Exploring participatory behaviour of disability benefit claimants from an insurance physician's perspective
| Autor: | Jac J. L. van der Klink, Sijrike van der Mei, Sandra Brouwer, Christiaan Sjobbema, Bert Cornelius |
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| Přispěvatelé: | Public Health Research (PHR) |
| Rok vydání: | 2017 |
| Předmět: |
Biopsychosocial model
Male RETURN Attitude of Health Personnel Applied psychology Qualitative property INTERNATIONAL CLASSIFICATION INDIVIDUAL RESPONSIBILITY ILLNESS Social Security 03 medical and health sciences Disability Evaluation 0302 clinical medicine Return to Work International Classification of Functioning Disability and Health Physicians Health care INJURY Humans Disabled Persons 030212 general & internal medicine Netherlands WORK business.industry return-to-work Rehabilitation disability assessment Citizen journalism Participatory behaviour Middle Aged 030210 environmental & occupational health Solidarity Social security HEALTH-CARE SOLIDARITY EMPLOYEES Female Patient Participation business Psychology Social psychology qualitative research health recovery Qualitative research |
| Zdroj: | Disability and Rehabilitation, 40(16), 1943-1952. Taylor & Francis Ltd |
| ISSN: | 1464-5165 0963-8288 |
| Popis: | Purpose: In the Dutch social security system, insurance physicians (IPs) assess participatory behaviour as part of the overall disability claim assessment. This study aims to explore the views and opinions of IPs regarding participatory behaviour as well as factors related to inadequate participatory behaviour, and to incorporate these factors in the International Classification of Functioning, Disability and Health (ICF) biopsychosocial framework.Method: This qualitative study collected data by means of open-ended questions in 10 meetings of local peer review groups (PRGs) which included a total of 78 IPs of the Dutch Social Security Institute. In addition, a concluding discussion meeting with 8 IPs was organized.Results: After qualitative data analyses, four major themes emerged: (1) participation as an outcome, (2) efforts of disability benefit claimants in the process of participatory behaviour, (3) beliefs of disability benefit claimants concerning participation, and (4) recovery behaviour. Identified factors of inadequate participatory behaviour covered all ICF domains, including activities, environmental, and personal factors, next to factors related to health condition and body functions or structures. Outcomes of the discussion meeting indicated the impossibility of formulating general applicable criteria for quantifying and qualifying participatory behaviour.Conclusions: Views of IPs on disability benefit claimants' (in)adequate participatory behaviour reflect a broad biopsychosocial perspective. IPs adopt a nuanced tailor-made approach during assessment of individual disability benefit claimants' participatory behaviour and related expected activities aimed at recovery of health and RTW.IMPLICATIONS FOR REHABILITATIONWithin a biopsychosocial perspective, it is not possible to formulate general criteria for the assessment of participatory behaviour for each unique case. Individual disability benefit claimant characteristics and circumstances are taken into account.To optimize the return-to-work (RTW) process, insurance physicians (IPs) assess participatory behaviour according to the International Classification of Functioning, Disability and Health, including medical, personal, and environmental factors.Some aspects within the concept of participatory behaviour extend beyond the boundaries of the domain where IPs operate because opinions in society on personal and societal responsibility influence participatory behaviour. |
| Databáze: | OpenAIRE |
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