title: Toward transparent documentation in medical work capacity evaluations: identifying personal factors in medical reports on Swiss disability claimants with chronic widespread pain.
abstract: The aim of this study was to determine personal factors that are reported in medical work capacity evaluations of Swiss disability claimants with chronic widespread pain. A mixed-methods study, involving a retrospective qualitative and quantitative secondary analysis of the content of medical reports, was carried out. Two personal factor categorizations (the Geyh categorization and the Grotkamp categorization) were used for coding and specifying the personal factors in the reports. The most relevant personal factor categories were determined by calculating their relative frequency across reports and setting a relevance threshold. Using the Geyh categorization, 27 personal factor categories passed the relevance threshold and six of them appeared in all medical reports. Applying the Grotkamp categorization, 32 personal factor categories passed the threshold and four of them showed up in all reports. The most relevant personal factors identified in medical reports on Swiss disability claimants with chronic widespread pain refer to biographical, occupational, and educational background, behavior patterns as well as personal feelings and cognitions. The development of a standardized documentation involving these personal factors could contribute to more transparency and better comparability of medical work capacity evaluations.
authors.affiliation: aSwiss Paraplegic Research (SPF) bDepartment of Health Sciences and Health Policy, University of Lucerne and SPF, Nottwil, Switzerland cUnit for Biopsychosocial Health, Chair for Public Health and Health Care Research, Department of Medical Informatics, Biometry and Epidemiology, Ludwig-Maximilians University, Munich, Germany dasim, Academy of Swiss Insurance Medicine, University Hospital Basel, Switzerland.
authors.forename: Urban
authors.initials: U
authors.lastname: Schwegler
authors.forename: Claudio
authors.initials: C
authors.lastname: Peter
authors.forename: Bruno
authors.initials: B
authors.lastname: Trezzini
authors.forename: Jessica
authors.initials: J
authors.lastname: Anner
authors.forename: Szilvia
authors.initials: S
authors.lastname: Geyh
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D059350:Chronic Pain / Q000534:rehabilitation*; D004282:Documentation / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D014938:Work Capacity Evaluation