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Disability and Impairment Management - Coggle Diagram
Disability and Impairment Management
Social security
Definition
protection against economic and social distress
sickness, maternity, employment injury, unemployment, invalidity, old-age and death
History
1971
started first malaysian social security secheme
Self employment social security act
2017
(Act 789) - effective since 1 Jun 2017
2018
- Employment insurance scheme under SSO (Act 800)
2019 - Social protection extended to forign workers
June 2021 - Social security coverage for domestic workers such as maids, gardeners etc.
Wage subsidy program during Covid-19 loackdown
Core principles
Solidarity fund
Replacement of income
Social Justice
SSO
8.2 millions employees under 437,060 employers
RM 1.164 billion in compensation for industrial accidents per year
RM 2.187 billion in compensation for invalidity pension secheme
Employment Injury and Invalidity Pension Schemes
Employment Injury Scheme
Rate of contribution - 1.25 percentatge of employee's monthly wage
Paid solely by employer
No age factor limit - No minimum controbution
Benefits: medical benfits, temporary disability benefit, permanent disability benefit and dependednts benefit
Invalidity Pernsion Scheme
Rate of contribution 1% of monthly wages
Equally shared between employer and employee
Age factor - YES - Maximum 60 years
Befefits: Invalidity pension, Invalidity grant and survivors pension
Impairment assessment
Ideal - standardized, uniform, objective, evidance-based and functinonal.
AMA Guide to the evaluvation of permanemnt inpairment (6th edtion)
Impairment not equal to disability - what we do is impairment assessment NOT diability
4 basic points: what is the problum? -- What symptoms - What are the physical findings - What are the results of clinical studies?
ICF Model of Disablement - 3 components - actvitity - body function andf participation
Most of the impairment ratelings are based on
diagnosis-based impairment
- history of clinical presentation, physical examinations and investigations
Disability Management
`Intro
Need a comprehensive plan
Many professionals have to collaborate
Why
Best measure for healthcare outcome
Benefits for employee
Benfefits for employer
Benefits for SSO
Biopsycosocial interventintion - Physical | Psycological and Sociak interventation