title: [Guidelines for the sociomedical assessment of performance in patients suffering from discopathy or associated diseases].
abstract: The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in discopathy or associated diseases were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent -- e. g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of discopathy or associated diseases and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual. Guidelines for the sociomedical assessment of performance in coronary heart disease (CHD) have been published in Gesundheitswesen 2002, 64: 451-465.
authors.affiliation: Alle Autoren sind Mitarbeiter des Beratungsärztlichen Dienstes der Leistungsabteilung oder des Fachbereichs Medizin der Bundesversicherungsanstalt für Angestellte, Berlin.
authors.forename: E
authors.initials: E
authors.lastname: Becker
authors.forename: S
authors.initials: S
authors.lastname: Horn
authors.forename: B
authors.initials: B
authors.lastname: Hussla
authors.forename: H
authors.initials: H
authors.lastname: Irle
authors.forename: I
authors.initials: I
authors.lastname: Knorr
authors.forename: C
authors.initials: C
authors.lastname: Korsukéwitz
authors.forename: I
authors.initials: I
authors.lastname: Pottins
authors.forename: M
authors.initials: M
authors.lastname: Rohwetter
authors.forename: P
authors.initials: P
authors.lastname: Schuhknecht
authors.forename: K
authors.initials: K
authors.lastname: Timner
mesh_terms: D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D004185:Disability Evaluation; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D005858:Germany; D017408:Guidelines as Topic; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000145:classification* / Q000175:diagnosis / Q000534:rehabilitation; D008159:Lumbar Vertebrae; D009460:Neurologic Examination; D011379:Prognosis; D012943:Social Security / Q000331:legislation & jurisprudence; D014938:Work Capacity Evaluation