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Toward transparent documentation in medical work capacity evaluations - identifying personal factors in medical reports on Swiss disability claimants with chronic widespread pain

SCHWEGLER U; PETER C; TREZZINI B; ANNER J; GEYH S
INT J REHABIL RES , 2013, vol. 36, n° 4, p. 298-307
Doc n°: 168093
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/MRR.0b013e3283618d48
Descripteurs : AD8 - DOULEUR

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.

Langue : ANGLAIS

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