Ann Rehabil Med.  2018 Oct;42(5):758-766. 10.5535/arm.2018.42.5.758.

Evaluating Korean Personal Assistance Services Classification System

• Lee MJ
• Romero S
• Hong I
• Park HY

• KMID: 2429205
• DOI: http://doi.org/10.5535/arm.2018.42.5.758

Abstract

OBJECTIVE
To evaluate the utility of using the Personal Assistance Services classification system (PAS-CS) that examines individuals with disabilities for services and government funding. To this end, this study also tests for significant differences in PAS-CS scores across disability grades and disability types.
METHODS
A retrospective analysis was conducted using the 2014 National Survey on People with Disabilities (NSPD) data set. We selected patients with three types of disabilities (physical disabilities, brain lesions, and visual impairments). We compared the average PAS-CS scores of patients with different disability types and grades using general linear models with multiple comparisons.
RESULTS
A total of 4,810 patients were included in the analysis. Patients with brain lesions had the highest average PAS-CS scores in activities of daily living (ADL) and instrumental activities of daily living (IADL) domains. Patients with visual impairments had the highest average scores in "˜Disease-specific disability' and "˜Social-environment' domains. For patients with physical disabilities and visual impairments, no PAS-CS domains were significantly different between patients with disability grade III and those with disability grade IV (p>0.05).
CONCLUSION
The PAS-CS scores of disability grades were not equivalent among individuals with different disability types. The Korean Ministry of Health and Welfare currently only considers certain disability grades for PAS preeligibility, as a result disregarding the characteristics of different disability types. Thus, the current PAS-CS requires modifications.

Keyword

Disability evaluation; Public assistance; Social welfare; Republic of Korea

MeSH Terms

Activities of Daily Living
Brain
Classification*
Dataset
Disability Evaluation
Disabled Persons
Financial Management
Humans
Linear Models
Public Assistance
Republic of Korea
Retrospective Studies
Social Welfare
Vision Disorders

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