University of Groningen, University Medical Centre Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen, The Netherlands.
Research Centre for Insurance Medicine AMC-UMCG-UWV-VUMC, Amsterdam, The Netherlands.
PLoS One. 2018 Sep 17;13(9):e0202012. doi: 10.1371/journal.pone.0202012. eCollection 2018.
Chronic disease is often associated with a reduced energy level, which limits the capacity to work full-time. This study aims to investigate whether the construct work endurance is part of disability assessment in European countries and what assessment procedures are used. We defined work endurance as the ability to sustain working activities for a number of hours per day and per week.
We conducted a survey using two self-constructed questionnaires. We addressed 35 experts from 19 countries through the European Union of Medicine in Assurance and Social Security (EUMASS). We gathered descriptive data on various aspects of (the assessment of) work endurance.
Experts from 16 countries responded. In most countries work endurance is assessed. We found few professional guidelines specific for the assessment of work endurance. Both somatic and mental diseases may cause limited work endurance. Methods to assess work endurance vary, objective methods rating as most suitable. Almost half of the countries report controversies on the assessment of work endurance.
Work endurance is recognised and assessed as an aspect of work disability assessment in Europe. However, controversies exist and evidence based guidelines, including reliable and valid methods to assess work endurance, are lacking.
慢性病常伴有能量水平降低，从而限制了全职工作的能力。本研究旨在调查工作耐力这一概念是否属于欧洲国家残疾评估的一部分，以及使用哪些评估程序。我们将工作耐力定义为每天和每周持续工作活动的能力。
我们使用两份自行编制的问卷进行了一项调查。我们通过欧洲医疗保险和社会保障联盟（EUMASS）向来自 19 个国家的 35 名专家发送了问卷。我们收集了关于（工作耐力评估的）各个方面的描述性数据。
16 个国家的专家做出了回应。在大多数国家，工作耐力都得到了评估。我们发现很少有专门针对工作耐力评估的专业指南。躯体疾病和精神疾病都可能导致工作耐力受限。评估工作耐力的方法多种多样，客观方法被认为最适合。近一半的国家报告在工作耐力评估方面存在争议。
在欧洲，工作耐力被认为是工作残疾评估的一个方面，并得到了评估。然而，目前仍存在争议，缺乏基于证据的指南，包括评估工作耐力的可靠和有效的方法。
