J Korean Med Sci.  2009 May;24(Suppl 2):S271-S276. 10.3346/jkms.2009.24.S2.S271.

Development of a Rating System for Digestive System Impairments: Korean Academy of Medical Sciences Guideline

• Baik SH
• Lee KS
• Jeong SY
• Park YK
• Kim HS
• Lee DH
• Oh HJ
• Kim BC

• KMID: 1713813
• DOI: http://doi.org/10.3346/jkms.2009.24.S2.S271

Abstract

A systematic and effective welfare system for people with digestive system impairments is required. In Korea, an objective and scientific rating guideline does not exist to judge the digestive system impairments. Whether the impairments exist or not and the degree of it need to be examined. Thus, with these considerations we need a scientific rating guideline for digestive system impairments to fit our cultural and social background. In 2007, a research team, for the development of rating impairment guidelines, was organized under the supervision of Korean Academy of Medical Sciences. The rating guidelines for digestive system impairments was classified into upper and lower gastrointestinal tracts impairments and liver impairment. We developed objective rating guidelines for the upper gastrointestinal tract, the impairment generated after surgery for the stomach, duodenum, esophagus, and for the lower gastrointestinal tract, the impairment generated after construction and surgery for colon, rectum, anus, and intestinal stomas. We tried to make the rating impairment guidelines to include science, objectivity, convenience, rationality, and actuality. We especially emphasized objectivity as the most important value. We worked to make it easy and convenient to use for both the subjects who received the impairment ratings and the doctors who will give the ratings.

Keyword

Disability Evaluation; Public Health; Digestive System Impairments

MeSH Terms

Digestive System Diseases/classification/*diagnosis
*Disability Evaluation
Duodenal Diseases/classification/diagnosis
Esophageal Diseases/classification/diagnosis
Humans
Inflammatory Bowel Diseases/classification/diagnosis
Korea
Liver Diseases/classification/diagnosis
Postoperative Complications/classification/diagnosis
Program Development
Severity of Illness Index
Stomach Diseases/classification/diagnosis

Reference

1. Lee KS, Bae HG, Yun IG, Doh JW. An estimation of economic costs for disability evaluation in Korea. Indep Med Exam. 2007. 4:28–34.

2. Li Z, Kang SH, Lee SD. Review of Korean disability evaluation systems and suggestions for the improvement direction. Korean J Leg Med. 2007. 31:16–30.

3. Rhee CO, Choi JK, Son MA, Moon OR. A comparative study on evaluation methods of permanent impairment in Korea. Korean J Prev Med. 1994. 27:627–651.

4. Lee KS. Assessment of physical impairment and disability evaluation. J Korean Neurosurg Soc. 1994. 23:276–282.

5. Lee SG. Problems of assessment of physical impairment and disability evaluation in the central nervous system in Korea. Indep Med Exam. 2004. 1:20–25.

6. Lee SG. Review of the disability grade documents with central nervous system impairment by the law of Ministry of Health and Welfare. Indep Med Exam. 2006. 3:6–11.

7. Cho KH. The present condition and problems of guidelines for disability evaluation in Korea. Indep Med Exam. 2004. 1:35–37.

8. Cocchiarella L, Andersson GBJ, editors. Philosophy, purpose, and appropriate use of the guides. The guides to the evaluation of permanent impairment. 2001. 5th ed. Chicago, Ill: American Medical Association;1–16.

9. Robinson JP, Turk DC, Loeser JD. Pain, impairment, and disability in the AMA guides. J Law Med Ethics. 2004. 32:315–326.

10. Rondinelli RD, Katz RT. Merits and shortcomings of the American Medical Association guides to the evaluation of permanent impairment, 5th ed. A psychiatric perspective. Phys Med Rehabil Clin N Am. 2002. 13:355–370.