a Division of Community Medicine, Department of Medical and Health Sciences , Linköping University , Linköping , Sweden.
b HELIX Competence Centre , Linköping University , Linköping , Sweden.
Disabil Rehabil. 2019 Mar;41(6):656-665. doi: 10.1080/09638288.2017.1401675. Epub 2017 Nov 16.
To study social validity and perceived fairness of a new method for assessing general work ability in a sickness insurance context. Assessments are based on self-reports, combined with examinations by physicians, and, if needed, occupational therapists, physiotherapists and/or psychologists.
Interviews with 36 insurance officials, 10 physicians, and 36 sick-listed persons, which were analysed through a qualitative content analysis.
Insurance officials and physicians considered the method useful and that it facilitated benefit decisions. The experiences of persons who had undergone the assessment differed, where the dialog with insurance officials seemed to have had an influence on experiences of the assessment and the decisions it led to.
The perceived fairness and social validity of the assessment depended on how it was carried out; organisational conditions and priorities; communication skills; and decision outcomes. Professionals have an important pedagogical task in explaining the purpose and procedure of the assessment in order for the sick-listed to perceive it as fair rather than square, i.e., too standardised and not considering individual conditions. If the assessment could be used also for rehabilitative purposes, it could possibly be perceived as more acceptable also in cases where it leads to denied benefits. Implications for rehabilitation The perceived fairness of work ability assessments is dependent on procedures for the assessment, communication with the person, and the outcome. What is considered fair differs between assessing professionals and persons being assessed. Professionals may influence the perceptions of fairness through their way of communication. Assessments need to be coupled with rehabilitation measures in order to perceived as relevant and acceptable.
研究一种新的方法在医疗保险背景下评估一般工作能力的社会有效性和感知公平性。评估基于自我报告，结合医生检查，如果需要，还可以结合职业治疗师、物理治疗师和/或心理学家的检查。
对 36 名保险官员、10 名医生和 36 名请病假人员进行访谈，采用定性内容分析法进行分析。
保险官员和医生认为该方法有用，并认为它有助于做出福利决定。接受评估的人员的体验有所不同，与保险官员的对话似乎对评估体验和评估导致的决策产生了影响。
评估的感知公平性和社会有效性取决于评估的执行方式；组织条件和优先事项；沟通技巧；以及决策结果。专业人员有一项重要的教学任务，即解释评估的目的和程序，以使请病假人员将其视为公平而非公正，即过于标准化，不考虑个人情况。如果评估也可以用于康复目的，那么在评估导致拒绝福利的情况下，也可能会被认为更可接受。
工作能力评估的感知公平性取决于评估程序、与评估对象的沟通以及评估结果。评估专业人员和被评估人员对公平的看法有所不同。专业人员可以通过他们的沟通方式影响公平感。评估需要与康复措施相结合，才能被视为相关和可接受的。
