Finger C
Rehabilitationszentrum der Universität zu Köln.
Rehabilitation (Stuttg). 1988 Nov;27(4):183-9.
Two study populations were examined, one for obtaining a frequency distribution of incapacity for work periods, the other for tracing the qualitative aspects of incapacity for work cases. Quantitative appraisal showed that 16% of all cases accounted for 49% of total incapacity time. Qualitative (microanalytic) appraisal of these 16% traced but a few disease groups responsible, amply dealt with in literature on chronic conditions. A shortcoming of apparently rather minor relevance in the individual case, has moreover been found to be systematic: prolonged incapacity for work periods inadequately explained by the diagnoses given on the incapacity certificate. Not least for this reason, appraisal by the insurance medical examination service should occur after three months at the latest. The criteria for initial selection are outlined in terms of three months incapacity for work, frequent recurrence of incapacity periods, and a catalogue of a few diagnostic groups.
对两个研究群体进行了调查，一个用于获取工作能力丧失期的频率分布，另一个用于追踪工作能力丧失案例的定性方面。定量评估表明，所有案例中的16%占总丧失工作能力时间的49%。对这16%案例的定性（微观分析）评估追踪到了少数几个致病群体，这些在慢性病文献中已有充分论述。此外，在个别案例中看似相关性较小的一个缺点已被发现是系统性的：工作能力丧失期延长无法通过丧失工作能力证明上给出的诊断充分解释。至少出于这个原因，保险体检服务的评估最迟应在三个月后进行。初始筛选标准根据三个月的工作能力丧失、丧失工作能力期的频繁复发以及一些诊断组目录进行了概述。
