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[Work capacity evaluation within Social Security]

E M Cohen1, F R Ronkes

  • 1Landelijk instituut sociale verzekeringen, afd. Gevalsbehandeling en Subsidiezaken, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|December 29, 1998
PubMed
Summary

Incapacity for work is an economic concept, not medical. It is determined by comparing potential earnings with and without health issues, assessed by physicians and vocational experts.

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Area of Science:

  • Occupational medicine
  • Health economics

Context:

  • Work incapacity is defined as an economic, not purely medical, issue.
  • The degree of work incapacity is determined by the difference in earnings potential due to health problems.

Purpose:

  • To clarify the economic basis of work incapacity assessment.
  • To outline the collaborative roles of social security physicians and vocational experts in evaluating work capacity.
  • To inform treating physicians about the economic implications and limitations of disability allowances.

Summary:

  • Work incapacity is assessed by comparing an individual's potential earnings without health issues against their earnings with health problems.
  • Social security physicians evaluate general client capabilities, while vocational experts identify suitable job roles.
  • The assessment process involves a discussion between the physician, vocational expert, and the client.

Impact:

  • Highlights the economic factors influencing disability assessments.
  • Emphasizes the need for treating physicians to consider the financial realities and limitations associated with work incapacity.
  • Informs policy and practice regarding disability benefits and vocational rehabilitation.

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