Harmsen-Alkema J, Noz M
Gemeenschappelijk Administratiekantoor, hoofdkantoor, stafbureau Medische Functie, Amsterdam.
Ned Tijdschr Geneeskd. 1992 Sep 26;136(39):1920-2.
The task of the Dutch social insurance physician is to evaluate claims for disability compensation and to support clients in the process of vocational rehabilitation. Because rehabilitation outcome is associated with length of time out of work, individual rehabilitation plans should be designed at an early stage. Of vital importance in the design of such plans are the client's remaining working capacities. Earlier assessment of functional capacity could be stimulated by more reciprocal consultation and closer collaboration between social insurance and treating physicians. When complete rehabilitation is not yet possible, working shorter hours, if necessary in a different job, could be an initial solution. As a result the client keeps in touch with the working environment and also a clearer picture is provided of what he or she is still capable of doing. Besides, the influx into the disability law system, which automatically follows if the non-working period exceeds 1 year, with its serious financial, social and emotional effects for the client, may be reduced.
荷兰社会保险医生的任务是评估残疾补偿申请,并在职业康复过程中为客户提供支持。由于康复结果与失业时间长短相关,因此应在早期阶段设计个人康复计划。在设计此类计划时,客户剩余的工作能力至关重要。社会保险医生与治疗医生之间更多的相互协商和更密切的合作可以促进对功能能力的早期评估。当完全康复尚不可能时,缩短工作时间(如有必要可从事不同工作)可能是一个初步解决方案。这样一来,客户可以与工作环境保持联系,同时也能更清楚地了解自己仍然能够从事的工作。此外,如果非工作时间超过1年,残疾法律系统会自动介入,这对客户会产生严重的财务、社会和情感影响,而这种情况可能会减少。