Utilization Status of Public Health and Medical Rehabilitation Services by the Persons with Disabilities in Community. |
Lee, Kyu Bum , Lim, Jae Young , Kim, Wan Ho , Jang, Soon Ja , Kim, Byung Sik , Hyu, An Na , Go, Young Mi |
1Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. whykim@netian.com 2Department of Rehabilitation Medicine, Seoul University College of Medicine, Korea. 3School of Public Health, Seoul National University, Korea. |
지역사회 장애인의 보건의료 재활서비스 이용 실태 |
이규범, 임재영1, 김완호, 장순자, 김병식, 허안나, 고영미2 |
국립재활병원 재활의학과, 1서울대학교 의과대학 재활의학교실, 2서울대학교 보건대학원 |
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Abstract |
Objective To survey the utilization status of public health and medical rehabilitation services by the persons with disabilities in community. Method The subjects were 118 patients who were admitted to National Rehabilitation Center from January 1998 to December 2001 and agreed with home-visit. The subjects were assessed of disability level with functional scales, utilization rate of public health and medical rehabilitation services, utilization facilities, and service contents. Results The subjects included 78 pesons with stroke, 20 persons with spinal cord injury, 9 pesons with traumatic brain injury, and 11 persons with other diseases. Only 28.0% of the low-functional group used public health andmedical rehabilitation services, showing a low utilization rate than the high-functional group (43.2%). 17 out of 24 persons who used rehabilitation clinics were in the low-functional group and 9 out of 13 persons who used welfare agency were in the high-functional group (p=0.012). In two groups, most frequent utilization out of the service contents was the exercise therapy. Conclusion The utilization rate of public health and medical rehabilitation services in communities was 32.8%. It is necessary to supply the persons with disabilities in community with the rehabilitation service for the continuum of rehabilitation. (J Korean Acad Rehab Med 2004; 28: 175- 181) |
Key Words:
Utilization status, Medical rehabilitation, Persons with disabilities, Community |
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