• Title/Summary/Keyword: disability studies

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Review of Issues for Disability Weight Studies (장애가중치 산출 연구에서의 쟁점 검토)

  • Ock, Minsu;Ko, Seulki;Lee, Hyeon-Jeong;Jo, Min-Woo
    • Health Policy and Management
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    • v.26 no.4
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    • pp.352-358
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    • 2016
  • Summary measures of population health (SMPHs) have been used to estimate the burden of diseases. Among various type of SMPHs, disability adjusted life year (DALY) and healthy life expectancy (HALE) have been calculated in the global and national burden of disease studies. In order to calculate DALY and HALE, disability weight is an essential element. Disability weights quantify the level of disability for health states or diseases and have values between 0 (full health) to 1 (being dead). In this study, we reviewed the main disability weights studies and determined their meaning and limitations. Furthermore, we provided the whole process of typical disability weight study and reviewed key issues as follows: health state or disease description development, panel composition, valuation method, validation of disability weight, cross-cultural variability in health state or disease, and so on. The results from this study will be helpful to conduct future disability weight studies for adapting disability weights and developing new methodologies.

A Study on the conceptualization of disability of the Mental Health Act and Related Laws (정신장애인 관련 법령의 정신장애개념과 정신보건법의 정신장애개념 개정방향에 관한 연구)

  • Kim, Moon Guen
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.297-326
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    • 2013
  • The purpose of this study was firstly to analyse the conceptualization of disability of the Mental Health Act and related laws and to suggest revision of the definition of psychiatric disability of Mental Health Act to improve the protection of human rights and welfare of the people with psychiatric disability. For these purposes this paper reflected on the disability models of WHO(1980, 2001) and multiple paradigm of disability of Priestley(1998) and suggested a new conceptualization of disability consists of impairment, functional disability, and social interactional disability. Based on the analyses of conceptualizations of psychiatric disability of related laws, this study suggested revision of Mental Health Act to distinguish between mental disorder and psychiatric disability, to introduce the definition of mental capacity, and to expand the conceptualization of social interactional disability.

The Comparison Between the Effects of Integrated Arthritis Self-helf Programs and the Effects of Arthritis Exercise Programs Through Meta-analysis (메타 분석을 통한 만성 관절염 환자의 통합 프로그램과 운동 프로그램의 효과 비교)

  • 오현수;서연옥
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.941-957
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    • 1998
  • The purpose of this study was to use meta-analysis to analyze result of 17 studies which investigated the effects of integrated programs, and 11 studies which examined the effects of exercise programs on pain, depression, and disability. The 28 studies analyzed in this work were selected from the following sources. MEDLINE Search, bibliographies of related studies, main academic journals of nursing in Korea, and journals on arthritis issues. For the analysis of the data, homogeniety of effect sizes which were calculated based on data in the 28 studies was tested and its average effect size was computed by using meta analysis software package which was developed by Song(1992, 1998). The results can be summarized as follows : 1) Homogeneity tests were conducted on integrated programs on pain. In the prelimiary homogeneity tests on effect size of all 17 studies, no homogeneity was found. When homogeneity tests on the effect size of the remaining 15 studies were performed, excluding two studies which had extremely larger effect size compared to other studies, the 15 studies were found to be homogeneous(Q=16.38, p=.23). The obtained average effect size, D(Mean Standardized Difference Between Means), was .25. When homogeneity tests on effect size on pain was conducted for the excercise programs, effect size for all nine studies were found to be homogeneous (Q=7.42, p=.49) and the average effect size D=.30. Therefore, Hypothesis 1 was rejected from the results, that an average effect size of the integrated programs on pain was not significantely different from that of the exercise programs on pain. 2) Since only two studies investigated the effect of exercise programs on depression, comparison between the average effect size of integrated programs and that of exercise programs on depression could not be conducted, and hypothesis 2 could not be tested. Thereby, only the average effect size of integrated programs on depression was obtained. Eight studies were tested to be positive on the homogeneity of effect sizes(Q=18.31, p=.02) at $\alpha$<.01 and its average effect size was D=.11. 3) For the analysis of integrated program on disability, 13 studies, except for four which had an extremely large effect size compared to the others were found to be homogeneous at $\alpha$<.01 (Q=22.30, p=.04) and the average effect size on disability was D=.16. For analysis of the exercize programs on disability, eight studies, except for one which had an extremely large effect size compared to others, were found to be homo geneous(Q=7.87, p=.34) and the average effect size on disability was D=.60. Therefore, Hypothesis 3 was accepted from the results that an average effect size of exercise programs on disability was significantly larger than that of integrated programs on disability.

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Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method

  • Dasom Im;Noor Afif Mahmudah;Seok-Jun Yoon;Young-Eun Kim;Don-Hyung Lee;Yeon-hee Kim;Yoon-Sun Jung;Minsu Ock
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.4
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    • pp.291-302
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    • 2023
  • Objectives: Disability weights require regular updates, as they are influenced by both diseases and societal perceptions. Consequently, it is necessary to develop an up-to-date list of the causes of diseases and establish a survey panel for estimating disability weights. Accordingly, this study was conducted to calculate, assess, modify, and validate disability weights suitable for Korea, accounting for its cultural and social characteristics. Methods: The 380 causes of disease used in the survey were derived from the 2019 Global Burden of Disease Collaborative Network and from 2019 and 2020 Korean studies on disability weights for causes of disease. Disability weights were reanalyzed by integrating the findings of an earlier survey on disability weights in Korea with those of the additional survey conducted in this study. The responses were transformed into paired comparisons and analyzed using probit regression analysis. Coefficients for the causes of disease were converted into predicted probabilities, and disability weights in 2 models (model 1 and 2) were rescaled using a normal distribution and the natural logarithm, respectively. Results: The mean values for the 380 causes of disease in models 1 and 2 were 0.488 and 0.369, respectively. Both models exhibited the same order of disability weights. The disability weights for the 300 causes of disease present in both the current and 2019 studies demonstrated a Pearson correlation coefficient of 0.994 (p=0.001 for both models). This study presents a detailed add-on approach for calculating disability weights. Conclusions: This method can be employed in other countries to obtain timely disability weight estimations.

Conceptualizing the Perceived Disability Discrimination and Its Application to Korea's Disability Discrimination Act (장애인에 의해 '지각된 차별(perceived discrimination)'의 개념화와 법적 적용에 관한 연구)

  • Jeon, Ji-Hye
    • Korean Journal of Social Welfare Studies
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    • v.40 no.2
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    • pp.399-425
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    • 2009
  • This study aims to conceptualize 'perceived disability discrimination', to evaluate the coverage of Korea's Disability Discrimination Act from the perspective of perceived discrimination, and to discuss the possibility of legal judgement on the perceived disability discrimination. As a general concept, it is the perceived discrimination that people with disabilities feel or experience any type of discrimination based on stigma, disability oppression, prejudice, or stereotype. The Korea's Disability Discrimination Act does not consider some perceived discrimination as a subject of legal judgement. Although indirect discrimination is a very good content to correct wrong social rules, values, institutions, actually, it is confronted with being remained useless. Perceived disability discrimination such as strangers' staring or benevolent disability discrimination are not included in the coverage of Korea's Disability Discrimination Act. The disability discrimination experienced by family members who has a disabled member was not a matter of current Korea's Disability Discrimination Act. Considering perceived disability discrimination, coverage of Korea's Disability Discrimination Act should be extended to the concept of discrimination against disability, not against people with disability. Based on the concept of indirect discrimination, social rules and institutions should be examined if they are discriminative or not in dealing with the matters of people with disabilities. Also, for judging perceived disability discrimination, it is necessary to use 'the standard of reasonable people with disability', which comes from judgement standard of sexual harassments. The reality of oppressive ideology against disability should be socially accepted and the social reconstruction for people with disabilities should go on.

Theoretical Comparison between Social Model of Disability and Independent Living Model (장애에 대한 사회적모델과 자립생활모델에 대한 이론적 비교 연구)

  • KIM, JIN-WOO
    • Korean Journal of Social Welfare Studies
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    • v.41 no.1
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    • pp.39-63
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    • 2010
  • This research is to make the identity of the two models clear by reviewing the similarities and differences between Social Model of Disability from U.K. and Independent Living Model from United States. Research results are as follows. As for differences, Social Model of disability intended to change disability paradigm by focusing society itself as the cause of disability rather than individuals, however Independent Living Model stressed on the freedom and control through disabled people's life with self-advocacy group and personal assistants. As for similarities, there are self-representatives, social responsibility for disability, alienation of people with intellectual disabilities at the initial stage, background in legislating Disability Discrimination Acts in both countries. This result has its significances because it shows theoretical framework which make it possible to review further how disability practice and movements understand the two models regardless of their real contents and how the two affected the induction and proceeding of Korean Discrimination Act and Independent Living Paradigm in the Disability Welfare Act.

Factors influencing the Caregiving Responsibility of Siblings without Disability on Adult with intellectual disability (성인 지적장애인에 대한 비장애형제의 부양 책임감에 영향을 미치는 요인 연구)

  • Kim, Mee-hye;Oh, Soo-Kyung;Jang, Sook
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.63-89
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    • 2008
  • This study attempts to examine the factors influencing the Caregiving responsibility of sibling without disability on their adult siblings with intellectual disability. For this purpose, a questionnaire survey was conducted on siblings without disability who have adult siblings with intellectual disability aged 18 years old or more and also who use services provided by 8 welfare centers for persons with disabilities in Seoul. With 132 valid responses, multiple regression technique was adopted in exploring a model for characteristics of adult with intellectual disability, a model for characteristics of siblings without disability, a model for relationship factors, and a comprehensive model. The findings of the study showed that the degree of disability in the model for characteristics of adult siblings with intellectual disability and the intimacy of siblings and social support in the model of relationship factors were significant. The result of the comprehensive model revealed that the degree of disability, the gender of the siblings without disability, the intimacy of siblings, and social support were significant. Especially, the relationship factors including the intimacy of siblings and social support were found to be the most significant factors in order to explain the caregiving responsibility. The findings of the study suggest that sibling program needs to be developed and disseminated in order to increase the understanding and the trust between adult with intellectual disability and sibling without disability, that a help is critical for adult with intellectual disability to extend the social network in which sibling without disability receives support from sibling without disability, family, friends, and other acquaintances around, and that different approach is needed in order to reduce caregiveing difficulties depending on the dependence of disability.

Construction of Disability Pride that People Having Acquired Visual Impairment Shown in the Japanese TV Drama "Challenged" -From the Viewpoint of Integrating Disability Studies- (융합적 장애학의 시각을 통해 본 중도 시각장애인의 장애 자부심 구축 -일본 TV드라마 "챌린지드"를 중심으로-)

  • Cho, Won-il
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.479-489
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    • 2016
  • This study examines how disability pride of people having acquired visual impairment can be constructed. The theme is explored with the Japanese TV drama "Challenged". The paradigms regarding construction of disability pride and acceptance of disability are fundamentally different. In this context it can be said that a criticism of disability acceptance theory has something with a criticism of medical model of disability. It is main character Hanawa and chairman of teachers, and principal who were noticeable specifically at the point of forming disability pride, and these characters show a common feature that social idealism is embodied in their awareness. Other characters of the drama show a change of their consciousness to social idealism. As a conclusion this study suggests importances of humanistic and social scientific analysis as well as of educational effects achieved by means of drama.

A Review of Domestic Research Trends Related to the International Classification of Functioning, Disability and Health (ICF): 2015-2020

  • Song, Ju-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.65-80
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    • 2021
  • PURPOSE: This study was conducted as a literature review to analyze the research trends related to the International Classification of Functioning, Disability and Health (ICF) in Korea from 2015 to 2020. METHODS: Precedent studies were searched with the search term "ICF" or "international classification of functioning, disability and health" from the databases of RISS, KISS, DBpia, and Pubmed. The inclusion criteria are that the studies have been carried out in Korea from 2015 to 2020 using ICF by researchers consisting of one or more Koreans and have been peer-reviewed. RESULTS: Of the total 269 studies, 107 that met the inclusion criteria were analyzed. It was found that these studies were published at a similar frequency each year. The most common area of expertise was identified as the clinical area (n = 67), followed by special education (n = 21) and social welfare (n = 13). The study subject groups were mostly patients (n = 39), disabled people (n = 25), and related experts (n = 13). The most common research topic was functioning evaluation (n = 49) and followed by a literature review (n = 29), and the most frequently used components in all the areas of expertise were activity and participation (n = 98), body function and structure (n = 73), and environmental factors (n = 61). CONCLUSION: For the past six years, domestic ICF-related research has been conducted in a wider range of expertise areas on more subdivised subject groups. Continuous research, development of standardized curricula and contents, and development of coding tools are considered to be important in vitalizing the use of the ICF.