DOI QR코드

DOI QR Code

Factors Affecting the Cost of Rehabilitation Services for People with Congenital Disabilities

선천성 장애인의 재활서비스 비용에 영향을 미치는 요인

  • Received : 2022.09.20
  • Accepted : 2022.10.20
  • Published : 2022.10.28

Abstract

The purpose of this study is to identify factors that affect the cost of rehabilitation services for people with congenital disabilities. The subjects of this study were 712 persons who had a disability from prenatal life from data of the 2020 National Survey of the Disabled Persons. 19-40 years, middle-class economic status, monthly family income level, use of vouchers, satisfaction with service institutions, autistic disability types significantly contributed to the cost of rehabilitation services. Among them use of vouchers had the greatest influence on the cost of rehabilitation services. Therefore, in order to reduce the cost of rehabilitation services for people with the congenital disabilities, it is suggested to improve the target of the voucher program and to establish a rehabilitation service support system for the entire life span.

본 연구는 선천성 장애인의 재활서비스 비용에 영향을 미치는 요인을 파악함으로써 재활서비스 이용의 접근성을 높이기 위한 기초자료를 제공하는데 목적이 있다. 연구대상은 2020년 장애인실태조사 자료에서 선천성 장애인 712명이며, 자료분석은 SPSS WIN 26.0를 이용하여 위계적 다중회귀분석을 실시하였다. 연구결과는 19-40세, 중산층, 가구소득, 바우처 사용, 기관 서비스 만족도, 자폐성 장애유형이 재활서비스 비용에 영향을 미쳤으며, 이중 바우처 사용이 재활서비스 비용에 가장 큰 영향을 미쳤다. 따라서 선천성 장애인의 재활서비스 비용을 완화하기 위해 바우처 사업의 대상을 개선하고 전 생애에 걸친 재활서비스 지원체계 구축을 제안하였다.

Keywords

Acknowledgement

This paper was supported by Woosong University's research grant.

References

  1. S. H. Kim, M. K. Lee, W. C. Oh, D. E. Oh, J. H. Hwang, M. A. Oh, J. M. Kim, Y. H. Lee, D. W. Kang, S. J. Kwon, E. R. Baek, S. Y. Yoon & S. W. Lee. (2020). A Survey on the Status of Persons with Disabilities. Sejong : Ministry of Health and Welfare. Korea Institute of Health and Social Affairs.
  2. J. K. Ko, D. K. Lamichhane, H. C. Kim, & J. H. Leem. (2017). Analysis of Prevalence Trend of Congenital Anomalies in Korea. The Korean Society of Environmental Health and Toxicology. https://www.dbpia.co.kr/journal/articleDetail? nodeId=NODE07260927
  3. World Health Organization. (2017). Congenital anomalies. Retrieved July 26, 2017. http://www.who.int/mediacentre/factsheets/fs370/en/
  4. J. S. Choi, Y. J. Han, K. Seo, N. H. Lee, C. W. Shin, & S. W. Lee. (2009). Congenital Anomaly Survey Design. Ministry of Health and Welfare and Family.
  5. J. H. Kim, K. R. Kim & J. B. Kang. (2015). A Study on Supporting Status and Improvement of Rehabilitation Service for Children with Disabilities, Journal of Emotional of Behavioral Disorders, 31(2), 251-281. UCI : G704-000501.2015.31.2.013
  6. J. A. Kim, J. W. Hwang, Y. J. Choi & K. H. Choi. (2022). A Systematic Review of Life Expectancy and Healthy Life Expectancy of Persons with Disabilities. Health and Social Welfare Review, 42(2), 347-368. DOI : 10.15709/hswr.2022.42.2.347
  7. S. Y. Yoon. (2006). A study of Factors Affecting Extra Costs of Disabled People. Journal of Rehabilitation Research. 10(3), 65-89. UCI : G704-001776.2006.10.3.001
  8. J. H. Lim. (2012). A Study on the Extra Costs among the Households with the Disabled in Seoul: Using the Standard of Living Approach. Seoul Studies. 13(4), 205-220. DOI : 10.23129/seouls.13.4.201212.205
  9. S. Y. Lee. (2013). Health Disparity in Persons with Disabilities and Utilization of Health Indicators: Focusing on Health Problems of Persons with Developmental Disabilities. Korean Association of Converging Humanities, 1, 73-106. DOI : 10.14729/converging.k.2013.1.0.73
  10. J. Y. Shin, & M. S. You. (2022). A Decomposition Analysis of Factors that Increase Therapeutic Rehabilitation Service Expenditures. Health and Social Welfare Review, 42(1), 106-124. DOI : 10.15709/hswr.2022.42.1.106
  11. J. H. Jeong, W. H. Lee, & H. J. Oh. (2020). An Analysis of Medical Rehabilitation Facilities for the Disabled. Korean Society for Welfare Management, 21-41.
  12. K. H. Choi, M. H. Kim, Y. J. Choi Y. M. Cho, M. S. Kim, E. H. Jeong, & J. A. Kim. (2021) Current Status of Unmet Health Care Needs in the Disabled in Korea. Health and Social Welfare Review, 41(3), 160-176. DOI : 10.15709/hswr.2021.41.3.160
  13. S. J. Kwon. (2014). A Study on the Factors Affecting Extra Cost of Disabled Children. GRI REVIEW, 16(1), 271-292. UCI : G704-SER000001338.2014.16.1.008
  14. J. H. Lee, H. S. Jung, H. G. Hwang, & S. W. Kim. (2014). A Study of the Relations between Characteristics of the Elderly with Disabilities and Extra Health Care Costs Caused by Disability. The Korean Journal of Health Service Management, 8(4), 209-220. UCI : G704-SER000002085.2014.8.4.015
  15. R. M Anderson, & J. F. Newman. (1973). Societal and Individual Determinats of Medical Care Utilization the United States, Milbank Meomrial Fund Quarterly, 51(1), 95-124. DOI : 10.1111/j.1468-0009.2005.00428.x
  16. Y. K. Choi, D. I. Chun. (2010). A Study on Predictive Factor of Rehabilitation Center Service Utilization. Journal of Community Welfare, 34, 281-306. UCI : G704-001921.2010..34.010
  17. J. G. Hwang, & J. H. Kim. (2020). The Predictors of Injured Workers' use of Rehabilitation Services from the Korea Labor Welfare Corporation: Using the Andersen & Newman Behavioral Model. Disability & Employment. 30(3), 47-83. DOI : 10.15707/disem.2020.30.3.003
  18. B. Y. Jeon, S. M. Kwon, H. S. Kim, & H. J. Lee. (2011). Factors Associated with Health Service Utilization of the Disabled Elderly in Korea. Journal of the Korea Gerontological Society, 31(1), 171-188. UCI : G704-000573.2011.31.1.011
  19. E. S. Ahn, J. M. Hwang & M. S. Shin. (2015). Dental Utilization Associated Factors among Elderly. Jounal of Dental Hygiene Science, 15(1), 60-66. DOI:10.17135/JDHS.2015.15.1.60
  20. R. M. Andersen, & P. L. Davidson. (1997). Ethnicity, Aging, and Oral Health Outcomes: a Conceptual Framework. Advances in Dental Research, 11, 203-209. DOI: 10.1177/08959374970110020201
  21. H. J. Kim, S. H. Kim, & J. H. Lee. (2022). An Exploratory Study on Factors Affecting Subjective Health Status of the Disabled with Rare and Intractable Diseases. Journal of Disability and Welfare. 56(56), 91-117. https://doi.org/10.22779/KADW.2022.56.56.91
  22. M. K. Lee. (2015). Study on Factors Influencing Public Service Utilizations of Persons with Disabilities. Journal of Rehabilitation Research, 19(1), 63-93. DOI : 10.16884/JRR.2015.19.1.63
  23. J. Y. Kim, M. K. Lee, & Y. M. Wang. (2020). A Study on Factors Affecting Medical Use and Medical Expenditure of the Disabled. Korea Development Institute for the Disabled.
  24. H. G. Hwang, & H. S. Jung. (2017). Factors Affecting Medical Service Utilization of Disabled. Journal of Korea Academia-Industrial cooperation Society, 18(5), 219-225. DOI : 10.5762/KAIS.2017.18.5.219
  25. W. S. Kan, S. J. Cho, & J. H. Cho. (2012). The Relationship of Acceptance of Disabilities and Life Satisfaction, to the Onset of Disabilities among Individuals with Physical Disabilities. The Korean Journal of Rehabilitation Psychology, 19(1), 149-173. UCI: G704-SER000009521.2012.19.1.008
  26. J. H. Kim. (2016). The Impact of Health Care Coverage on Changes in Self-Rated Health: Comparison between the Near Poor and the Upper Middle Class. Korean Academy of Health Policy and Management, 26(4), 390-398. DOI : 10.4332/KJHPA.2016.26.4.390
  27. E. L. Baek. (2017). A Study on the Health of Adults with Developmental Disabilities. Journal of Chongshin University, 37, 183-207.
  28. B. Y. Jeon, & S. M. Kwon. (2015). Access Barriers to Health Care among Persons with Physical Disabilities: Using Three Reasons for Unmet Need as Indicators of Access. Korean Social Security Studies. 31(3), 145-171. UCI : G704-000662.2015.31.3.007
  29. J. Y. Kwak, & E. K. Shin. (2022). Factors Affecting Satisfaction with Medical Service of the Elderly with Disabilities : Focusing on Health Characteristics and Medical Service Characteristic. The Journal of the Korea Contents Association. 22(5), 788-797. DOI : 10.5392/JKCA.2022.22.05.788
  30. E. Emerson. (2003). Prevalence of Psychiatric Disorders in Children and Adolescents with and without Intellectual Disability. Journal of Intellectual Disability Research, 47(1), 51-58. DOI : 10.1046/j.1365-2788.2003.00464