장애아동 재활서비스 지원 사업 실태 및 개선방안

Abstract

This research is to find out problems of developmental rehabilitation service which is a part of supporting status of rehabilitation service for children with disabilities by analyzing the usage status and supporting status and to suggest improvement. For this purpose, 1,535 developmental rehabilitation service providing organizations, 8,901 development rehabilitation service providers as well as 55,556 service users throughout the nation were targeted based on 5 millions of payment data made on the social service electronic voucher system of Korea Health and Welfare Information Service. In addition, the status data of 6,483 service applicants, 40,401 treatment support users as well as 659 treatment rooms were analyzed. As a result, organizations providing developmental rehabilitation service and the most common rehabilitation service was language rehabilitation service which was provided from 1,359 organizations. Average payment amount per voucher was 26,465 while annual payment amount per person was 1,649,210. Children with intellectual disability used the service the most taking 55.6% and physical treatment was used by 3,535 people (54.5%) while work treatment was used by 2,948 people (45.5%). It was shown that 80% of people which is 32,415 out of 40,401 only received the treatment support in 1 area and the rest 20% received the support in more than 2 areas. It was indicated that main issues were disagreement between developmental rehabilitation service and treatment eligibility, qualifications of service providers, dual delivery system of development rehabilitation service and treatment supporting service and difference between delivering methods of treatment support in each province. For effective operation of two systems, the improvement of coordinating methods for duplicated/similar service applicants of developmental rehabilitation service and treatment support, applicants of consolidated developmental rehabilitation service and treatment support, provision title, provision resource, law establishment for defining provision area and unification of delivery service between developmental rehabilitation service and treatment support were presented.