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Background and Objectives:Disability in hearing impairment represents not only an increase in hearing threshold level, but also unmeasurable subjective discomfort to patients. Until now, several guidelines for quantitative asesment of disability of hearing impairment have been offered. In Korea, laws for industrial accident compensation insurance (IACI) and disabled persons welfare (DPW), and guidelines proposed by American Medical Asociation (AMA) were frequently used to asses the t among the diferent guidelines and laws. The purposes of this study were to compare these guidelines and look for the problems and to sugest a plan for the improvement in the objective asesment of disability in hearing impaired patients. Materials and Method:The grades of Korean laws for IACI and DPW were converted into the impairment percentage rates used in the AMA guideline. We compared inter-guideline and inter-grade diferences in impairment percentage rates. Results:We found several problematic areas in the grades of IACI and there were some diferences in the understanding of the degre of disability in hearing impairment between guideline of the Korean laws and foreign guidelines. Conclusion:Some changes are needed to be made in the guidelines for disability asesment in the Korean laws for IACI and DPW. Modification of the current grading ive and balanced asesment of the disability of hearing impaired patients. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ; 50 :876-81)

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