지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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The American Medical Association’s Guides to the Evaluation of Permanent Impairment
(Guides) has provided an useful guideline in interpreting information on permanent impairment
based on the in-depth knowledge and experience in impairment ratings accumulated
for a long period of time. Since its first publication by American Medical Association (1958), as ‘A
Guide to the Evaluation of Permanent Impairment of the Extremities and Back’, 12 additional
‘guides’ has been published by the JAMA over the next 12 years. All the guides were
consolidated to become the first official edition of the ‘Guides’ in 1971. The 'Guides' has been
updated periodically to reflect current scientific clinical knowledge and judgment methods. It has
become the best system available to evaluate permanent impairments across many disciplines.
The latest sixth edition created a “paradigm shift” in the area of the impairment assessment by
introducing a contemporary model of disablement. The standardized methods elaborated in the
sixth edition clearly enhances the relevancy of impairment ratings, improves internal consistency
of the methods and renders the application of the rating process easier. It adopts the terminology
and conceptual framework from the International Classification of Functioning, Disability and
Health in order to generate five impairment classes. A diagnosis-based grid has been developed
for each organ system. Functional history, physical findings and objective clinical test results are
integrated to determine the grade within the impairment class. The ‘Guides’ is the most widely
used source for assessing and rating permanent impairments in the United States and can be
considered as the best available method for the assessment of permanent impairment.
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