Verifiability of diagnostic categories and work ability in the context of disability pension award: A survey on 'gatekeeping' among general practitioners in Norway
2008

Verifiability of Medical Conditions and Work Ability in Disability Pension Assessments

Sample size: 500 publication Evidence: moderate

Author Information

Author(s): Rein Overland, Simon Overland, Kristian Nyborg Johansen, Arnstein Mykletun

Primary Institution: Research centre for Health Promotion, University of Bergen, Norway

Hypothesis

How verifiable are medical conditions and related work ability in the context of disability pension awards as perceived by general practitioners in Norway?

Conclusion

General practitioners in Norway report a moderate level of verifiability for both diagnostic categories and work ability in disability assessments.

Supporting Evidence

  • The mean level of verifiability for diagnostic categories was reported as 3.7 on a scale of 0 to 5.
  • Work ability was found to be more difficult to verify than diagnostic categories.
  • The least verifiable diagnostic categories are also the most common in disability pension awards.

Takeaway

Doctors in Norway find it somewhat hard to verify if patients really can't work due to their health problems when deciding on disability benefits.

Methodology

A survey was conducted among 500 general practitioners in Norway to assess their views on the verifiability of diagnostic categories and work ability.

Potential Biases

There is a risk of systematic participation bias affecting the findings.

Limitations

The study had a low response rate, which raises concerns about potential participation bias.

Participant Demographics

Demographic information on the GPs was not collected to ensure anonymity.

Statistical Information

P-Value

p<0.01

Confidence Interval

95%

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1186/1471-2458-8-137

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