J Prev Med Public Health.  2006 May;39(3):263-269.

The Continuum of Rehabilitation Care and the Rehabilitation Services that are Needed by People with Severe Disabilities

• Jang SN
• Rhee S
• Kim WH
• Lee KB
• Kim S
• Lim JY

Abstract

OBJECTIVES: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. METHODS: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care. RESULTS: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. CONCLUSIONS: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

Keyword

Continuum of care; Rehabilitation; People with disability; Health services need

MeSH Terms

Activities of Daily Living
Adult
Aged
*Continuity of Patient Care
Disabled Persons/*rehabilitation
Female
*Health Services Research
Humans
Male
Middle Aged
Rural Population
Sex Factors
Socioeconomic Factors
Urban Population