title: ["Fitness for public service" - results of standardised acceptance examinations].
abstract: From Nov. 1 1990 to Dec. 31 2001 4928 applicants (61 % female, 39 % male) were examined, totalling 6580 pre-employment examinations, to decide whether they fulfilled the health requirement criteria for civil servants. Standardised aptitude criteria were used, career-specific requirements taken into account. To exclude with a high probability were any risks of premature disability for service or frequent disorders. In 394 cases (= 5.99 %) the results were negative. This assessment was final in 298 cases (= 4.53 % of all examinations) or was confirmed negative in repeated examinations even after special conditions had been imposed. Main reasons for disqualification were second- and third-degree adipositas with additional risk factors or a metabolic syndrome, chronic cardio-vascular and metabolic diseases requiring permanent treatment, malignant neoplasms or non-fulfilment of the criteria for special careers. The comparatively high rate of disqualification is mainly due to the high average age of the applicants examined (40 % of all applicants were over 40, 13 % were older than 50). Purpose, sensitivity and specifics of such examinations are discussed. Taking into consideration the high rate of civil servants prematurely unfit for work, such pre-employment examinations are regarded as highly justified. Moreover, it is necessary to have clear guidelines, aptitude criteria and examination procedures for individual careers. It is also important to adhere strictly to local responsibility for pre-employment examinations.
authors.affiliation: Gesundheitsamt der Landeshauptstadt Erfurt/Thüringen. kha-erfurt@t-online.de
authors.forename: K- H
authors.initials: K
authors.lastname: Arndt
authors.forename: M
authors.initials: M
authors.lastname: Roth
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D005260:Female; D005858:Germany; D006076:Government; D006801:Humans; D007586:Job Application; D008297:Male; D008875:Middle Aged; D009098:Multiphasic Screening; D014938:Work Capacity Evaluation