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ICF and social insurance of work disability

ICF and social insurance of work disability. Disability for work. Does this person meet the social norm of being entitled to exclusion form work? Is he sick enough? Can anything be done about his disability Has he done what can be expected from him?. Projects I drain from.

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ICF and social insurance of work disability

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  1. ICF and social insurance of work disability Wout de Boer, MD

  2. Disability for work • Does this person meet the social norm of being entitled to exclusion form work? • Is he sick enough? • Can anything be done about his disability • Has he done what can be expected from him? ICF and social insurance of work disability

  3. Projects I drain from • 15 country study on criteria, daily practice, management and control (2003) • Working group Council of Europe on criteria and assessment (2001) • Comparison of 7 types of evaluation for work in the Netherlands (2002) • EUMASS (european association of medicine in assurance and social security) working group on disability evaluation and ICF • Comparison of 7 disability scales, Barema’s ICF and social insurance of work disability

  4. Viaene: human damage • Disability represents a loss of value of human existence: a lowering on Y axis • Due to a specific cause: disease • Develops in time, X axis, in relationship to Normal expectations that are hypotheses. ICF and social insurance of work disability

  5. Y N N A C D B X Time ICF and social insurance of work disability

  6. Big question is what is Y? • Second big question is what is the value of a diminution of Y? ICF and social insurance of work disability

  7. It is not the criterion itself or the concept of disability (earning or working capacity) that determines the Y-axis Rather, it is the operationalisation that is constructed in an administrative category. ICF and social insurance of work disability

  8. Operationalisation • Medical: the judgment on disability is on severity of sickness Body structure and function Listings, Barema’s • Functional: the judgment on disability is on restrictions of activities Activities Functional scales • Rehabilitative: the judgment on disability is on possibilities and lack of effect of rehabilitation • Curative aspect: if treatment is possible judgment may be delayed or for a short period • In practice decision making most often contains all, motivation of decision is limited ICF and social insurance of work disability

  9. ICF? • Conceptually close to practice: language • Reveals hidden links with personal factors and notably environment: policy • Personal factors like coping and motivation are missing, this is a pity, technically • Gradation of severity is problematic, what does it mean to a social norm? • Big questions (What is Y) are more concrete but not anywhere near to being solved! ICF and social insurance of work disability

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