Abstract
In this chapter, we describe how the evaluation of work disability is carried out in social insurance institutions in Europe. Work disability evaluation is necessary in two different situations with different aims. One is to find the best return-to-work process for employees who are absent from work due to health problems. The other is to decide on claims for short- and long-term benefits, like sickness benefits or disability benefits. In vocational rehabilitation, the emphasis lies on return-to-work processes, while the social insurance institutions traditionally have focused on the eligibility of claims. A comparison between these two aims is done. For both aims, the ICF can provide social security with a consistent framework for description and assessment of functional abilities. It can also provide a taxonomy that can improve interprofessional communication in evaluation procedures in social insurance institutions.
We describe a generic EUMASS Core Set for the assessment of functional abilities in disability claims, and how it has been developed and tested. With examples from Sweden, Iceland, and Norway, we also describe how ICF has been implemented at various levels in social insurance and in vocational rehabilitation.
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Notes
- 1.
Severely ill claimants often can be granted long-term benefits without comprehensive evaluation, for example, permanently hospitalized, terminally ill, or severely injured patients. The claimants are granted benefits solely on the basis of the severity and prognosis of their illness.
- 2.
The members of the EUMASS working group for ICF collaborated in the development of the core set: Wout de Boer, Ljiljana Bojičová, Søren Brage, Herina Brandtzæg, Peter Donceel, Freddy Falez, Maarit Gockel, Martine Gouello, Brigitte Heuls-Bernin, André Ingenbleek, Radomir Kučera, Jiři Kutina, Clement Leech, Gert Lindenger, Ferenc Moricz, Elisabeth Nüchtern, Christian Puppinck, Paul Stidolph, Hana Trnkócy, Annette de Wind.
References
World Health Organization. ICF-international classification of functioning, disability, and health. Genève: World Health Organization; 2001.
Brage S, Donceel P, Falez F. Development of ICF core set for disability evaluation in social security. Disabil Rehabil. 2008;30:1392–6.
Anner J, Brage S, Donceel P, Falez F, Freudenstein R, Oancea C, de Boer WEL. Validation of the EUMASS Core Set for medical evaluation of work disability. Disabil Rehabil. 2013;35:2147–56.
Timner K. Die Bedeutung der ICF für die sozialmedizinische Beurteilung in der gesetzlichen Rentenversicherung. Der Medizinische Sachverständiger. 2008;104:15–7.
Morgell R, Backlund LG, Arrelöv B, Strender L-E, Nilson GH. Health problems and disability in long-term sickness absence: ICF coding of medical certificates. BMC Public Health. 2011;11:860.
Escorpizo R, Stucki G. Disability evaluation, social security, and the international classification of functioning, disability, and health. J Occup Environ Med. 2013;55:644–51.
Nordenfelt L. The concept of work ability. Brussels: P.I.E. Peter Lang; 2008.
OECD. Sickness, disability and work: breaking the barriers. A synthesis of findings across OECD countries. Paris: OECD; 2010.
Mabbet D, Bolderson H, Hvinden B. Definitions of disability in Europe: a comparative analysis. Uxbridge: Brunel University; 2002.
de Boer WEL, Besseling JJM, Willems JHBM. Organisation of disability evaluation in 15 countries. Pratiques et organisation des soins. 2007;38:205–17.
EUMASS. Social security medicine in Europe: professional sick leave: the role and functions of professionals in managing sick leave in different European countries. 2011. At: www.eumass.com
Brage S. Legers oppgaver ved søknad om uførepensjon i fem europeiske land [Physician work tasks in applications for disability benefits in five European countries] (in Norwegian). Arbeid og Velferd. 2010;4:70–80.
Anner J, Schwegler U, Kunz R, Trezzini B, de Boer WEL. Evaluation of work disability and the international classification of functioning, disability and health: what to expect and what not. BMC Public Health. 2012;12:470.
Harrington M. An independent review of the work capability assessment – year two. London: The Stationery Office; 2011.
Medical Services. Training & development revised WCA handbook. ESA (LCW/LCWRA) Amendment Regulations; 2011.
Boer de WEL. Quality of evaluation of work disability. Ph.D. thesis, University of Amsterdam; 2010.
Ptyushkin P, Vidmar G, Burger H, Marinček C, Escorpizo R. The International Classification of Functioning, Disability and Health (ICF) in vocational rehabilitation and disability assessment in Slovenia: state of law and users’ perspective. Disabil Rehabil. 2011;33(2):130–6.
Solli HM. Justice, objectivity and disability assessment within social insurance medicine. An ethical and scientific-philosophical analysis of three disability models, seen in a historical perspective (in Norwegian). Ph.D. thesis, Michael. 2007;4(3):195–520.
Schwegler U, Anner J, Boldt C, Glässel A, Lay V, de Boer WEL, Stucki G, Trezzini B. Aspects of functioning and environmental factors in medical work capacity evaluations of persons with chronic widespread pain and low back pain can be represented by a combination of applicable ICF Core Sets. BMC Public Health. 2012;12:1088.
Gjesdal S, Bratberg E. Diagnosis and duration of sickness absence as predictors for disability pension: results from a three-year, multi-register based and prospective study. Scand J Public Health. 2003;31:246–54.
Krohne K, Brage S. New rules meet established sickness certification practice: a focus-group study on the introduction of functional assessments in Norwegian primary care. Scand J Prim Health Care. 2007;25:172–7.
Larson J. Metoder för bedömning av arbetsförmåga inom sjukförsäkringen – slutrapport [Methods for assessment of job capacity in social insurance – a final report (in Swedish)]. Stockholm: Försäkringskassan; 2013.
Nilsing E, Söderberg E, Öberg B. Sickness certificates in Sweden: did the new guidelines improve their quality? BMC Public Health. 2012;12:907.
Østerås N, Gulbrandsen P, Benth JS, Hofoss D, Brage S. Implementing structured functional assessments in general practice for persons with long-term sick leave: a cluster randomised controlled trial. BMC Fam Pract. 2009;10:31.
Frank AO, Sawney P. Vocational rehabilitation. J R Soc Med. 2003;96:522–4.
Chamberlain MA, Moser VF, Ekholm KS, O’Connor RJ, Herceg M, Ekholm J. Vocational rehabilitation: an educational review. J Rehabil Med. 2009;41:856–69.
Escorpizo R, Finger ME, Glässel A, Cieza A. An international expert survey on functioning in vocational rehabilitation using the international classification of functioning, disability and health. J Occup Rehabil. 2010;20:502–11.
Finger ME, Escorpizo R, Glässel A, Gmünder HP, Lückenkemper M, Chan C, Fritz J, Studer U, Ekholm J, Kostanjsek N, Stucki G, Cieza A. ICF Core Set for vocational rehabilitation: results of an international consensus conference. Disabil Rehabil. 2012;34(5):429–38.
Waddell G, Burton AK, Kendall NAS. Vocational rehabilitation – what works, for whom, and when? Report for the Vocational Rehabilitation Task Group. London: TSO; 2008.
Konráðsdóttir ÁD. Work ability assessment – description and evaluation of a new tool in vocational rehabilitation and in disability claims. Master thesis, University of Bifröst; 2011.
Spanjer J. The disability assessment structured interview. Its reliability and validity in work disability assessment. Ph.D. thesis, University of Groningen; 2010.
Department of Work and Pensions. Transformation of the personal capability assessment. Report. London: DWP; 2006.
Litchfield P. An independent review of the work capability assessment – year four. London: The Stationery Office; 2013.
Linden M, Baron S, Muschalla B. Relationship between work-related attitudes, performance and capacities according to the ICF in patients with mental disorders. Psychopathology. 2010;43(4):262–7.
Madans JH, Loeb ME, Altman BM. Measuring disability and monitoring the UN convention on the rights of persons with disabilities: the work of the Washington Group on Disability Statistics. BMC Public Health. 2011;11 Suppl 4:54.
Cieza A, Ewert T, Üstün B, Chatterji S, Kostanjsek N, Stucki G. Development of ICF core sets for patients with chronic conditions. J Rehabil Med Suppl. 2004;44:9–11.
Rondinelli RD, editor. Guides to the evaluation of permanent impairment. 6th ed. Chicago: AMA Press; 2008.
Nordenfelt L. On health, disability and activity: comments on some basic notions in the ICF. Disabil Rehabil. 2006;28:1461–5.
World Health Organization. ICF-checklist. 2007. Available at: http://www3.who.int/icf/checklist/icf-checklist.pdf
Lindenger G. “Medical Conditions for Work” – how to assess work capacity using the international classification of functioning in Sweden. 15 Mar 2012. Available from: http://www.swiss-insurance-medicine.ch
SOU. Gränslandet mellan sjukdom och arbete [The borderland between sickness and work (in Swedish)]. SOU 2009:89. Stockholm; 2009.
Löfgren A, Hagberg J, Arrelöv B, Ponzer S. Frequency and nature of problems associated with sickness certification tasks: a cross sectional questionnaire study of 5455 physicians. Scand J Prim Health Care. 2007;25:178–85.
Nilsing E, Söderberg E, Normelli H, Öberg B. Description of functioning in sickness certificates. Scand J Public Health. 2011;39:508–16.
OECD. Transforming disability into ability. Policies to promote work and income security for disabled people. Paris: OECD; 2003.
Dekkers-Sánchez PM, Wind H, Sluiter JK, Frings-Dresen MHW. What promotes sustained return to work of employees on long-term sick leave? Perspectives of vocational rehabilitation professionals. Scand J Work Environ Health. 2011;37(6):481–93.
Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med. 2008;44:329–42.
Brage S, Fleten N, Knudsrød OG, Reiso H, Ryen A. Norsk Funksjonsskjema – et nytt instrument ved sykmelding og uførhetsvurdering. Tidsskr Nor Laegeforen. 2004;124:2472–4.
Østerås N, Gulbrandsen P, Garratt A, Benth JS, Natvig B, Brage S. A randomised comparison of a four- and a five-point scale version of the Norwegian Function Assessment Scale. Health Qual Life Outcomes. 2008;6:14.
Østerås N, Brage S, Garratt A, Benth JS, Natvig B, Gulbrandsen P. Functional ability in a population: normative survey data and reliability for the ICF based Norwegian Function Assessment Scale. BMC Public Health. 2007;7:278.
Strupstad J, Ihlebaek C, Øyeflaten I, Espnes GA. Arbeidsrettet rehabilitering i Norge [Vocational rehabilitation in Norway (in Norwegian)]. Utposten. 2011;3:26–32.
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Brage, S., Konráðsdóttir, Á.D., Lindenger, G. (2015). Work Disability Evaluation. In: Escorpizo, R., Brage, S., Homa, D., Stucki, G. (eds) Handbook of Vocational Rehabilitation and Disability Evaluation. Handbooks in Health, Work, and Disability. Springer, Cham. https://doi.org/10.1007/978-3-319-08825-9_6
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