Edorium Journal of

Disability and Rehabilitation

 
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Original Article
 
The role of European physicians in the assessment of work disability: A comparative study
Annette E. de Wind1,2, Peter Donceel†1, Patricia M. Dekkers-Sánchez2, Lode Godderis1,3
1Environment and Health, Department of Public Health and Primary Care, KU Leuven University, Leuven.
2Department of Social Medical Affairs, Dutch Employee Insurance Agency (UWV), Rotterdam, the Netherlands.
3IDEWE, external service for prevention and protection at work, Heverlee, Belgium.

Article ID: 100014D05AW2016
doi:10.5348/D05-2016-14-OA-10

Address correspondence to:
Annette E. de Wind
KU Leuven University
Environment and Health, Department of Public Health and Primary Care
Kapucijnenvoer 35/5, Leuven
Belgium, 3000

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How to cite this article
de Wind AE, Donceel† P, Dekkers-Sánchez PM, Godderis L. The role of European physicians in the assessment of work disability: A comparative study. Edorium J Disabil Rehabil 2016;2:78–87.


Abstract
Aims: The aim of this study was to describe and compare the role and tasks of the physicians involved in the medical assessment which takes place at the transition from short-term to long-term work disability in the 14 European countries as well as the required knowledge, skills and competencies to carry out those tasks.
Methods: We organized a multi-stage research model consisting of written information, an expert group meeting and data analysis (from 14 European countries), using both Donabedian's triad model and the CanMEDS framework.
Results: Most of the resources and information the physician has available at the start of the assessment, concurs. Some of the resources are only in some countries specific for insurance medical assessments. The process steps are more or less comparable in the participating countries as is the output. Set against the CanMEDS framework the physician, while carrying out the long-term work disability assessment fulfils all the roles to a greater or lesser extent.
Conclusion: Most of the input and structure in this survey concur and although there are differences, so do process and output. Despite the difference in degree to which the CanMEDS roles are fulfilled, depending on the national legislation and operationalization of the assessment, we can conclude that physicians in all countries need to have all seven CanMEDS roles when carrying out the assessment of long-term work disability. Physicians require specific knowledge, skills and competencies, in addition to general medical knowledge, skills and competencies.

Keywords: Competencies, Disability assessment, European social security, Insurance medicine


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Author Contributions:
Annette E. de Wind – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Peter Donceel† – Substantial contribution to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Patricia M. Dekkers-Sánchez – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Lode Godderis – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Annette E. de Wind et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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