TITLE

Medico-legal reasoning in disability assessment: a focus group and validation study

AUTHOR(S)
de Boer, W. E. L.; Donceel, P.; Brage, S.; Rus, M.; Willems, J. H. B. M.
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p335
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Decisions on disability pensions are based, among others, on medical reports. The way these medical assessments are performed is largely unclear. The aim of the study was to determine which grounds are used by social insurance physicians (SIPs) in these assessments and to determine if the identification of these grounds can help improve the quality of assessments in social insurance practice. The article describes a focus group study and a questionnaire study with SIPs in four different countries. Method: Using focus group discussions of SIPs discussing the same case in Belgium, the Netherlands, Norway and Slovenia (N = 29) we determined the arguments and underlying grounds as used by the SIP's. We used a questionnaire study among other SIPs (N = 60) in the same countries to establish a first validation of these grounds. Results: Grounds in the focus groups were comparable between the countries studied. The grounds were also recognized by SIPs who had not participated in the focus groups. SIPs agreed most on grounds with regard to the claimant's health condition, and about the claimant's duty to explore rehabilitation and work resumption, but less on accepting permanent incapacity when all options for treatment were exhausted. Conclusion: Grounds that SIPs use refer to a limited group of key elements of disability evaluation. SIPs interpret disability in social insurance according to the handicapped role and strive at making their evaluation fair trials. ICF is relevant with regard to the health condition and to the process of evaluation. Identification of grounds is a valuable instrument for controlling the quality of disability evaluation. The grounds also appear to be internationally comparable which may enhance scientific study in this area.
ACCESSION #
51485983

 

Related Articles

  • Disability Insurance Trust Fund, 1970-2003.  // World Almanac & Book of Facts;2005, p488 

    The article presents a tabular information on the disability insurance trust fund for the period 1970-2003 in the United States.

  • The Erosion of Retiree Health Benefits and Retirement Behavior: Implications for the Disability Insurance Program. Birschel, Dee // Benefits Quarterly;2002 Second Quarter, Vol. 18 Issue 2, p93 

    The article presents an abstract of the paper "The Erosion of Retires Health Benefits and Retirement Behavior: Implications for the Disability Insurance Program," by Paul Fronstin, previously published in the September 2001 issue of the journal "Social Security Bulletin." Retiree health...

  • Researchers Find Confusion Lingers In U.S. Disability Market. Bell, Allison // National Underwriter / Life & Health Financial Services;2/25/2008, Vol. 112 Issue 7, p20 

    The article reports on the confusing structure of the private disability insurance system in the U.S. According to researchers, the system could mislead some workers to think they have more long-term disability coverage than they have. Disability insurers have been trying on their own and...

  • Give Staff A Safety Net.  // Credit Union Magazine;Aug2008, Vol. 74 Issue 8, p52 

    The article offers information on the benefits of disability insurance plans in the U.S. Such insurance plans pays a percentage of an employee's income during serious injury or sickness, gives staff a safety net during hard times, and helps credit unions recruit and retain top employees. It...

  • Overcoming Objections to DI. Dulisse, Richard A. // Advisor Today;Nov2003, Vol. 98 Issue 11, p18 

    Focuses on the interest of consumers to invest on the disability income (DI) insurance in the U.S. Factors that hinder prospective clients to purchase DI coverage in their plans; Necessity to provide information among people on the probabilities of long-term disability suffering in the later...

  • Disability insurance market showing signs of improvement in recent years. J., John; Grande, Traudy F. // Ophthalmology Times;6/1/2004, Vol. 29 Issue 11, p54 

    Provides advice to physicians in purchasing additional disability insurance. Opportunity to buy excess disability; Types of available coverage; Catastrophic illness coverage; Disability definitions; Characteristics of endophthalmitis.

  • Placing DI Coverage In The Medically Impaired Market. Bill Marshall // National Underwriter / Life & Health Financial Services;9/4/2006, Vol. 110 Issue 33, p44 

    The article focuses on the placement of disability insurance (DI) in the medically impaired market. The two issues in proposing DI first, the person should qualify for the health and second is, to consider among products the price of the plan. It is important to proposed the maximum program for...

  • SSA Disability: Other Programs May Provide Lessons for Improving Return-to-Work Efforts: T-HEHS-00-151. Bovbjerg, Barbara D. // GAO Reports;7/13/2000, p1 

    More than $4 billion in cash benefits is paid to disabled people each month under the Disability Insurance program (DI). The number of program beneficiaries has risen by 67 percent during the last 15 years, benefit payments have nearly tripled, and the DI trust fund is projected to be insolvent...

  • Employees underestimate chances of disability. Elswick, Jill // Employee Benefit News;2/1/2005, Vol. 19 Issue 2, p20 

    Reports on the results of a survey conducted by America's Health Insurance Plans on the concerns of employees on disability risk. Number of workers who might be disabled for three months during their careers; Percentage of the workers who have disability insurance; Causes of disability among...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics