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KMID : 0358120030290010056
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Journal of the Korean Public Health Association
2003 Volume.29 No. 1 p.56 ~ p.70
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Medical cost of the disabled not in Medical Aid allowance, by ADL, IADL : in Medical Aid beneficiaries
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Lee Hyo-Young
Kim Gwi-Hyun
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Abstract
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This study is to measure the impact of disability on medical cost and additional cost not in Medical Aid allowance. It has three specific aims. The first aim is to identify how much extra expenditure needs in the disable using medical care. The second aim is to examine the relationship between the cost of disability and physical functioning levels of the disabled. The third aim is to examine the difference of medical cost and additional cost by disability level and type. Participants were the 864 subjects who were beneficiaries of National Medical aid and lived in 10 areas of Korea. A questionnaire was distributed during August to september 2001 through public offices. Social workers in public office helped this survey and it was conducted to visit the disabled families. Physical function of the disabled was examined by ADL, IADL. Medical cost and additional cost in medical care were examined by one month. The focus of this study is in relationship between physical functioning levels and medical cost and additional cost as a result of disability in medical care. Medical cost and extra expenditure per capita by one month did not increased with poorer physical function. But the cost were different from each physical functioning level, disability level and type. The Re-evaluation of Medical Aid allowance range and supports for the disabled person will be enlarged to lessen economic burden of the disabled. Besides the disabled need more medical care and a huge amount of medical resources than non-disabled person. Cost-effective intervention programs for disability prevention urgently need to reduce medical care and its additional cost.
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KEYWORD
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the disabled, disability, medical cost, additional cost
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