ABSTRACT
The following guidelines were developed for the medical assessment services of the German pension fund. Starting from day-to-day practice, criteria and attributes to guide decisions for a systematisation of the sociomedical assessment of performance in diseases of the liver and the bile ducts were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent, e. g., for the assessment of applications for decreased earning capacity benefits. The guidelines summarise the typical manifestations of diseases of the liver and the bile ducts and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions, the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual. The guidelines followed from an extended procedure to attain a wide consensus in the setting of the German Pension Fund and an upgraded evidence base.
Subject(s)
Biliary Tract Diseases/diagnosis , Biliary Tract Diseases/therapy , Delivery of Health Care/standards , Liver Diseases/diagnosis , Liver Diseases/therapy , Quality Assurance, Health Care/methods , Quality Assurance, Health Care/standards , Chronic Disease , Germany , Humans , Socioeconomic FactorsABSTRACT
The following guidelines were developed for the medical assessment services of the German Pension Insurance Federal Institution. Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in breast cancer were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent, e. g., for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of breast cancer and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions, the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual.
Subject(s)
Breast Neoplasms/classification , Breast Neoplasms/diagnosis , Disability Evaluation , Health Status Indicators , Practice Guidelines as Topic , Social Medicine/methods , Work Capacity Evaluation , Breast Neoplasms/epidemiology , Breast Neoplasms/rehabilitation , Eligibility Determination/standards , Germany/epidemiology , Humans , Social Medicine/organization & administrationABSTRACT
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemization of the sociomedical assessment of performance in inflammatory bowel disease (Crohn's disease, ulcerative colitis) were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent -- e. g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of inflammatory bowel disease and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual.
Subject(s)
Disability Evaluation , Guidelines as Topic , Inflammatory Bowel Diseases/classification , Inflammatory Bowel Diseases/diagnosis , Severity of Illness Index , Work Capacity Evaluation , Adolescent , Adult , Aged , Germany , Humans , Inflammatory Bowel Diseases/rehabilitation , Male , Middle Aged , Social ClassABSTRACT
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in chronic obstructive pulmonary diseases (COPD) and bronchial asthma were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent - e. g. for the assessment of applications for decreased earning capacity benefits. Part II outlines assessment of the individual's capacity, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual.
Subject(s)
Asthma/diagnosis , Asthma/rehabilitation , Disability Evaluation , Outcome Assessment, Health Care/methods , Outcome Assessment, Health Care/standards , Pulmonary Disease, Chronic Obstructive/diagnosis , Pulmonary Disease, Chronic Obstructive/rehabilitation , Asthma/classification , Germany , Humans , Patient Care Management/methods , Patient Care Management/standards , Practice Guidelines as Topic/standards , Pulmonary Disease, Chronic Obstructive/classification , Rehabilitation, Vocational/methods , Rehabilitation, Vocational/standards , Treatment OutcomeABSTRACT
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systematization of the sociomedical assessment of performance in chronic obstructive pulmonary diseases (COPD) and bronchial asthma were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent - e. g. for the assessment of applications for decreased earning capacity benefits. Part I of the guidelines gives information on the classification of chronic obstructive pulmonary diseases (COPD) and bronchial asthma and on the number of pensions due to limited earning capacity. The guidelines summarise typical manifestations of chronic obstructive pulmonary diseases (COPD) and bronchial asthma and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated.
Subject(s)
Asthma/diagnosis , Disability Evaluation , Pulmonary Disease, Chronic Obstructive/diagnosis , Adult , Asthma/classification , Asthma/rehabilitation , Blood Gas Analysis , Bronchoscopy , Diagnosis, Differential , Echocardiography , Echocardiography, Doppler , Electrocardiography , Eligibility Determination , Female , Germany , Humans , Male , Middle Aged , Plethysmography , Plethysmography, Impedance , Practice Guidelines as Topic , Pulmonary Disease, Chronic Obstructive/classification , Pulmonary Disease, Chronic Obstructive/rehabilitation , Respiratory Function Tests , Risk Factors , Social Security/legislation & jurisprudence , Spirometry , World Health OrganizationABSTRACT
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in discopathy or associated diseases were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent -- e. g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of discopathy or associated diseases and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual. Guidelines for the sociomedical assessment of performance in coronary heart disease (CHD) have been published in Gesundheitswesen 2002, 64: 451-465.
Subject(s)
Disability Evaluation , Guidelines as Topic , Intervertebral Disc Displacement/classification , Work Capacity Evaluation , Cervical Vertebrae , Diagnosis, Differential , Eligibility Determination/legislation & jurisprudence , Expert Testimony/legislation & jurisprudence , Germany , Humans , Intervertebral Disc Displacement/diagnosis , Intervertebral Disc Displacement/rehabilitation , Lumbar Vertebrae , Neurologic Examination , Prognosis , Social Security/legislation & jurisprudenceABSTRACT
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in coronary heart disease (CHD) were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent - e.g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of CHD and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination and for diagnostic tests - especially of myocardial functioning - are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally inferences are drawn regarding the occupational capacity of the individual.