Models of rehabilitation medical service delivery system in the world

Article information

J Korean Med Assoc. 2017;60(11):875-884

Publication date (electronic) : 2017 November 16

doi : https://doi.org/10.5124/jkma.2017.60.11.875

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 2017 September 15; Accepted 2017 September 29.

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.

Keywords: 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.

References

1. World Health Organization. World health report 2000: health systems: improving performance Albany: World Health Organization; 2000.

2. Frier A, Barnett F, Devine S. The relationship between social determinants of health, and rehabilitation of neurological conditions: a systematic literature review. Disabil Rehabil 2017;39:941–948.

3. Gutenbrunner C, Nugraha B. Principles of assessment of rehabilitation services in health systems: learning from experiences. J Rehabil Med 2017;06. 28. [Epub]. 10.2340/16501977-2246.

4. Gutenbrunner C, Bickenbach J, Kiekens C, Meyer T, Skempes D, Nugraha B, Bethge M, Stucki G. ISPRM discussion paper: proposing dimensions for an International Classification System for Service Organization in Health-related Rehabilitation. J Rehabil Med 2015;47:809–815.

5. Kim K, Kang K, Lee M. Current status of use and satisfaction with family support services for families of children with disabilities. Spec Educ Res 2016;15:205–229.

6. Massof RW, Lidoff L. Issues in low vision rehabilitation: service delivery, policy, and funding New York: AFB Press; 2001.

7. US Department of Health and Human Services. HHS orga-nization chart [Internet] Washington, DC: US Department of Health and Human Services; cited 2017 Oct 30. Available from: https://www.hhs.gov/about/agencies/orgchart/index.html.

8. Yoo SJ. The utilization of participation in private health support for private expansion of rehabilitation medical services [Internet] Cheongju: Korea Health Industry Development In- stitute; 2005. cited 2017 Oct 30. Available from: http://www.ndsl.kr/ndsl/search/detail/report/reportSearchResultDetail.do?cn=TRKO201100002624.

9. California Department of Healthcare Services. California children's services [Internet] Sacramento: California Depart-ment of Healthcare Services; cited 2017 Oct 30. Available from: http://www.dhcs.ca.gov/services/ccs/Pages/default.aspx.

10. Kim BS. Study on development of referral system for medical rehabilitation Seoul: National Rehabilitation Center; 2004.

11. Ministry of Health. Labour and Welfare. Health care and welfare measures for people with physical disabilities Tokyo: Ministry of Health; Labour and Welfare; cited 2017 Oct 30. Available from: http://www.mhlw.go.jp/english/policy/care-welfare/welfare-disabilities/index.html.

12. Joa UK. A study on the guideline of regional medical rehabilitation center [Internet] Cheongju: Korea Health Industry Development Institute; 2011. cited 2017 Oct 30. Available from: http://www.ndsl.kr/ndsl/search/detail/report/reportSearchResultDetail.do?cn=TRKO201600011576.

13. Murray J, Ashworth R, Forster A, Young J. Developing a primary care-based stroke service: a review of the qualitative literature. Br J Gen Pract 2003;53:137–142.

14. 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. cited 2017 Oct 30. Available from: http://cdc.go.kr/CDC/cms/content/mobile/40/20640_view.html.

15. Healthcare for London. Stroke rehabilitation guide: supporting London commissioners to commission quality services in 2010/11 [Internet] London: Healthcare for London; cited 2017 Oct 30. Available from: http://www.londonprogrammes.nhs.uk/wp-content/uploads/2011/03/Acute-Stroke-Rehabilitation-Guide.pdf.

16. Australian Society of Rehabilitation Counsellors Ltd. National Disability Insurance Scheme (NDIS) costs [Internet] Hurlstone Park: Australian Society of Rehabilitation Counsellors Ltd; cited 2017 Oct 30. Available from: https://www.asorc.org.au/news/national-disability-insurance-scheme-ndis-costs.

17. Thylefors I, Price E, Persson TO, von Wendt L. Teamwork in Swedish neuropaediatric habilitation. Child Care Health Dev 2000;26:515–532.

Article information Continued

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.

Funded by : Pusan National University Yangsan Hospital

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].