Models of rehabilitation medical service delivery system in the world

Soo-Yeon Kim; So Jung Kim; Yong-Il Shin

doi:10.5124/jkma.2017.60.11.875

J Korean Med Assoc > Volume 60(11); 2017 > Article

Kim, Kim, and Shin: Models of rehabilitation medical service delivery system in the world

Focused Issue of This Month

Rehabilitation medicine healthcare supply and delivery system

Journal of the Korean Medical Association 2017; 60(11): 875-884.

Published online: November 16, 2017

DOI: http://dx.doi.org/10.5124/jkma.2017.60.11.875

Models of rehabilitation medical service delivery system in the world

Soo-Yeon Kim, MD^1,²

, So Jung Kim, MD^1,²

, Yong-Il Shin, MD^1,²

¹Department of Rehabilitation Medicine, Pusan National University School of Medicine, Yangsan, Korea.

²Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.

Corresponding author: Yong-Il Shin. rmshin01@gmail.com

Received September 15, 2017 Accepted September 29, 2017

Korean Medical Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In rehabilitation medicine, differences exist in programs and facilities of rehabilitation medical services provided for the acute, subacute, and chronic phases of a disorder caused by disease or trauma. The establishment of a rehabilitation medical delivery system is important as a way of providing appropriate rehabilitation medical services according to the timing and circumstances of the onset of a condition, but the domestic rehabilitation system is insufficient. The purpose of this study was to investigate the models of rehabilitation medical service delivery in representative countries such as the United States, Japan, and the United Kingdom, and to examine the characteristics of the system of each country. Rehabilitation medical service systems vary from country to country, but each country has a unified mechanism for service linkage in order to deliver various services in an organic relationship with service users (persons with disabilities and families) and providers (government and medical facilities). It is necessary to construct a rehabilitation medical delivery system according to the circumstances in Korea based on a comparative analysis of the systems of other representative countries.

Rehabilitation medicine; Delivery of health care; Public health

Acknowledgments

This work was supported by clinical research grant in 2016 from Pusan National University Yangsan Hospital.

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Figure 1

Organization of Department of Health and Human Services. Adapted from US Department of Health and Human Services. HHS organization chart [Internet]. Washington, DC: US Department of Health and Human Services [7].

Figure 2

Developmental disorder services delivery system (California, USA). Adapted from California Department of Healthcare Services. California children's services [Internet]. Sacramento: California Department of Healthcare Services [9].

Figure 3

Intra-hospital referral model and regional inter-hospital referral model in Japan. SCU, stroke care unit. Adapted from Joa UK. A study on the guideline of regional medical rehabilitation center [Internet]. Cheongju: Korea Health Industry Development Institute; 2011 [12].

Figure 4

The community health care system of the disabled in the UK. GP, general physician.

Figure 5

Primary care trust centered on the UK's national health services. Adapted from Shin YI. The construction of continuous rehabilitation service system (primary care trust for rehabilitation) for chronic disease after discharge [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2012 [14].

Figure 6

Disability service delivery system in Australia. Adapted from Australian Society of Rehabilitation Counsellors Ltd. National Disability Insurance Scheme (NDIS) costs [Internet]. Hurlstone Park: Australian Society of Rehabilitation Counsellors Ltd [16].

Table 1

Rehabilitation medical service in US

Adapted from Yoo SJ. The utilization of participation in private health support for private expansion of rehabilitation medical services [Internet]. Cheongju: Korea Health Industry Development Institute; 2005 [8].