Issues of Disability Evaluation -Difficulties, Inappropriateness and Proposals-

Kim, Bu Hwan; Yi, Seung Rim

doi:10.5124/jkma.2009.52.6.558

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…'The Korean Pain Society - IME Workshop 2009' was inspirational and such workshops should be continuously hosted in the future. Third, the time and effort put into writing up an IME should be properly compensated [ 9 ]. As of now, only a small fee is charged for the physical examination in an IME report, but physicians require a rectification of this system.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of the Independent Medical Examination Reports and Legal Decisions in Pain Medicine

et al. 2010

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BackgroundAn independent medical examination (IME) is a critical process for awarding reparation for injury. However, conducting an IME in pain medicine is very difficult, not only because pain is a subjective symptom, but also because there are no proper objective methods to demonstrate it. This study was conducted to compare IME reports and the court decisions on the disability status of the patients.MethodsWe analyzed 79 IME reports and 25 corresponding court decisions on the disability status of patients. The diagnoses, causal relationships between the patients' status and the trauma, McBride's degree of disability, the American Medical Association's impairment ratings, the estimated annual cost for future treatment, and the necessity of care-giving were compared and analyzed.ResultsThe diagnoses in the 79 cases were complex regional pain syndrome (CRPS) type I (58 cases), CRPS type II (7 cases), peripheral neuropathy (5 cases), myofascial pain syndrome (4 cases), herniated intervertebral disc (2 cases), and fibromyalgia (1 case). The types of accidents were road traffic accidents (50 cases), military injuries (14 cases), industrial accidents (11 cases), and others (4 cases). The IME reports and the court decisions stated considerably different McBride's degrees of disability (P = 0.014). However, there was no significant difference in the estimated cost for future treatment between the IME reports and the court decisions (P = 0.912).ConclusionsIME reports should be accurate, fair, and based on objective findings. Feedback on IMEs from the court decisions is helpful for reference use.

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Section: Discussionmentioning

confidence: 99%

Comparative Analysis of the Independent Medical Examination Reports and Legal Decisions in Pain Medicine

et al. 2010

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“…[ 5 – 7 ] Traumatic VCFs also showed the progression of vertebral collapse in studies involving long-time follow-up. [ 4 , 8 ] Six months after the onset is the minimum duration required before a disability certificate can be issued in several countries; [ 9 – 11 ] it is also the criterion for distinguishing short-term and long-term disability. [ 12 – 14 ] However, it was not reported that changes of traumatic VCFs in the first 6 months were significant enough to justify the waiting of six months for a disability certificate.…”

Section: Introductionmentioning

confidence: 99%

Natural changes of traumatic vertebral compression fractures during the first 6 months in patients visiting for disability certificates

Bae¹,

Suh²,

Kim³

et al. 2021

Medicine

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To identify the natural changes of traumatic vertebral compression fractures during the first six months in patients visiting for disability certificates after conservative treatment. Data of patients who visited the rehabilitation medicine department of a university hospital for disability certificates concerning traumatic vertebral compression fractures from 2015 to 2018 were reviewed. Those who visited 180 to 210 days after injuries were included, and those who received invasive procedures for compression fractures were excluded. The anterior and posterior heights, local kyphotic angle of compression fractures, and upper and lower vertebrae on initial and follow-up images were measured and compared. Compression ratio was calculated by vertebral body compression ratio and anterior vertebral body compression percentage. Thoracic and lumbar traumatic fractures were also compared. Among 110 patients, 61 patients met the criteria. After six months, the anterior height of compression fractures decreased more than 4 mm, which implies the development of new compression fractures. The compression ratio and local kyphotic angle increased significantly without affecting the upper and lower vertebrae. Thoracic and lumbar compression fractures showed similar changes. Traumatic vertebral compression fractures change significantly during the first six months. This study could warrant 6 months of waiting for issuance of disability certificates for patients with traumatic vertebral compression fractures.

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“…In Korea, persons with disability undergo two steps of disability registration process that includes specialized medical examinations and subsequent medical advisory meetings for disability assessment (M. . Also, in practical clinical settings, determining disability status is a time-consuming endeavor, compounded by the diversity in criteria for disability assessment and the escalating complexity of documentation requirements (B.-H. Kim & Yi, 2009). Such system barriers along with social and cultural obstacles characterized by ableism place a substantial burden on individuals with disabilities.…”

mentioning

confidence: 99%

“…Kim et al, 2023). Also, in practical clinical settings, determining disability status is a time-consuming endeavor, compounded by the diversity in criteria for disability assessment and the escalating complexity of documentation requirements (B.-H. Kim & Yi, 2009). Such system barriers along with social and cultural obstacles characterized by ableism place a substantial burden on individuals with disabilities.…”

mentioning

confidence: 99%

Estimating anticipatory, immediate, and delayed effects of disability registration on depressive symptoms.

Park,

Namkung,

Kim

2024

Rehabilitation Psychology

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Issues of Disability Evaluation -Difficulties, Inappropriateness and Proposals-

Cited by 4 publications

References 3 publications

Comparative Analysis of the Independent Medical Examination Reports and Legal Decisions in Pain Medicine

Comparative Analysis of the Independent Medical Examination Reports and Legal Decisions in Pain Medicine

Natural changes of traumatic vertebral compression fractures during the first 6 months in patients visiting for disability certificates

Estimating anticipatory, immediate, and delayed effects of disability registration on depressive symptoms.

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