Attitudes towards evaluation of psychiatric disability claims: a survey of Swiss stakeholders
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Autor:innen
Schandelmaier, Stefan
Fischer, Katrin
Mager, Ralph
Bachmann, Monica
Kedzia, Sarah
Busse, Jason
Guyatt, Gordon
Jeger, Joerg
Autor:in (Körperschaft)
Publikationsdatum
21.08.2015
Typ der Arbeit
Studiengang
Typ
01A - Beitrag in wissenschaftlicher Zeitschrift
Herausgeber:innen
Herausgeber:in (Körperschaft)
Betreuer:in
Übergeordnetes Werk
Swiss Medical Weekly
Themenheft
Reihe / Serie
Jahrgang / Band
Ausgabe / Nummer
145w14160
Seiten / Dauer
1-17
Patentnummer
Verlag / Herausgebende Institution
EMH Schweizerischer Ärzteverlag
Verlagsort / Veranstaltungsort
Auflage
Version
Programmiersprache
Abtretungsempfänger:in
Praxispartner:in/Auftraggeber:in
Zusammenfassung
QUESTIONS: In Switzerland, evaluation of work capacity in individuals with mental disorders has come under criticism. We surveyed stakeholders about their concerns and expectations of the current claim process.
METHODS: We conducted a nationwide online survey among five stakeholder groups. We asked 37 questions addressing the claim process and the evaluation of work capacity, the maximum acceptable disagreement in judgments on work capacity, and its documentation.
RESULTS: Response rate among 704 stakeholders (95 plaintiff lawyers, 285 treating psychiatrists, 129 expert psychiatrists evaluating work capacity, 64 social judges, 131 insurers) varied between 71% and 29%. Of the lawyers, 92% were dissatisfied with the current claim process, as were psychiatrists (73%) and experts (64%), whereas the majority of judges (72%) and insurers (81%) were satisfied. Stakeholders agreed in their concerns, such as the lack of a transparent relationship between the experts’ findings and their conclusions regarding work capacity, medical evaluations inappropriately addressing legal issues, and the experts’ delay in finalising the report. Findings mirror the characteristics that stakeholders consider important for an optimal work capacity evaluation. For a scenario where two experts evaluate the same claimant, stakeholders considered an inter-rater difference of 10%‒20% in work capacity at maximum acceptable.
CONCLUSIONS: Plaintiff lawyers, treating psychiatrists and experts perceive major problems in work capacity evaluation of psychiatric claims whereas judges and insurers see the process more positively. Efforts to improve the process should include clarifying the basis on which judgments are made, restricting judgments to areas of expertise, and ensuring prompt submission of evaluations.
Schlagwörter
Fachgebiet (DDC)
150 - Psychologie
Veranstaltung
Startdatum der Ausstellung
Enddatum der Ausstellung
Startdatum der Konferenz
Enddatum der Konferenz
Datum der letzten Prüfung
ISBN
ISSN
0036-7672
1424-3997
1424-7860
1424-3997
1424-7860
Sprache
Englisch
Während FHNW Zugehörigkeit erstellt
Ja
Publikationsstatus
Veröffentlicht
Begutachtung
Peer-Review der ganzen Publikation
Open Access-Status
Lizenz
Zitation
SCHANDELMAIER, Stefan, Andrea LEIBOLD, Katrin FISCHER, Ralph MAGER, Ulrike HOFFMANN-RICHTER, Monica BACHMANN, Sarah KEDZIA, Jason BUSSE, Gordon GUYATT, Joerg JEGER, Renato MARELLI, Wout DE BOER und Regina KUNZ, 2015. Attitudes towards evaluation of psychiatric disability claims: a survey of Swiss stakeholders. Swiss Medical Weekly. 21 August 2015. Nr. 145w14160, S. 1–17. DOI 10.4414/smw.2015.14160. Verfügbar unter: http://hdl.handle.net/11654/12148