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KMID : 0614720210640080519
Journal of Korean Medical Association
2021 Volume.64 No. 8 p.519 ~ p.521
Necessity of developing a disability evaluation guideline
Lee Ho-Seong

Abstract
Background: Although doctors expend their best effort in treating their patients¡¯ illnesses or injuries, the patients may retain some disabilities even after treatment. Accordingly, some conflicts occur between the patients¡¯ expectations of financial compensation for their disabilities and the financial manager¡¯s policy to efficiently distribute limited resources. The mediation of these social conflicts requires the determination of the degree of physical disability, which can be done by doctors alone. Hence, a reliable disability evaluation guideline should be established. However, currently, only a few educational programs on disability evaluation are available for doctors and there is no reliable guideline for disability evaluation.

Current Concepts: There were attempts to implement the American Medical Association guideline in Korea; however, it is currently not being used efficiently because it is quite complicated and unsuited to Korean settings. Mcbride¡¯s disability evaluation, published 60 years ago, is being used, but it is not realistic and unreasonable in Korea. To prepare a standard guideline for disability evaluation, the Korean Academy of Medical Sciences published a booklet, ¡°Disability Evaluation

Guideline: Explanation and Case Studies¡±, based on the American Medical Association guideline. The academy published the booklet¡¯s revised version (2nd edition), ¡®Disability evaluation guideline and utilization¡¯, in 2016. However, Korean Academy of Medical Sciences guideline still not being used because it is too complicated to use.
Discussion and Conclusion: Fair disability evaluation is a social responsibility given to doctors, and there should be a useful guideline for disability evaluation that reflects the characteristics of each medical society or association.
KEYWORD
Disability evaluation, Guideline, Social responsibility, Medical society
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