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Causation and apportionment analysis of injury and physical impairment

Authors
Lee, Sang Gu
Issue Date
Aug-2018
Publisher
KOREAN MEDICAL ASSOC
Keywords
Causality; Cost allocation; Brain Injuries; Spinal Injuries
Citation
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION, v.61, no.8, pp.460 - 465
Journal Title
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION
Volume
61
Number
8
Start Page
460
End Page
465
URI
https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/3507
DOI
10.5124/jkma.2018.61.8.460
ISSN
1975-8456
Abstract
Most injury is caused by an external cause to the human body, resulting in morphological or functional disability. However, in the physical impairment related diseases, it is difficult for the disease to occur only by internal factors, and it can be said that internal factors and external factors are combined. Therefore, when the physical impairment is caused by disease, it is important to the apportionment analysis of injury to think about the cause of the physical impairment by considering both the external and internal factors. The most commonly used the apportionment guide is the "Rhim's trauma apportionment guideline" in impairment evaluation. But this guideline is often difficult to assess in certain diseases. Since the apportionment analysis of external factors can bring about a difference in degree according to the viewpoint of the assessor, the degree of the physical impairment may vary greatly depending on case by case. Especially, it is not reasonable to assess based on causal relation with common sense or emotional, and it is necessary to make rational assessment based on medical evidence and professional knowledge.
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