title: [Social medicine analysis: forensic responsibility in primary care: patients, characteristics of the consultation and referring physicians].
abstract: The study presents data from 360 consecutive medical expertises performed on 268 patients. The characteristics of the insurees are described and quantified, the duration between the beginning of the incapability to work and the medical examination is analysed, and some data of the physicians, whose patients had been invited, are shown. About two-thirds of all patients were men. More than one-third of all insurees invited for the first time were singles. 13% of the patients were foreigners. Compared with their percentage within the insurees of the local statutory health insurance bureau, foreigners were invited to the medical expertise about four times more often than German insurees. 35.8% of the examined patients were out of work, and this group was also invited about four times as often as would be calculated from the percentage of persons out of work recorded by the local health insurance bureau (9.7%) on is Jan. 1987. Foreigners and recently dismissed persons had also been invited to the examination considerably earlier (2 1/2 resp. 3 weeks) than other insurees. Most patients had been treated by general practitioners (70%), the others were treated by specialists. About 28.9% (15% of all general practitioners of the region) of the practising GP's were 'responsible' for 60.6%, whereas 11% of the expertises were necessary because 3.6% of the doctors (3 practising physicians) had failed to submit sufficiently detailed data.
authors.forename: H
authors.initials: H
authors.lastname: Piechowiak
authors.forename: M A
authors.initials: MA
authors.lastname: Schreiber
mesh_terms: D000293:Adolescent; D000328:Adult; D004185:Disability Evaluation; D004608:Eligibility Determination / Q000331:legislation & jurisprudence*; D005260:Female; D005860:Germany, West; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000331:legislation & jurisprudence; D012017:Referral and Consultation / Q000331:legislation & jurisprudence*; D014942:Workers' Compensation / Q000331:legislation & jurisprudence*
vernacular_title: Sozialmedizinische Analyse: Die gutachterliche Tätigkeit im VäD: Patienten, Vorladecharakteristika und zuweisende Kollegen.