{
  "abstract": "Objectives We aimed to examine a critical gap by comparing the content of the two national disability reporting systems in Turkey: a medical model-based ‘Disability eligibility report (ESKR which was valid till 2019)’ with the World Health Organization International Classification of Functioning, Disability and Health (ICF)-based ‘Report for children with special needs (COZGER)’.Methods In a retrospective design, this study recruited ESKRs from the first four months of 2016 and COZGERs from the first four months of 2023 that were reported from Ankara University School of Medicine Department of Pediatrics and compared.Results The sample included 566 children (36.2% girls) with 289 (51.1%) COZGER and 277 (48.9%) ESKR reports. The median age of children who had COZGER was 77.0 (min-max:1-203) months and was significantly lower than those with ESKR (median:88.0 min-max:1-255), p=0.001. COZGER incorporated 49 pediatric-specific diagnoses that were not included in the ESKR regulation such as child metabolism, immunology, and genetics. The identification rate of high-level special needs that enables the child and the family the most extended financial and social rights and benefits was 50.7% in COZGER system which was significantly higher than 22.4% in ESKR system (p=0.001).Conclusions Our results imply that the COZGER assessment provided rights and benefits to children with special needs at earlier age, with more coverage of children with chronic diseases and more eligibility for social rights when compared to ESKR and offer potential implications for other low- and middle-income countries.",
  "authors": [
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Ayse Akkus"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Ezgi Ozalp Akin"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Bahar Bingoler Pekcici"
    }
  ],
  "title": "175 Comparison of medical model and ICF-based reports for children with special needs in serving the children and the families",
  "uid": "9ce96295-0066-5cc9-bc72-cb87bd636295"
}