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  • Title: [Analysis of social medicine--quality of information and decisions in 360 expert assessments of work incapacity].
    Author: Piechowiak H, Schreiber MA.
    Journal: Offentl Gesundheitswes; 1990 Jan; 52(1):30-5. PubMed ID: 2138271.
    Abstract:
    Before the medical expertise the patients are asked by the health insurance body to collect medical information from their family physician. Analysis of the information actually supplied showed that the quality of the information could be rated "good" in 45% of the cases only. In 38% it was mediocre to poor and in 17% there was no information at all. When the patients to be expertised were called for interview for the first time, "good" information was available in only 38.9%. The percentage of expertises written on the basis of "good" information increased very slowly from the first to the sixth interview (usually after one year), when it reached a maximum of 66.7%. In more than 75% of the cases the question of further inability to work that had been addressed to the family physician remained unanswered. Likewise, no reply was forthcoming in more than 60% of the cases in respect of the need for rehabilitation. In 25.5% the expertising physician arrived at the verdict of ability to work within one week, and in another 17.8% within two weeks. The highest percentage of "ability decisions" (64.3%) was arrived at among insurees who were 18 to 30 years of age and who had lost their job a short while ago. The lowest rate of "ability decisions" (8%) was seen among persons of 50 to 60 years of age who had not been discharged.
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