J Korean Med Assoc.  2017 Nov;60(11):875-884. 10.5124/jkma.2017.60.11.875.

Models of rehabilitation medical service delivery system in the world

• Kim SY
• Kim SJ
• Shin YI

• KMID: 2395593
• DOI: http://doi.org/10.5124/jkma.2017.60.11.875

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.

Keyword

Rehabilitation medicine; Delivery of health care; Public health

MeSH Terms

Delivery of Health Care
Great Britain
Japan
Korea
Public Health
Rehabilitation*
United States

Figure

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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].

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  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].

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  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].

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  Figure 4 The community health care system of the disabled in the UK. GP, general physician.

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  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].

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  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].

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