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The difference between disability and impairment: A distinction worth making.

J M Walker1

  • 1Unit #9, CEC Associates Inc., 1220 Valley Forge Road, P.O. Box 911, 19482, Valley Forge, Pennsylvania.

Journal of Occupational Rehabilitation
|November 19, 2013
PubMed
Summary

Workplace disability costs are high because employers confuse medical impairment with vocational disability. Effective disability management, through employer commitment and teamwork, can significantly reduce these costs.

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Area of Science:

  • Occupational Health
  • Workplace Management
  • Vocational Rehabilitation

Background:

  • American employers incur substantial costs due to workplace disability.
  • A primary driver of escalating disability expenditures is the misunderstanding of impairment versus disability among key decision-makers.
  • This confusion hinders effective cost containment strategies.

Purpose of the Study:

  • To differentiate between medical impairment and vocational disability.
  • To highlight the economic impact of misunderstanding these concepts in the workplace.
  • To propose a framework for managing workplace disability effectively.

Main Methods:

  • Conceptual analysis differentiating medical impairment from vocational disability.
  • Review of current employer practices and their financial implications.
  • Emphasis on employer commitment and planned team effort as core management components.

Main Results:

  • Impairment is a medical issue, whereas disability is a non-medical, vocational issue.
  • Disability is a manageable vocational problem, not solely a medical outcome.
  • Effective management strategies can lead to significant cost savings for employers.

Conclusions:

  • Misunderstanding the distinction between impairment and disability inflates workplace costs.
  • Managing disability requires a strategic, team-based approach driven by employer commitment.
  • Implementing effective disability management practices offers substantial financial benefits to organizations.