• Title/Summary/Keyword: Disability and Health

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Disability Weights for Diseases in Korea (한국인 질병의 장애가중치 측정 및 신뢰도 평가)

  • Yoon, Seok-Jun;Do, Young-Kyung;Kwon, Young-Hoon;Kim, Chang-Yup;Park, Ki-Dong;Kim, Yong-Ik;Shin, Young-Soo;Lee, Jung-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.2
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    • pp.163-170
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    • 2003
  • 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.

The Study Of Functional Disability Scales for Low Back Pain (요통의 기능 평가방법에 대한 고찰)

  • Moon, Sang-Hyun;Ryu, Han-Jin;Lee, Jons-Soo;Youn, You-Suk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.39-53
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    • 2003
  • Objectives : The object is to the difference among the funtional disability scale for low back pain and to use Methods : I researched the contents of funtional disability scale for low back pain Results & Conclusions : 1. The funtional disability scale for low back pain is specific-condition and general-health 2. A proposal of set core of funtional disability scale for low back pain is back specific function, generic health state, pain, work disability, satisfaction 3. Oswestry disability index or Rolland disability questionnaire. wase used for standard specific-condition scale and SF-36 was used for standard general-health scale 4. SF-36 is able to use the funtional disability scale for low back pain independence 5. In the future, scale for low back pain shulod be standardized in multiple dimension by computer

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The Study on Performance Evaluation and Improvement of the Information System for the Disabled (장애인관련 정보시스템의 성과평가 및 개선 방안에 관한 연구)

  • Lee, Seung-Young;Ho, Seung-Hee;Chae, Young-Moon;Kim, Deog-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.1
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    • pp.45-57
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    • 2007
  • Purpose: The study tried to suggest the ways to improve the national disability welfare information projects with evaluating the present condition of the projects. Method: Firstly, the study analyzed the disability information system and disability websites. Secondly, the study found out the problems of the registration of disability and management system through the situation analysis. Finally, the study conducted a survey of the disabled and the information system workers and performance evaluation of the information system. Result: The study offered a proposal of The Disability Unity Management System(DUMS) for the disability registration and management. When the disabled visit the hospital or the public health center, their information is registered automatically in The Disability Unity Management System(DUMS), which helps not to miss out the disability registration. Through this system, they are given the proper service which they need, and the information can be shared with the facilities providing the service for the disabled. Conclusion: The Disability Unity Management System(DUMS) contributes significantly in avoiding the repetition of the support for the disabled and improving the quality of service.

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Study on the Effect of Social Trust and Disability Identity on Subjective Health and the Moderating Effect of Social-economic Status (장애인의 지역사회 신뢰와 장애정체감이 주관적 건강에 미치는 영향: 사회경제적 지위의 조절효과를 중심으로)

  • Yu, Dong Chul;Kim, Dong-Ki;Kim, Kyung Mee;Shin, Yu-Ri
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.337-347
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    • 2016
  • This paper investigates how social trust and disability identity influence subjective health, focusing on the moderating effect of social-economic status of people with disabilities. We used surveys used for the development of the social exclusion scale of people with disabilities. As a result, social trust and disability identity influence subjective health. Namely, those who have more social trust and high disability identity experience subjective good health than other people with disabilities do. Second, the relationship between disability identity and subjective health was moderated by social-economic status of people with disabilities. Namely, the relationship between disability identity and subjective health is bigger as the level of social-economic status is higher. However, the relationship between social trust and self-rated health was not moderated by social-economic status of people with disabilities. Based on these findings, we suggest policy and practice ways to promote the subjective health status of people with disabilities.

Age and Gender Differences in the Relation of Chronic Diseases to Activity of Daily Living (ADL) Disability for Elderly South Koreans: Based on Representative Data

  • Kim, Il-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.1
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    • pp.32-40
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    • 2011
  • Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

Smoking Attributed Economic Burden of Stroke Using Disability Grades (장애등급 분포를 활용한 흡연에 의한 뇌졸중 질병부담비용 측정)

  • Suh, Youshin;Ahn, Jeonghoon
    • The Journal of Health Technology Assessment
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    • v.6 no.2
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    • pp.106-113
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    • 2018
  • Objectives: The purpose of the study was to estimate the economic burden of stroke in Korea using post stroke disability grades and to measure smoking attributed economic burden. Methods: The disability grade of stroke patient was assessed for stroke patients who did not have a history of stroke before from a large cohort study in Korea. Treatment costs of patients were estimated by the National Health Insurance Service annual statistical report and care cost was estimated by the need of care defined by the assessed disability grades of patients. The population attributable fraction from WHO was used to calculate the proportion of cost due to smoking. Results: The study revealed that the cost of the stroke in 2015 was about 3.228 trillion won, while the care-giver cost was approximately 176 billion won. The cost of the smoking attributed stroke was about 724 billion won. Conclusion: This study is useful for estimating the cost of smoking considering the post-stroke disability and the results is important for achieving the national goal of extending healthy life from the Fourth National Health Promotion Plan.

Disability Weights for the Korean Burden of Disease Study : Focused on Comparison with Disability Weights in the Australian Burden of Disease Study (한국인 질병의 장애가중치 측정에 관한 연구 : 호주 장애가중치와의 측정 결과 비교를 중심으로 -)

  • Yoon, Seok-Jun;Lee, Jung-Kyu;Kwon, Young-Hoon;Lee, Sang-Il;Kim, Chang-Yup;Park, Ki-Dong;Kim, Yong-Ik;Shin, Young-Soo;Do, Young-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.1
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    • pp.59-71
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    • 2004
  • Objectives: This study aimed to measure the disability weights for the Korean Burden of Disease study, and to compare them with those adopted in the Australian study to examine the validity and describe the distinctive features. Methods : The standardized valuation protocol was developed from the Global Burden of Disease (GBD) study and the Dutch Disability Weights study. Disability weights were measured for 123 diseases of the Korean version of Disease Classification by three panels of 10 medical doctors each. Then, overall distribution, correlation coefficients, difference by each disease, and mean of differences by disease group were analyzed for comparison of disability weights between the Korean and Australian studies. Results : Korean disability weights ranged from 0.037 to 0.927. While the rank correlation coefficient was moderate to high ($r_s$=0.68), Korean disability weights were higher than the corresponding Australian ones in 79.7% of the 118 diseases. Of these, war, leprosy, and most injuries showed the biggest differences. On the contrary, many infectious and parasitic diseases comprised the greater part of diseases of which Korean disability weights were lower. The mean of the differ ences was the highest in injuries of GBD disease groups, and in cardiovascular disease, injuries, and malignant neoplasm of the Korean disease category. Conclusions : Korean disability weights were found to be valid on the basis of overall distribution pattern and correlation, and are expected to be used as basic data for broadening the scope of burden of disease study. However, some distinctive features still remain to be explored in following studies.

A SURVEY OF PATIENTS WITH DISABILITIES VISITING THE DEPARTMENT OF PEDIATRIC DENTISTRY OF CHONBUK NATIONAL UNIVERSITY DENTAL HOSPITAL IN 2016 (2016년 전북대학교 치과병원 소아치과를 방문한 장애인환자에 관한 조사연구)

  • Jang, Ji-Hye;Lee, Dae-Woo;Kim, Jae-Gon;Yang, Yeon-Mi
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.1
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    • pp.1-5
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    • 2017
  • According to the Ministry of Health and Welfare, the portion of physical disability was 51.4% which was the highest among the registered disabled in December 2015, followed by visual disability(10.1%), disability of the brain lesions(10.0%), hearing disability(10.0%). The aim of this study is to investigate the types of disability in patients with disabilities visiting the Pediatric Dentistry, Chonbuk National University Dental Hospital in 2016. Of the patients who visited the pediatric dentistry, 196 patients (7.5%) had disabilities, and 19 patients had two or more disabilities. Twelve patients (6.1%) had both disabilities of brain lesion and intellectual disorder. Of the 177 patients with only one disability, 54 patients (30.5%) had physical disorders and 123 patients (69.4%) had psychiatric disorders. In psychiatric disorders, intellectual disorder was the most with 98 patients (55.3%), followed by autistic disorder with 23 patients (12.9%). In physical disorders, disability of brain lesion was the most with 37 patients (20.9%), followed by speech disability with 8 patients (4.5%). In this study, as a result of analyzing the types of disability with the patients who visited the Pediatric Dentistry of Chonbuk National University Dental Hospital, most of them had either intellectual disorder, disability of brain lesion, or autistic disorder. Dentists need to understand their general and dental characteristics to treat children and adolescents with disabilities. Since the most chief complaint of the patients was dental caries, early interventions should be made by dentist to reduce the incidence of the disease.