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Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context.

Abstract：

PURPOSE: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. MATERIALS AND METHODS:Interviews with 36 insurance officials, 10 physicians, and 36 sick-listed persons, which were analysed through a qualitative content analysis. RESULTS: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. CONCLUSIONS: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.

journal_name

Disabil Rehabil

journal_title

Disability and rehabilitation

authors

Ståhl C,Seing I,Gerdle B,Sandqvist J

doi

10.1080/09638288.2017.1401675

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

656-665

issue

eissn

0963-8288

issn

1464-5165

journal_volume

pub_type

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Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context.