixty two cases to a lower grade. The K-ADL scores of people with brain lesion and spine/spinal cord injury were higher than those of other type of disability, which indicated a higher level of disability.
Conclusion
When disability grades were re-evaluated, discrepancy rate was 41.5%. For proper management in the process of disability registration, it is imperative to implement a policy, which ensures the re-evaluation of the disability grade at a regular interval, the clear guidelines for grading as well as the competency of the evaluators. (J Korean Acad Rehab Med 2008; 32: 106-111)
Key Words: Disability, Disability registration, Korean activities of daily living
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