J Korean Med Assoc.  2024 Dec;67(12):781-787. 10.5124/jkma.2024.67.12.781.

Improvement strategies for accessibility and quality of rehabilitation medicine through a Korea-Japan comparative study

• Shin Y
• Kim KH
• Woo B
• Kang J

• KMID: 2563314
• DOI: http://doi.org/10.5124/jkma.2024.67.12.781

Abstract

Background
Rehabilitation medicine in Korea has improved significantly; however, the rehabilitation medical delivery system still lacks well-established continuity and comprehensiveness. Since 2000, Japan has implemented a convalescent rehabilitation ward system, with continuous improvements in policies and criteria based on clinical needs. This study compared the rehabilitation systems of Korea and Japan, focusing on institutional standards and the scope of target patients in order to explore directions for enhancing the Korean system.
Current Concepts
Japan applies a multi-tiered reporting system for rehabilitation wards, categorizing wards and adjusting reimbursements based on performance indicators such as functional improvement rates, discharge-tohome rates, and rehabilitation effectiveness indices. Additionally, Japan’s policies encompass a broad range of target diseases and flexible admission criteria, improving accessibility. In Korea, the scope of target diseases is relatively narrow, limiting opportunities for patients to receive appropriate rehabilitation treatment.
Discussion and Conclusion
Korea could benefit from adopting a multitiered system and performance-based reimbursement structure, as seen in Japan’s model. Expanding the range of eligible conditions and reviewing certification requirements can enhance the accessibility and quality of rehabilitation services. These changes are expected to foster an environment in which patients can receive timely and comprehensive rehabilitation care, thereby facilitating physical recovery and reintegration into society.

Keyword

Convalescence; Delivery of health care; Physical and rehabilitation medicine; Japan; Republic of Korea; 회복기; 의료전달체계; 재활; 일본; 한국