J Korean Med Sci.  2009 May;24(Suppl 2):S227-S231. 10.3346/jkms.2009.24.S2.S227.

Disability Evaluation in Japan

• Suzuki T

• KMID: 1713806
• DOI: http://doi.org/10.3346/jkms.2009.24.S2.S227

Abstract

To examine the current state and social ramifications of disability evaluation in Japan, public data from Annual Reports on Health and Welfare 1998-1999 were investigated. All data were analyzed based on the classification of disabilities and the effects of age-appropriate welfare services, which have been developed through a half-century of legislative efforts to support disability evaluation. These data suggest that disability evaluation, while essentially affected by age and impairment factors at a minimum, was impacted more by the assistive environment for disabilities. The assistive environment was found to be closely linked with the welfare support system related to a global assessment in the field of community-based rehabilitation.

Keyword

Disability Evaluation; Welfare Support; Community-based Rehabilitation (CBR)

MeSH Terms

Adolescent
Adult
Age Factors
Aged
Child
Child, Preschool
Community Health Services/economics
*Disability Evaluation
Disabled Persons/classification/rehabilitation
Female
Humans
Infant
Infant, Newborn
Japan
Male
Middle Aged
Social Support
Social Welfare

Figure

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  Fig. 1 Practical activities of daily life (ADL).

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  Fig. 2 The population pyramid in Japan. Sources: 2025, National Institute of Population and Social Security Research "Population Projection for Japan (estimated January 1997)"; 1998, Management and Coordination Agency "Population Projection" as of October 1, 1998. □ represents the figures for 1998 and ▒ represents the figures for 2025.

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  Fig. 3 Definition of community-based rehabilitation (CBR) in Japan.

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  Fig. 4 Framework of CBR (rehabilitation resource+system).

Reference

1. The Japanese Association of Rehabilitation Medicine. About ADL evaluation. Jpn J Rehabil Med. 1976. 13:31–33.

2. Hachisuka K. Status of assessment scale in rehabilitation medicine. Rehabilitation Igakuhakusho. 2003. 58–63.

3. Ministry of Health, Labor and Welfare in Japan. Outline of the Systems and Basic Statistics in Annual Reports on Health and Welfare 1998-1999 Social Security and National Life from white paper and reports. 2007. Volume 2-II:[e-mail].