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Evaluating Korean Personal Assistance Services Classification System.

Mi Jung Lee1,2, Sergio Romero1,2, Ickpyo Hong3

  • 1Department of Occupational Therapy, University of Florida, Gainesville, FL, USA.

Annals of Rehabilitation Medicine
|November 9, 2018
PubMed
Summary
This summary is machine-generated.

The Personal Assistance Services classification system (PAS-CS) shows varying scores across disability types and grades. Current government funding criteria for disability services need modification to account for these differences.

Keywords:
Disability evaluationPublic assistanceRepublic of KoreaSocial welfare

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Area of Science:

  • Disability Studies
  • Health Services Research
  • Social Policy

Background:

  • The Personal Assistance Services classification system (PAS-CS) is used to assess individuals with disabilities for services and government funding.
  • Understanding score variations within PAS-CS across different disability types and grades is crucial for equitable service allocation.

Purpose of the Study:

  • To evaluate the utility of the PAS-CS for individuals with disabilities seeking services and government funding.
  • To test for significant differences in PAS-CS scores based on disability grades and types.

Main Methods:

  • A retrospective analysis of the 2014 National Survey on People with Disabilities (NSPD) data set.
  • Inclusion of patients with physical disabilities, brain lesions, and visual impairments.
  • Comparison of average PAS-CS scores using general linear models with multiple comparisons across disability types and grades.

Main Results:

  • 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 scored highest in 'Disease-specific disability' and 'Social-environment' domains.
  • No significant PAS-CS domain differences were found between disability grade III and IV for physical disabilities and visual impairments (p>0.05).

Conclusions:

  • PAS-CS scores are not equivalent across different disability types and grades.
  • Current Korean Ministry of Health and Welfare preeligibility criteria for PAS disregard disability type characteristics.
  • The PAS-CS requires modifications to ensure equitable assessment and funding for individuals with diverse disabilities.