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KMID : 0361420080320010106
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Journal of Korean Academy of Rehabilitation Medicine
2008 Volume.32 No. 1 p.106 ~ p.111
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Comparison of Re-evaluated Disability Grades with the First Registered Grade in Seoul-living Diabled for national Registration for Disability
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Lee Bum-Suk
Lee Jin-Yong
Kim Yoon
Kim Yong-Ik
Lee Kwang-Sun
Kim Myung-Soo
Ahn Mi-Ra
Kim Eun-Soo
Moon Nam-Ju
Kang Se-Young
Park Jong-Hyock
Kim Wan-Ho
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Abstract
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Objective: To compare the disability grades previously evaluated and registered, with the re-evaluated ones for individuals with disability living in Seoul.
Method: Thee hundred and eleven people with disability living in Seoul were selected by the hierarchical systematic extraction method. Their disability grade was re-evaluated in the otolaryngology, ophthalmology, rehabilitation outpatient clinic or via home visit. And the disability level of each person was evaluated by the Korean Activities of Daily Living (K-ADL).
Results: Two hundred and twenty nine people with disability were re-evaluated on their disability grades. One hundred and thirty four (58.5%) cases had the same disability grade as initially evaluated. Thirty three cases were re-adjusted to a higher disability grade and sixty two cases to a lower grade. The K-ADL scores of people with brain lesion and spine/spinal cord injury were higher than those of other type of disability, which indicated a higher level of disability.
Conclusion: When disability grades were re-evaluated, discrepancy rate was 41.5%. For proper management in the process of disability registration, it is imperative to implement a policy, which ensures the re-evaluation of the disability grade at a regular interval, the clear guidelines for grading as well as the competency of the evaluators.
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KEYWORD
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Disability, Diability registration, Korean activities of daily living
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