[Conversion of results of expert evaluation in disputed work disability(section 275 paragraph 1a SGB V regulation)].
A statutory insurance for persons who are unable to care for themselves and require nursing attention, has been introduced in Germany. Employers must contribute to the insurance funds, and employees are likewise compelled to pay their share. To compensate employers to some extent for these expenses they can now take recourse to expertising by the Medical Services of the statutory insurance bodies if they have any doubts about an employee's inability to work. The results of such expertising have been assessed statistically and their translation into reality has been examined. Recommendations on how to improve the expertising procedure are given in this article. Laymen's wrong ideas regarding signs for possibly unjustified claims for inability to work are corrected.
Seger
W
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Medizinischer Dienst der Krankenversicherung Niedersachsen, Hannover.
D000328:Adult; D004185:Disability Evaluation; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005260:Female; D005858:Germany; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence; D018868:Insurance, Disability / Q000331:legislation & jurisprudence; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D012943:Social Security / Q000331:legislation & jurisprudence*
Umsetzungsergebnisse der Begutachtung bei Zweifeln an der Arbeitsunfähigkeit (section 275 Abs. 1a SGB V).