Spanjer J, Krol B, Brouwer S, Groothoff J W
Social Security Office, Assen, The Netherlands.
Work. 2010;37(4):405-11. doi: 10.3233/WOR-2010-1094.
The assessment of work disability due to health problems is a difficult task because there is no straightforward relationship between disease and disability. As a result, there is wide inter-rater variability between physicians in assessing work disability. The aim of this paper is to discuss the sources of the inter-rater variability and to describe possibilities for its reduction. A model is presented in which the process of disability assessment, the instruments used and the role of the assessor is addressed. On the basis of this model, the causes of inter-rater variability and suggestions for improvement are discussed.
评估因健康问题导致的工作残疾是一项艰巨的任务，因为疾病与残疾之间不存在直接的关联。因此，医生在评估工作残疾时，评分者之间存在很大的差异。本文旨在探讨评分者之间差异的来源，并描述减少这种差异的可能性。文中提出了一个模型，该模型涉及残疾评估过程、所使用的工具以及评估者的角色。基于此模型，讨论了评分者之间差异的原因及改进建议。
