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Rehabilitation Practice and Science

Translated Title

2011年新制身心障礙鑑定計畫結果分析

Abstract

Purpose: This study aims to compare the differences between the levels of disability in the old system and various scores in the disability assessment in the new system. In addition, the study explores the correlation between body function, body structure, scores on the World Health Organization (WHO) Disability Assessment Schedule 2.0 (WHODAS 2.0), environmental factors, movement performance, and employment status. Methods: The study collected a total of 9446 cases from people over 18 years old with a single disability. Cases were collected from July 2011 to June 2012. The participants in the ＂Disability Assessment Instrument of the New System＂ used the new assessment form for evaluation; the evaluation items included body function, body structure, WHODAS 2.0 score, and environmental factors. Spearman’s rho was used to analyze the correlation between the levels of disability in the old system and the major assessment items in the new system. Analysis of variance was used to analyze levels of disability and differences among body functions, body structure, and WHODAS 2.0 assessment results. Spearman’s rho was used to analyze the correlations between movement performance and the average WHODAS 2.0 score, body function, and body structure. A multivariate logistic regression model was used to analyze the relative factors of employment. Results: The correlation between body function and structure in the content of different levels of disability in the old system and the disability assessment form from the year 2012 reached 0.643, and the correlation of performance with the WHODAS 2.0 score reached 0.356. The performance and ability of the WHODAS 2.0 score were significantly different. The biggest difference was found in the domain of self-care in daily living, and the smallest difference was found for getting along. The highest scores for disability difficulties were performance in participating in society and movement ability. The level of disability was positively correlated with the score for incapable condition. Movement performance was highly correlated with the WHODAS 2.0 score and reached 0.718, but was poorly correlated with body function and structure, reaching 0.124. As disabilities became more severe, the employment rate decreased. Excluding background factors and just dividing by body function and structure, the employment rate was highest for those with disabilities related to the urinary and reproductive systems. Conclusion: Body function and structure in the disability assessment form of the new system were moderately correlated with different levels of disability in the old system. Also, subjects reported that providing aids or personnel to assist in the domain of self-care in daily living resulted in significant differences between performance and ability.

Language

Traditional Chinese

First Page

31

Last Page

40

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