Funktionsbeschreibung in der Begutachtung der Arbeitsfähigkeit – Was ist „evidence-based“?

Zusammenfassung

Ziel: Ziel der vorliegenden Arbeit ist es, einen Überblick über mögliche Instrumente zur Bemessung der Funktionsfähigkeit bei der gutachterlichen Einschätzung der beruflichen Leistungsfähigkeit zu geben.

Methode: Systematische Literaturrecherche.

Ergebnisse: Es konnten verschiedene Instrumente identifiziert werden, von denen allerdings keines speziell für psychiatrische Fragestellungen konzipiert und für den gutachterlichen Bereich validiert worden ist.

Schlussfolgerungen: Die Entwicklung eines spezifischen Instruments zur Funktionsbeschreibung im gutachterlichen Bereich könnte sinnvoll sein und so die Qualität des Gutachtenprozesses verbessern helfen.

Abstract

Aim: Occupational capacity evaluations have previously been subject to criticism for lacking in quality and consistency. To the authors’ knowledge, there is no clear consensus on the best way to formally assess functioning within capacity evaluations. In this review we investigated different instruments that are used to assess functioning in occupational capacity evaluations.

Methods: Systematic review of the literature.

Results: Though several instruments that assess functional capacity were found in our search, a specific validated instrument assessing occupational capacity as part of a larger psychiatric evaluation was not found. The limitations of the existing instruments on assessing functional capacity are discussed.

Conclusion: Medical experts relying on instruments to conduct functional capacity evaluations should be cognizant of their limitations. The findings call for the development and use of an instrument specifically designed to assess the functional and occupational capacity of psychiatric patients, which is also likely to improve the quality of these reports.

Schlüsselwörter

Fähigkeitsstörungen - Arbeitsfähigkeit - psychische Störungen - ICF - Gutachten

Keywords

capacity disorders - ICF - functional capacity evaluation - mental disorder - sick leave

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