| 제목 |
A study on Public Policy and the Challenges of Rehabilitation in Residential Facilities in Korea |
| 소속 |
Konkuk University School of Medicine, Department of Rehabilitation Medicine1, Konkuk University School of Medicine, Department of Neurology2 |
| 저자 |
Jinmo Kim1*, Seihee Yoon1, Yoon-sik Jo2, Jong Moon Kim1, Jin Sang Chung1, Shin Kyoung Kim1† |
Objective
To investigate the condition of ongoing rehabilitation therapy in residential facilities for the disabled in Korea, and evaluate related domestic welfare policies.
Methods
Twenty-two therapists and 1018 people with disabilities participated in the survey. The survey for therapists consisted of five categories: general facts, treatment statistics, individualization and evaluation of rehabilitation treatment, and program operation and others. The survey for the disabled also consisted of five categories: general facts, rehabilitation program, goal setting and post treatment evaluation, and participation of doctors of rehabilitation medicine and others.
Results
Therapists were each responsible for 9.2 people with disabilities and treated 2.5 of them simultaneously in a 36-minute daily session. The programs were operated without standard guidelines and, even when problems occurred, they were rarely solved according to the standard manual. On average, the disabled performed rehabilitation for 83 minutes a week. As for the treatment methods, disabled participants received individual treatment (73%) and group treatment (47%). About quarter of the disabled did not have a shared goal with their therapist (24%) and or have a post-evaluation conducted (35%). Twenty-one percent of disabled indicated that the current treatment was inappropriate.
Conclusion
A standard guideline on rehabilitation programs, which supplements a professional workforce, should be provided. The experience and merits that clinicians have should be reflected in policies and taken into account by the government. |
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Table 1. Treatment statistics
Figure 1. The percentage of respondents for each answer to questions (A) “How is the content of rehabilitation programs decided” and (B) “What method do you employ when problems occur during program operation” (Multiple answers possible).
Table 2. Goal setting and post treatment evaluation
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