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1.
Gesundheitswesen ; 71(6): e28-61, 2009 Jun.
Artículo en Alemán | MEDLINE | ID: mdl-19544282

RESUMEN

The following guidelines were developed for the medical assessment services of the German pension fund. Starting from day-to-day practice, criteria and attributes to guide decisions for a systematisation of the sociomedical assessment of performance in diseases of the liver and the bile ducts 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 the typical manifestations of diseases of the liver and the bile ducts 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. The guidelines followed from an extended procedure to attain a wide consensus in the setting of the German Pension Fund and an upgraded evidence base.


Asunto(s)
Enfermedades de las Vías Biliares/diagnóstico , Enfermedades de las Vías Biliares/terapia , Atención a la Salud/normas , Hepatopatías/diagnóstico , Hepatopatías/terapia , Garantía de la Calidad de Atención de Salud/métodos , Garantía de la Calidad de Atención de Salud/normas , Enfermedad Crónica , Alemania , Humanos , Factores Socioeconómicos
3.
Gesundheitswesen ; 67(6): 396-415, 2005 Jun.
Artículo en Alemán | MEDLINE | ID: mdl-16001355

RESUMEN

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 systemization of the sociomedical assessment of performance in inflammatory bowel disease (Crohn's disease, ulcerative colitis) 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 inflammatory bowel disease 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.


Asunto(s)
Evaluación de la Discapacidad , Guías como Asunto , Enfermedades Inflamatorias del Intestino/clasificación , Enfermedades Inflamatorias del Intestino/diagnóstico , Índice de Severidad de la Enfermedad , Evaluación de Capacidad de Trabajo , Adolescente , Adulto , Anciano , Alemania , Humanos , Enfermedades Inflamatorias del Intestino/rehabilitación , Masculino , Persona de Mediana Edad , Clase Social
4.
Gesundheitswesen ; 65(1): 19-39, 2003 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-12548480

RESUMEN

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.


Asunto(s)
Evaluación de la Discapacidad , Guías como Asunto , Desplazamiento del Disco Intervertebral/clasificación , Evaluación de Capacidad de Trabajo , Vértebras Cervicales , Diagnóstico Diferencial , Determinación de la Elegibilidad/legislación & jurisprudencia , Testimonio de Experto/legislación & jurisprudencia , Alemania , Humanos , Desplazamiento del Disco Intervertebral/diagnóstico , Desplazamiento del Disco Intervertebral/rehabilitación , Vértebras Lumbares , Examen Neurológico , Pronóstico , Seguridad Social/legislación & jurisprudencia
5.
Gesundheitswesen ; 66(4): 251-64, 2004 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-15100942

RESUMEN

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 systematization of the sociomedical assessment of performance in chronic obstructive pulmonary diseases (COPD) and bronchial asthma 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. Part I of the guidelines gives information on the classification of chronic obstructive pulmonary diseases (COPD) and bronchial asthma and on the number of pensions due to limited earning capacity. The guidelines summarise typical manifestations of chronic obstructive pulmonary diseases (COPD) and bronchial asthma 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.


Asunto(s)
Asma/diagnóstico , Evaluación de la Discapacidad , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Adulto , Asma/clasificación , Asma/rehabilitación , Análisis de los Gases de la Sangre , Broncoscopía , Diagnóstico Diferencial , Ecocardiografía , Ecocardiografía Doppler , Electrocardiografía , Determinación de la Elegibilidad , Femenino , Alemania , Humanos , Masculino , Persona de Mediana Edad , Pletismografía , Pletismografía de Impedancia , Guías de Práctica Clínica como Asunto , Enfermedad Pulmonar Obstructiva Crónica/clasificación , Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Pruebas de Función Respiratoria , Factores de Riesgo , Seguridad Social/legislación & jurisprudencia , Espirometría , Organización Mundial de la Salud
6.
Gesundheitswesen ; 66(7): 439-56, 2004 Jul.
Artículo en Alemán | MEDLINE | ID: mdl-15314736

RESUMEN

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 chronic obstructive pulmonary diseases (COPD) and bronchial asthma 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. Part II outlines assessment of the individual's capacity, 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.


Asunto(s)
Asma/diagnóstico , Asma/rehabilitación , Evaluación de la Discapacidad , Evaluación de Resultado en la Atención de Salud/métodos , Evaluación de Resultado en la Atención de Salud/normas , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Asma/clasificación , Alemania , Humanos , Manejo de Atención al Paciente/métodos , Manejo de Atención al Paciente/normas , Guías de Práctica Clínica como Asunto/normas , Enfermedad Pulmonar Obstructiva Crónica/clasificación , Rehabilitación Vocacional/métodos , Rehabilitación Vocacional/normas , Resultado del Tratamiento
7.
Gesundheitswesen ; 64(8-9): 451-65, 2002.
Artículo en Alemán | MEDLINE | ID: mdl-12221610

RESUMEN

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 coronary heart disease (CHD) 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 CHD 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 - especially of myocardial functioning - 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.


Asunto(s)
Enfermedad Coronaria/diagnóstico , Evaluación de Capacidad de Trabajo , Enfermedad Coronaria/clasificación , Enfermedad Coronaria/rehabilitación , Testimonio de Experto/legislación & jurisprudencia , Alemania , Humanos , Guías de Práctica Clínica como Asunto , Rehabilitación Vocacional , Seguridad Social/legislación & jurisprudencia
8.
Gesundheitswesen ; 66(1): 43-50, 2004 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-14767790

RESUMEN

A project group of the Medical Advisory Board of the German Federal Rehabilitation Council (BAR) developed fundamental joint principles on experts' opinions according to the social law code no. IX (SGB IX). The principles aim at medical experts working in different social organisations and statutory health care insurance. It was intended to create a "sociomedical language" which should be used as jointly as possible by experts in rehabilitation and social medicine and which is based on the ICF (International Classification of Functioning, Disability and Health, WHO 2001). Its stringent application will increase the utility of medical expertise across different institutions. The authors recommend to evaluate whether this model could provide a tool in the communication and cooperation between different sectors of the health system. Part I describes the theoretical model, Part II its application to a virtual individual case history.


Asunto(s)
Atención a la Salud/legislación & jurisprudencia , Testimonio de Experto , Seguro de Salud/legislación & jurisprudencia , Salud Pública , Rehabilitación/legislación & jurisprudencia , Medicina Social/legislación & jurisprudencia , Determinación de la Elegibilidad , Alemania , Humanos , Masculino , Persona de Mediana Edad
9.
Gesundheitswesen ; 65(11): 603-11, 2003 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-14639517

RESUMEN

A project group of the Medical Advisory Board of the German Federal Rehabilitation Council (BAR) developed fundamental joint principles on experts' opinions according to the social law code no. IX (SGB IX). The principles aim at medical experts working in different social organisations and statutory health care insurances. It was intended to create a "sociomedical language" which should be used as jointly as possible by experts in rehabilitation and social medicine and which is based on the ICF (International Classification of Functioning, Disability and Health, WHO 2001). Its stringent application will increase the utility of medical expertise across different institutions. The authors recommend to evaluate whether this model could provide a tool in the communication and cooperation between different sectors of the health system. Part I describes the theoretical model, Part II its application to a virtual individual case history.


Asunto(s)
Atención a la Salud/legislación & jurisprudencia , Salud Pública , Rehabilitación , Medicina Social , Evaluación de la Discapacidad , Testimonio de Experto , Alemania , Humanos , Seguro de Salud/legislación & jurisprudencia , Rehabilitación/legislación & jurisprudencia , Medicina Social/legislación & jurisprudencia , Organización Mundial de la Salud
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