Anner Jessica, Kunz Regina, Boer Wout de
Academy of Swiss Insurance Medicine (ASIM), University Hospital Basel , Basel , Switzerland.
Disabil Rehabil. 2014;36(10):848-54. doi: 10.3109/09638288.2013.821180. Epub 2013 Aug 6.
To compare the official requirements of the content of disability evaluation for social insurance across Europe and to explore how the International Classification of Functioning, Disability and Health is currently applied, using the rights and obligations of people with disabilities towards society as frame of reference.
Survey. We used a semi-structured questionnaire to interview members of the European Union of Medicine in Assurance and Social Security (EUMASS), who are central medical advisors in social insurance systems in their country. We performed two email follow-up rounds to complete and verify responses.
Fifteen respondents from 15 countries participated. In all countries, medical examiners are required to report about a claimant's working capacity and prognosis. In 14 countries, medical reports ought to contain information about socio-medical history and feasible interventions to improve the claimant's health status. The format of medical reporting on working capacity varies widely (free text, semi- and fully structured reports). One country makes a reference to the ICF in their reports on working capacity, others consider doing so.
Official requirements on medical reporting about disability in social insurance across Europe follow the frame of four features: work capacity, socio-medical history, feasibility of intervention and prognosis of disability. There is an increasing trend to make formal or informal reference to the ICF in the reports about working capacity. The four features and the ICF may provide common references across countries to describe disability evaluation, facilitating national and international research. Implications for Rehabilitation Reporting about disability in social insurance in different countries is about work capacity, social medical history, feasibility of intervention and prognosis of disability. Formats of reporting on work capacity vary among countries, from free text to semi-structured report forms to fully structured and scaled report forms of working capacity. The ICF could serve as a reference for describing work capacity, provided the ICF contains all necessary categories.
以残疾人对社会的权利和义务为参照框架，比较欧洲各国社会保险中残疾评估内容的官方要求，并探讨《国际功能、残疾和健康分类》目前的应用情况。
调查研究。我们使用半结构化问卷对欧洲保险与社会保障医学联盟（EUMASS）的成员进行访谈，这些成员是其所在国家社会保险系统的核心医学顾问。我们进行了两轮电子邮件跟进，以完善和核实回复。
来自15个国家的15名受访者参与了调查。在所有国家，均要求医学检查人员报告索赔人的工作能力和预后情况。在14个国家，医学报告应包含社会医学史信息以及改善索赔人健康状况的可行干预措施。关于工作能力的医学报告格式差异很大（自由文本、半结构化和全结构化报告）。有一个国家在其关于工作能力的报告中提及了《国际功能、残疾和健康分类》，其他国家则考虑这样做。
欧洲各国社会保险中关于残疾医学报告的官方要求遵循四个特征框架：工作能力、社会医学史、干预可行性和残疾预后。在关于工作能力的报告中正式或非正式提及《国际功能、残疾和健康分类》的趋势在增加。这四个特征和《国际功能、残疾和健康分类》可为各国描述残疾评估提供共同参考，便于开展国内和国际研究。对康复的启示不同国家社会保险中关于残疾的报告涉及工作能力、社会医学史、干预可行性和残疾预后。各国关于工作能力的报告格式各不相同，从自由文本到半结构化报告表，再到全结构化和按比例的工作能力报告表。如果《国际功能、残疾和健康分类》包含所有必要类别，它可作为描述工作能力的参考。
