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Effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims.

Wind H, Gouttebarge V, Kuijer PP, Sluiter JK, Frings-Dresen MH - Int Arch Occup Environ Health (2009)

Bottom Line: Outcome measure was the difference between experimental and control group in number of shifts in the physical work ability for the total of 12 specified activities.The IPs changed their judgment about the work ability 141 times when using FCE information compared to 102 times when not using this information (P-value = 0.001), both in the direction of more and less ability.The IPs change their judgment of the physical work ability of claimants with MSDs in the context of disability claim procedures more often when FCE information is provided.

View Article: PubMed Central - PubMed

Affiliation: Academic Medical Center, Coronel Institute of Occupational Health, University of Amsterdam, Amsterdam, The Netherlands. h.wind@amc.uva.nl

ABSTRACT

Purpose: To test whether Functional Capacity Evaluation (FCE) information lead insurance physicians (IPs) to change their judgment about the physical work ability of claimants with musculoskeletal disorders (MSDs).

Methods: Twenty-seven IPs scored twice the physical work ability of two claimants for 12 specified activities, using a visual analogue scale. One claimant performed an FCE, the other served as a control. Outcome measure was the difference between experimental and control group in number of shifts in the physical work ability for the total of 12 specified activities.

Results: The IPs changed their judgment about the work ability 141 times when using FCE information compared to 102 times when not using this information (P-value = 0.001), both in the direction of more and less ability.

Conclusions: The IPs change their judgment of the physical work ability of claimants with MSDs in the context of disability claim procedures more often when FCE information is provided.

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Related in: MedlinePlus

Flow diagram of the procedure used in the study
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Fig1: Flow diagram of the procedure used in the study

Mentions: The work ability of each claimant was assessed by the IP in accordance with the statutory rules. IPs provided information about the study to claimants with MSDs who were applying for a disability benefit or continuation of a disability benefit, and who complied with the inclusion criteria. The procedure is elucidated in Fig. 1.Fig. 1


Effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims.

Wind H, Gouttebarge V, Kuijer PP, Sluiter JK, Frings-Dresen MH - Int Arch Occup Environ Health (2009)

Flow diagram of the procedure used in the study
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2746897&req=5

Fig1: Flow diagram of the procedure used in the study
Mentions: The work ability of each claimant was assessed by the IP in accordance with the statutory rules. IPs provided information about the study to claimants with MSDs who were applying for a disability benefit or continuation of a disability benefit, and who complied with the inclusion criteria. The procedure is elucidated in Fig. 1.Fig. 1

Bottom Line: Outcome measure was the difference between experimental and control group in number of shifts in the physical work ability for the total of 12 specified activities.The IPs changed their judgment about the work ability 141 times when using FCE information compared to 102 times when not using this information (P-value = 0.001), both in the direction of more and less ability.The IPs change their judgment of the physical work ability of claimants with MSDs in the context of disability claim procedures more often when FCE information is provided.

View Article: PubMed Central - PubMed

Affiliation: Academic Medical Center, Coronel Institute of Occupational Health, University of Amsterdam, Amsterdam, The Netherlands. h.wind@amc.uva.nl

ABSTRACT

Purpose: To test whether Functional Capacity Evaluation (FCE) information lead insurance physicians (IPs) to change their judgment about the physical work ability of claimants with musculoskeletal disorders (MSDs).

Methods: Twenty-seven IPs scored twice the physical work ability of two claimants for 12 specified activities, using a visual analogue scale. One claimant performed an FCE, the other served as a control. Outcome measure was the difference between experimental and control group in number of shifts in the physical work ability for the total of 12 specified activities.

Results: The IPs changed their judgment about the work ability 141 times when using FCE information compared to 102 times when not using this information (P-value = 0.001), both in the direction of more and less ability.

Conclusions: The IPs change their judgment of the physical work ability of claimants with MSDs in the context of disability claim procedures more often when FCE information is provided.

Show MeSH
Related in: MedlinePlus