• Health Policy and Management
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• v.17 no.2
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• pp.33-51
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• 2007

The disabled population is a vulnerable group, having very complex medical conditions, but little is known about differences in the level of access by type of disability. This study was performed to investigate the differences of health care utilization by the type of disability. The database was constructed from registry of the disabled and health insurance and medical aid claims data submitted to the Korea Health Insurance Cooperation during in the year 2003. The disability classified three groups according to the Disabled Welfare Act; physically disability with external dysfunction, physically disability with organic disease, and mentally disability. There were huge differences in health care utilization by the type of disability. For the inpatient care, those with a mental disability were more likely to utilize health care services in terms of average visit number of medical facilities and visit days per case, but the treatment amount per case was the highest in physically disabled with organic disease. For the outpatient care, those who the physically disabled with organic disease were more likely to utilize health care services in terms of average visit number of medical facilities, treatment amount per case, and the treatment days per case. Also, those who physically disabled with organic disease were more likely to utilize general hospital for both inpatient and outpatient care, and spent more out-of-pocket expenditure. As the number of persons with disabilities rises, the need to consider new approaches to protecting their health grows increasingly. Especially, Korean health care system should be refined to be more responsive to the needs of the type of disability.

• KIEAE Journal
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• v.7 no.3
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• pp.49-55
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• 2007

Being different from 20th Century, the right of disabled have attracted much social attention. In reality, the disabled still suffered or not properly respected, thereby a little far less in achieving the quality of life. The purpose of this research was to examine the fitness between the persons with limited mobility and their living environment. Small group workshop with three persons with limited mobility were used for utilized. Living behavior and physical environmental characteristic of dormitory house and interaction between them were identified. Major problem appeared to be accessibility which include the path, room size and furnishing. Even though the dormitory satisfied the government requirement legally. Substantial problems were found because of resident real life. This implied deep consideration beyond Act needed to create a right to robust environment toward persons with limited mobility.

• 재활복지
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• v.18 no.4
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• pp.187-205
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• 2014

Is to identify how this affects the physically disabled to participate in the program 12 weeks Park Golf psychological well-being and happiness, the purpose of this research is subjective. How to study subjects, only 40-year-old disabled man more than 24 people total delay experimental group and 12 patients(failure cut seven, delayed dysfunction 5) and the control group and 12 patients(failure cut six, delayed dysfunction in 4, two people were involved in the joint disorder). 3 times a week(Mon, Wed, Fri), was carried out 50 minutes into 12 weeks of the experimental period, was located at River Park Golf Course A test place. We calculate the pre-and post-test data mean and standard deviation using SPSS Statistics 21.0 statistical data processing program, binary repeated measures ANOVA to analyze the effects on the psychological well-being of the disabled and subjective effects euphoria Park Golf Participation(was performed 2-way [2] RM ANOVA). First results in psychological well-being of the two groups according to Park Golf participate in group comparisons before and after the exercise involved only fun, immersive and shows were not significantly different, within each group enjoyment, competence, self-realization, all the children of the immersion showed a significant difference in the factors. Second, before and after participation in exercise, there was a significant difference between groups in subjective happiness of two groups according to Park Golf participation, the two groups were not significantly different within. Taken together the results to see more, showed that the positive effects on the psychological well-being and subjective happiness Park Golf participation is the Physically Disabled.

• Journal of the Korea Safety Management & Science
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• v.10 no.2
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• pp.225-235
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• 2008

It is expected that the change of industrial structure of Knowledge based economy, and service based economy would affect on economic life of physically-challenged person with no exceptions. There have been some former studies which have been misunderstood the employment of disabled due to the declining employment of the disabled and prejudice to the disabled based on biased perspective and public opinion. This study have analyzed the employment conditions of the ordinary workers and disabled workers out of those prejudices and biased opinions. Wage, economic activity ratio, age, educational background and industry those 5 parameters are brought for analyzing the two comparison group. Each parameter have compared based on the statistical data of ordinary workers and disabled workers for past 7 years. Weight between each parameter have been drawn by collecting the experts' opinion using AHP(Analytic Hierarchy Process), and utility of employment of two comparison groups have been estimated through progress inclination of each parameter. Through the estimated outcome, present condition and controversial issues and way of improvement of domestic employment of ordinary workers and the disabled is mentioned.

• Proceedings of the Safety Management and Science Conference
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• 2008.11a
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• pp.405-419
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• 2008

It is expected that the change of industrial structure of Knowledge based economy, and service based economy would affect on economic life of physically-challenged person with no exceptions. There have been some former studies which have been misunderstood the employment of disabled due to the declining employment of the disabled and prejudice to the disabled based on biased perspective and public opinion. This study have analyzed the employment conditions of the ordinary workers and disabled workers out of those prejudices and biased opinions. Wage, economic activity ratio, age, educational background and industry those 5 parameters are brought for analyzing the two comparison group. Each parameter have compared based on the statistical data of ordinary workers and disabled workers for past 7 years. Weight between each parameter have been drawn by collecting the experts' opinion using AHP(Analytic Hierarchy Process), and utility of employment of two comparison groups have been estimated through progress inclination of each parameter. Through the estimated outcome, present condition and controversial issues and way of improvement of domestic employment of ordinary workers and the disabled is mentioned.

• Journal of the Korea Convergence Society
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• v.6 no.4
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• pp.15-23
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• 2015

The purpose of this study is to investigate how the impact on the basic psychological needs and emotional and motor sports commitment to participate in 12 weeks of Physically Disabled wheelchair tennis class. Results: First, the basic psychological needs is a difference between groups was found in the autonomy and the relationship of the sub-factors autonomy, competence, was the difference in time measured between the castle. Second, the movement was born immersed in the measuring point to see a difference in cognitive involvement and engagement of sub-behavior factors, the mutual effects were measured at the time of the two groups and sub-factors. Third, the movement was born in sentiment appears to have overlooked the measurement point in the sub-group differences in factors such as positive emotions and negative emotions, collective and cross effects were measured at the time of the two sub-factors. Subsequent studies in qualitative research, as well as be able to induce a more active ongoing participation of the disabled being difficult to draw parallel with the subjective experience of people with disabilities, it is thought to be possible to develop a variety of programs.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.8 no.4
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• pp.239-244
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• 2014

This research was carried out for the purpose of providing basic data to establish a policy for improving health and medical service inequality in the disabled's households, by analyzing it according to composed groups through the application of data about the panel survey of the employment for the disabled, from 2010 to 2012. The results of analysis showed that as for Gini's coefficient, disabled women, the disabled without participation in economic activities, the disabled in their 40s, physically handicapped people and severely disabled people had more and more inequality in expenditure of health care expenses, and inequality in North Gyeongsang Province continued to be on the rise. As for the entropy coefficient, disabled women, the disabled without participation in economic activities, the mentally disabled and severely disabled people had more and more inequality in consumption of health care, and the inequality got severe in Ulsan and North Gyeongsang Province. And as for the decomposition of factors by composed group, inequality in health care expenses were higher inside a group than between groups. Based on these results, research limitations and implications were suggested.

• The Korean Society of Law and Medicine
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• v.18 no.2
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• pp.195-218
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• 2017

The increase in medical expenses for convalescent hospitals is increasing abnormally, which puts enormous burden on the National health insurance finances. This is a phenomenon that has been associated with the social phenomenon of rapid aging. The fact that the convalescent hospitals are paid the fixed amount per day for hospitalization became the incentive for some hospitals to use the patients as means of making money. And these hospitals intend to get regular care or take medicines at other hospitals in order to reduce medical expenses, even when the medical fee is paid. In order to prevent such financial leaks, the Health Insurance Review and Assessment Service adjusted the patient group for inpatients in a hospital with the above behavior, and then cut the cost of medical care benefits. However, Above decision was canceled by the court on the grounds that there was no basis rule. However, based on the above case, I think that it can be an opportunity to draw up the problem and to improve of the Medical Fee System of hospital. The modified medical fee system can strengthen the medical function of the convalescent hospital. In addition, it seems reasonable to exclude admission for "physically disabled group". Even if admission is allowed for the physically disabled group due to social needs, it should be excluded from the National health insurance for the fianacial soundness and the sustainability of the system.

• 재활복지
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• v.21 no.1
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• pp.279-299
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• 2017

This study is to investigate what the factors motivating the wheelchair basketball club members to participate in the wheelchair basketball club are and what the factors hindering the members from participating in the wheelchair basketball club are, based on which it has been conducted to explore the effective direction of the management of the wheelchair basketball club for the physically disabled persons in the future. For this study, a survey targeting 180 members currently participating in the wheelchair basketball clubs in Seoul, Gyeonggi, Chungcheong, Gyeongnam, Jeju areas has been conducted and the data gained from 144 respondents of them have been analyzed and its key results of this study are as follows. Firstly, the results of analyzing the physically disabled persons' motives of participation in the wheelchair basketball club show that the respondents have most frequently participated in the wheelchair basketball club by their motives of the pastime-oriented type, which was followed by the health-oriented one, then by the home-oriented one. The results of examining the difference in the motivations for participation based on the degree of participation in the wheelchair basketball club and on the social demographic characteristics of the club members show that there was a significant difference depending on the group by residence, the subjective health condition in the light of the pastime-oriented motives and there was significant difference depending on the age, the occupation, the group by residence, the frequency of participation. Secondly, according to the results of investigating and analyzing the factors hindering the members of the club from participating in the wheelchair basketball club for the physically disabled persons, the structural factors are found to have been the biggest hindrance factor of participation and there was a significant difference depending on the age, the highest level of education, the occupation, the frequency of participation in the club in verifying the difference in the hindrance factors of participation in the club in accordance with the social demographic characteristics of the club members and the frequency of participation in terms of internal factors. Based on the abovementioned research results, some future effective management strategies of the wheelchair basketball club for the physically disabled persons have been discussed.

• Journal of Korean Physical Therapy Science
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• v.4 no.2
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• pp.421-432
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• 1997

To find out the actual status of treatment of physically handicapped who were stayed of home, 320 physically handicapped persons were selected among total 6,264 physically handicapped registered in Taejon city, surveyed from January 1st to March 30, 1997. Following are the results ana lysed of collected data from 201 samped persons. 1. For the cause of physically handicapped, 36.3% was congenital, 26.9% was cerebralvascular acciednt(CVA). and 14.9% was infectious diseases and others in that orders. The must frequest cause of below 20 years age group was congenital cause, but that of $20{\sim}30$ years age group and $40{\sim}50$ years age group were accident and CVA repectively. 30.0% of respondents caused by infection and others earned household living expenses. Household living expenses were higher among the respondents caused by congenital cause but those were lowest in the accidental couse group. Handicap durations were longer in the accidental cause group and infections and others group than the congenital cause group and CVA group. 2. 54.7% of studied handicapped were under treatment. But 36.3% of them were stopped treatment, and 8.9 % of them answered not treated. Most handicapped, coused by congenital and CAV, were under treatment, but most of them caused by accidental and others were stopped treatment. 3. For the medical facilities, 54.5% of them utilized welfare facility, but 25.5% utilized general hospital and 20.0% of them utilized oriental medical hospital and health centers. Congenital cause group frequently selected welfare facility for the treatment facility. But accidental cause group frequently seleced general hospitals and CVA gruop frequently selected oriental medical hospital and others. The medical cost of welfare facility, oriental medical hospitals and others were lower than that of general hospitals. 4. The proportions of under treatment were higher among yonger age higher monthly living expenses group shorter handicapped duration groups, congenital cause group and handicap grade II group. But that of stop treatment were higher among congenital cause group, infectious and others cause group, and handicap grade I & then III group. 5. For the feelings satisfacion about medical treatment, only 35.3% of under treated group responed satisfation. 55.5% of them responded so-so, but 9.1 % responed dissatisfaction. The proportion of satisfaction was higher among shorter handicap duration group.