[Case management and expert assessment of work disability]

More than 3 years ago the MDK in Bavaria established a new way of handling medical expertising concerning incapacitation for work. Until that time the physical examination of the patient was seen as an indispensable condition for the statement of capacitation for work. All former efforts to qualify the consultations together with the staff of the institutions of the social health insurance served the purpose of preparing and improving this physical examination oft the patient.--The new bavarian way here presented tried from the beginning to make those examinations unnecessary by improving the cooperation and communication with the treating physicians.