Needs for Medical and Rehabilitation Services in Adults With Cerebral Palsy in Korea
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective To investigate medical comorbidities and needs for medical and rehabilitation services of adults with cerebral palsy (CP) in Korea.Methods This was a prospective cross-sectional study. One hundred fifty-four adults with CP were enrolled in the study between February 2014 and December 2014. Information was obtained from participants regarding functional status, demographic and socioeconomic data, medical problems, and requirements for and utilization of medical and rehabilitation services.Results The participants included 93 males and 61 females with a mean age of 40.18±9.15 years. The medical check-up rate of adults with CP was lower than that of healthy adults and the total population with disabilities (53.2% vs. 58.6% vs. 70.4%). A quarter of the subjects failed to visit the hospital during the past year, and the main reason was the financial burden. Due to a cost burden and lack of knowledge, more than one-third of the subjects had unmet needs for rehabilitation services; the majority reported needs for rehabilitation services, such as physical therapy for pain management.Conclusion The medical check-up rate was lower in the adults with CP, even though their medical comorbidities were not less than those of healthy people. Several non-medical reasons hindered them from receiving proper medical and rehabilitation services. Such barriers should be managed effectively.
Abstract
Objective To investigate medical comorbidities and needs for medical and rehabilitation services of adults with cerebral palsy (CP) in Korea.Methods This was a prospective cross-sectional study. One hundred fifty-four adults with CP were enrolled in the study between February 2014 and December 2014. Information was obtained from participants regarding functional status, demographic and socioeconomic data, medical problems, and requirements for and utilization of medical and rehabilitation services.Results The participants included 93 males and 61 females with a mean age of 40.18±9.15 years. The medical check-up rate of adults with CP was lower than that of healthy adults and the total population with disabilities (53.2% vs. 58.6% vs. 70.4%). A quarter of the subjects failed to visit the hospital during the past year, and the main reason was the financial burden. Due to a cost burden and lack of knowledge, more than one-third of the subjects had unmet needs for rehabilitation services; the majority reported needs for rehabilitation services, such as physical therapy for pain management.Conclusion The medical check-up rate was lower in the adults with CP, even though their medical comorbidities were not less than those of healthy people. Several non-medical reasons hindered them from receiving proper medical and rehabilitation services. Such barriers should be managed effectively.
참고문헌 (13)
- Rosenbaum P, "A report: the definition and classification of cerebral palsy April 2006", Dev Med Child Neurol Suppl, 109, pp.8~14 (2007)
- Kirby RS, "Prevalence and functioning of children with cerebral palsy in four areas of the United States in 2006: a report from the Autism and Developmental Disabilities Monitoring Network", Res Dev Disabil, 32, pp.462~469 (2011)[DOI]
- Park MS, "Prevalence and lifetime healthcare cost of cerebral palsy in South Korea", Health Policy, 100, pp.234~238 (2011)[DOI]
- Hemming K, "Long-term survival for a cohort of adults with cerebral palsy", Dev Med Child Neurol, 48, pp.90~95 (2006)[DOI]
- Murphy KP, "Medical and functional status of adults with cerebral palsy", Dev Med Child Neurol, 37, pp.1075~1084 (1995)
- Bottos M, "Functional status of adults with cerebral palsy and implications for treatment of children", Dev Med Child Neurol, 43, pp.516~528 (2001)[DOI]
- Bax MC, "Health care of physically handicapped young adults", Br Med J (Clin Res Ed), 296, pp.1153~1155 (1988)[DOI]
- Thomas A, "The health and social needs of young adults with physical disabilities", pp.60~69 (1989), Mac Keith Press
- Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2), "Ministry of Health", Ministry of Health and Welfare, ~ (2015)
- 2011 National survey on persons with disabilities, "Kim SH", Ministry of Health and Welfare, ~ (2011)
- Andersson C, "Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotion", Dev Med Child Neurol, 43, pp.76~82 (2001)[DOI]
- Jahnsen R, "Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional rating", Dev Med Child Neurol, 48, pp.734~738 (2006)[DOI]
- Sandstrom K, "Descriptions of functioning and health and relations to a gross motor classification in adults with cerebral palsy", Disabil Rehabil, 26, pp.1023~1031 (2004)[DOI]