ABSTRACT

Objective: The purpose of this study is to make a large amount of informations intelligible regarding AT service system of four different countries. Results: AT specialist fostered is approximately 4,100 for US, 1,000 for Japan, and 1,200 for Korea. In case of Australia, several health-care professionals including about 19,000 occupational therapists are authorized to provide AT service. The first legislation of AT act is 1988 for US, 1993 for Japan, and 2015 for Korea. Australia does not have AT act. In general, US, Japan, Korea takes national governing but Australia takes state & local governing for the AT service system. The type of AT service delivery system can be classified as fallow; ‘payer-specialist centered’ for USA, ‘provider-mediator centered’ for Japan, ‘specialist-client centered’ for Australia, and ‘provider-payer centered’ for Korea. Conclusion: Compare to other advanced countries, AT service system of Korea has weakness in terms of supply, accessability and professionality of service. Since the service delivery system of Korea is strongly focused administrative function, it is needed to strengthen the executive function more.