Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Continuum of Rehabilitation Care and the Rehabilitation Services that are Needed by People with Severe Disabilities

재가 중증 장애인의 지속적 재활 관리 실태와 재활 서비스 요구

  • Jang, Soong-Nang (Institute of Health and Environment, Seoul National University) ;
  • Kim, Wan-Ho (Department of Rehabilitation Medicine, National Rehabilitation Hospital) ;
  • Lee, Kyu-Beom (Department of Rehabilitation Medicine, National Rehabilitation Hospital) ;
  • Kim, Su-Kyung (Department of Rehabilitation Medicine, National Rehabilitation Hospital) ;
  • Lim, Jae-Young (Department of Rehabilitation Medicine, College of Medicine, Seoul National University) ;
  • Rhee, Seon-Ja (Graduate School of Public Health, Seoul National University)
  • 장숙랑 (서울대학교 보건환경연구소) ;
  • 김완호 (국립재활병원 재활의학과) ;
  • 이규범 (국립재활병원 재활의학과) ;
  • 김수경 (국립재활병원 재활의학과) ;
  • 임재영 (서울대학교 의과대학 재활의학교실) ;
  • 이선자 (서울대학교 보건대학원)
  • Published : 2006.05.01
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Abstract

Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

Keywords

References

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