采用改良的德尔菲法来开发一项评估全残和永久伤残保险理赔中就业能力评估的调查。

Using an adapted Delphi process to develop a survey evaluating employability assessment in total and permanent disability insurance claims.

作者信息

Black Margaret, Matthews Lynda R, Millington Michael J

机构信息

Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW, Australia.

出版信息

Work. 2018;60(4):539-548. doi: 10.3233/WOR-182761.

DOI:10.3233/WOR-182761

PMID:30103361

Abstract

BACKGROUND

No research has been undertaken about employability assessment of total and permanent disability (TPD) insurance claims. Employability assessment provides vocational information to life insurers to help decide claims. To determine how helpful employability assessment is, a new measure was needed to survey insurers.

OBJECTIVE

To generate survey items by harnessing the knowledge and agreement of rehabilitation advisors with expertise in employability assessment.

METHODS

A panel of 10 (89% of eligible Australian rehabilitation advisors) participated in an adapted three-round Delphi process. Rounds 2 and 3 were incorporated into a novel real-time card sort format.

RESULTS

From 94 potential items submitted for first round qualitative analysis, 36 items in four domains-quality, content, utility, and claims-were generated. Two quantitative ranking rounds in one face-to-face session produced a 21-item prototype. The final electronic survey instrument contained 11 sections seeking insurer demographics and feedback on: external providers; employability assessment concepts, components, quality, and usefulness; functional, occupational, labor market items; and finally, cost and type. Our Delphi process was anonymous, completed in four weeks with 100% response rate and 75% agreement. More time between Rounds 2 and 3 would enhance statistical analysis.

CONCLUSIONS

Our adapted Delphi methodology for survey item generation is generalizable for any panel able to meet in person.

摘要

背景

尚未开展关于全残和永久残疾（TPD）保险理赔可就业性评估的研究。可就业性评估为寿险公司提供职业信息以助其决定理赔事宜。为确定可就业性评估的帮助程度，需要一种新方法来调查保险公司。

目的

通过利用在可就业性评估方面具有专业知识的康复顾问的知识和共识来生成调查项目。

方法

一个由10名成员组成的小组（占符合条件的澳大利亚康复顾问的89%）参与了一个经过调整的三轮德尔菲法流程。第二轮和第三轮被纳入一种新颖的实时卡片分类形式。

结果

在提交第一轮定性分析的94个潜在项目中，产生了四个领域（质量、内容、效用和理赔）的36个项目。在一次面对面会议中进行的两轮定量排序产生了一个包含21个项目的原型。最终的电子调查问卷包含11个部分，用于询问保险公司的人口统计学信息以及关于以下方面的反馈：外部供应商；可就业性评估的概念、组成部分、质量和有用性；功能、职业、劳动力市场项目；最后是成本和类型。我们的德尔菲法流程是匿名的，在四周内完成，回复率为100%，达成率为75%。在第二轮和第三轮之间留出更多时间将有助于进行统计分析。