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KMID : 0371020030360020163
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Journal of Preventive Medicine and Public Health
2003 Volume.36 No. 2 p.163 ~ p.170
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Disability Weights for Diseases in Korea
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Lee Jung-Kyu
Yoon Seok-Jun
Do Young-Kyung
Kwon Young-Hoon
Kim Chang-Yup
Park Ki-dong
Kim Yong-Ik
Shin Young-Soo
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Abstract
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OBJECTIVES: This study aimed to develop an evaluation protocol of disability weights using person trade-off, and to test the reliability of the developed protocol in a Korean context.
METHODS: To develop the valuation protocol, the Global Burden of Disease(GBD) and the Dutch studies were replicated and modified. Sixteen indicator conditions were selected from the Korean version of disease classification, which was based on that of the GBD Study, and the person trade-off method referred to the Dutch method.
RESULTS: The disability weights were valued in a two step panel study. The first step was a carefully designed group process by three panels, using person trade-off to establish the disability weights for sixteen selected indicator conditions. The second step consisted of interpolation of the remaining diseases, on a disability scale, by the individual members of three panels. The members of three panels were all medical doctors, with sufficient knowledge of the consequences of a broad variety of diseases. The internal consistency of the Korean disability weights was satisfactory. Considerable agreement existed within each panel and among the panels.
CONCLUSIONS: It was feasible to use a modified evaluation protocol from those used in GBD and Dutch studies. This would provide a rational basis for an international comparative study of disability weights.
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KEYWORD
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Cost of illness, Health status, Social value, Reliability, Resource allocation, Korea
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