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Disability Weights for Diseases in Korea  

Yoon, Seok-Jun (Department of Preventive Medicine, Korea University College of Medicine)
Do, Young-Kyung (Department of Health Policy and Management, Seoul National University College of Medicine)
Kwon, Young-Hoon (Department of Health Policy and Management, Seoul National University College of Medicine)
Kim, Chang-Yup (Department of Public Health, Graduate School of Public Health, Seoul National University)
Park, Ki-Dong (Department of Health Policy and Management, Seoul National University College of Medicine)
Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine)
Shin, Young-Soo (Department of Health Policy and Management, Seoul National University College of Medicine)
Lee, Jung-Kyu (Department of Health Policy and Management, Seoul National University College of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.36, no.2, 2003 , pp. 163-170 More about this Journal
Abstract
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 sfudy. 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.
Keywords
Cost of illness; Health status; Social value; Reliability; Resource allocation; Korea;
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