Quality assessment of a randomly selected sample of Swiss medical expertises - a pilot study

Stöhr, Susanna; Bollag, Yvonne; Auerbach, Holger; Eichler, Klaus; Imhof, Daniel; Fabbro, Thomas; Gyr, Niklaus

doi:10.4414/smw.2011.13173

Cited by 9 publications

(11 citation statements)

References 2 publications

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“…Critics across Europe have pointed to the lack of reliability and transparency in disability evaluation [1][2][3][4][5][6], with the heterogeneous presentation of findings in the medical reports being one of the reasons. When confronted with similar challenges a decade ago, the international rehabilitation community has started to picture the situation of people with disability by using the International Classification of Functioning, Disability and Health (ICF) [7].…”

Section: Introductionmentioning

confidence: 99%

Reporting about disability evaluation in European countries

Anner

Kunz

Boer

2013

Disability and Rehabilitation

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Official requirements on medical reporting about disability in social insurance across Europe follow the frame of four features: work capacity, socio-medical history, feasibility of intervention and prognosis of disability. There is an increasing trend to make formal or informal reference to the ICF in the reports about working capacity. The four features and the ICF may provide common references across countries to describe disability evaluation, facilitating national and international research. Implications for Rehabilitation Reporting about disability in social insurance in different countries is about work capacity, social medical history, feasibility of intervention and prognosis of disability. Formats of reporting on work capacity vary among countries, from free text to semi-structured report forms to fully structured and scaled report forms of working capacity. The ICF could serve as a reference for describing work capacity, provided the ICF contains all necessary categories.

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Section: Introductionmentioning

confidence: 99%

Reporting about disability evaluation in European countries

Anner

Kunz

Boer

2013

Disability and Rehabilitation

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“…In a pilot study of expert medical assessments submitted to Swiss accident, disability, and liability insurance agencies in 2008, 20% of a random sample of 97 assessments were found to be of insufficient quality (20). In a US study, there was substantial variability in disability assessments when 48 identical clinical vignettes were presented to 36 GP experienced in disability assessments (21).…”

Section: Explanations For Disagreement In the Work Ability Assessmentsmentioning

confidence: 99%

Assessing work ability – a cross-sectional study of interrater agreement between disability claimants, treating physicians, and medical experts

Dell-Kuster

Lauper²,

Koehler³

et al. 2014

Scand J Work Environ Health

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“…A specific sub-project of the MGS-study has assessed the correlation between overall satisfaction of the commissioners and the professional quality of appraisals as judged by trained medical experts [10]. Commissioners were able to identify good appraisals sufficiently well, but had problems to identify low quality appraisals.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of staff of Swiss insurance companies with medical appraisals: a cross sectional study

et al. 2011

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BackgroundA high quality of timely delivered medical appraisals is crucial for social and other insurances to judge possible occupational reintegration measures for patients with medical conditions who are in danger to lose their job. However, little is known about the satisfaction of staff of insurance companies with medical appraisals that they have commissioned.Our questionnaire survey prospectively included all medical appraisals arriving at Swiss insurances from FEB to APR 2008. We assessed the satisfaction of the commissioner with medical appraisals performed by medical assessors. In addition, we evaluated the contribution of several factors to overall satisfaction. The unit of sample was the medical appraisal.FindingsWe analysed 3165 medical appraisals, 2444 (77%) of them from the public disability insurance, 678 (22%) from private accident, liability and loss of income insurances and 43 (1%) from other insurances. Overall satisfaction of staff of insurance companies in Switzerland was high, but satisfaction of the disability insurance with appraisals was generally lower compared to satisfaction of private insurances. The staff of the disability insurance judged time for preparation as too long in 30%. For staff of private insurance companies 20% of appraisals were not "worth its price". Well-grounded and comprehensible conclusions were the single most important factor for high overall satisfaction (OR 10.1; 95%-CI: 1.1-89.3).ConclusionsFrom the viewpoint of staff of insurance companies, a relevant part of medical appraisals arrives too late. Medical assessors have to take the specific needs of insurances into account, to perform more appraisals with sound conclusions in due time.

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Quality assessment of a randomly selected sample of Swiss medical expertises - a pilot study

Abstract: Our results confirm recent criticisms that the professional quality of expertises does not suffice. This is hardly acceptable in face of the financial and personal consequences. There is an obvious need for further research using larger samples and for educational programmes on all levels.

Cited by 9 publications

References 2 publications

Reporting about disability evaluation in European countries

Reporting about disability evaluation in European countries

Assessing work ability – a cross-sectional study of interrater agreement between disability claimants, treating physicians, and medical experts

Satisfaction of staff of Swiss insurance companies with medical appraisals: a cross sectional study

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