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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):329-334.
The Present Condition and Problem of the Grading Guide for Disability after Stroke.
Bae, Ki Jung , Park, Gi Young , Park, Eun Sook , Lee, So Young
1Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. world113@hanafos.com
2Department of Rehabilitation Medicine, Dongsan Medical Center, Keimyung University College of Medicine, Korea.
뇌졸중 환자의 장애등급 등록 현황과 문제점
배기정, 박기영1, 박은숙, 이소영1
연세대학교 의과대학 재활의학교실, 1계명대학교 의과대학 재활의학교실
Abstract
Objective
The purposes of this study were to analyze the problems and to suggest the methods for improvement of the current Disability Grading Guide (hereinafter called CDGG) for the disabled after stroke when compared with the previous Disability Grading Guide (hereinafter called PDGG).


Method
Thirty-five registered disabled persons after stroke were evaluated by two physiatrists to assess the grades of disability according to CDGG and PDGG, which were in use. The evaluations of disabled persons for the grading were done by the physiatrists through house-visit and at the hospital according to CDGG (hereinafter called CDGG-visit and CDGG-OPD) and PDGG (hereinafter called PDGG-grade). These re-evaluated disability grades were compared with the initial disability grades recorded in their disability registries.


Results
There was a low level of agreement between the registered grade and the re-evaluated grades; however, there has shown a high level of agreement amongst the re-evaluated grades. The degree in the registered grade was evaluated upward compared to the degree in other reevaluated grades.


Conclusion
The difference degree between CDGG and PDGG of established was insignificant; however, a new candidate who wants to be evaluated using CDGG has possibilities of facing unfairness when compared to the disabled people with relatively higher registered degrees. (J Korean Acad Rehab Med 2003; 27: 329-334)

ated disability grades were compared with the initial disability grades recorded in their disability registries.


Results
There was a low level of agreement between the registered grade and the re-evaluated grades; however, there has shown a high level of agreement amongst the re-evaluated grades. The degree in the registered grade was evaluated upward compared to the degree in other reevaluated grades.


Conclusion
The difference degree between CDGG and PDGG of established was insignificant; however, a new candidate who wants to be evaluated using CDGG has possibilities of facing unfairness when compared to the disabled people with relatively higher registered degrees. (J Korean Acad Rehab Med 2003; 27: 329-334)

Key Words: Disability evaluation, Stroke, Functional independence measure
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