Quality of work incapacity assessment in the Swiss disability insurance system.

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State: Public
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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_5305
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Quality of work incapacity assessment in the Swiss disability insurance system.
Journal
International Journal for Quality in Health Care
Author(s)
Cassis I., Dupriez K., Burnand B., Vader J.P.
ISSN
1353-4505
ISSN-L
1353-4505
Publication state
Published
Issued date
1996
Peer-reviewed
Oui
Volume
8
Number
6
Pages
567-575
Language
english
Abstract
Quality of medical assessment of work incapacity has been poorly investigated, despite the enormous costs engendered by transient incapacity of work and permanent disability. This study examined some indices of quality from a stratified, random sample (n = 120) of assessments performed by expert assessors of the Swiss disability insurance. The distribution of work incapacity (WI) percentages over a 100% scale showed a clustering around key values significantly associated with financial disability benefits. The precision of WI, expressed as the level of quantitative exactness, was found to be high in 74% (95% CI: 66-82%) of current WI assessments, and in 62% (95% CI: 53-71%) of maximal WI assessments. Disagreement was observed in 17% of cases when comparing two ways of expressing WI by the same physician (95% CI: 10-23%). This exploratory study is limited by the general lack of objective criteria and standards. Further theoretical and empirical developments are needed to determine standardized criteria and clear guidelines for medical assessments of WI, as well as for evaluating their quality.
Keywords
Adult, Disability Evaluation, Eligibility Determination, Female, Humans, Male, Middle Aged, Observer Variation, Practice Guidelines as Topic, Quality Assurance, Health Care, Reproducibility of Results, Retrospective Studies, Switzerland, Workers' Compensation
Pubmed
Web of science
Open Access
Yes
Create date
19/11/2007 13:41
Last modification date
25/09/2019 7:09
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