[Medical assessment of psychosomatic illnesses in the field of short-term disability compensation insurance: advantages of a multidimensional structured guideline].
The aim of the medical report in the area of short-term disability claims caused by psychological and psychosomatic disorders is to make a valid prognosis on the further development of absenteeism and/or to estimate the return-to-work probability of the claimant. An analysis of the current practice of determining the validity of claims caused by psychosomatic illnesses shows that it is inadequate and unsatisfactory, mainly as a result of its reliance on a cross-sectional based judgement. The authors present a structured guideline (Multi-Axial-Psychodiagnostic for short-term disability claims, MAP-KTG), which supports, via a multi-dimensional diagnosis process, the validation of the psychological and psychosomatic symptoms of the claimant. It is also used to assess the amount of functional disability with a higher degree of accuracy. The determination of the prognosis, with regard to future work prospects, can be obtained by applying a list of empirically generated variables proven to be associated with the return-to-work probability.
Svitak
M
M
Klinikum Staffelstein, Schön Kliniken.
Müller-Svitak
S
S
Rauh
E
E
D000203:Activities of Daily Living; D004185:Disability Evaluation; D005858:Germany; D006801:Humans; D007345:Insurance Claim Review; D018868:Insurance, Disability; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011602:Psychophysiologic Disorders / Q000145:classification* / Q000175:diagnosis*; D018434:Sickness Impact Profile; D014942:Workers' Compensation