Adding value for clients during work disability assessments: A qualitative exploration from the perspective of medical examiners.

Work

Department of Public and Occupational Health, Amsterdam UMC Location University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

Published: October 2024

AI Article Synopsis

  • Value-based healthcare aims to enhance care by focusing on important outcomes from the client's perspective while considering total care costs, especially in work disability assessments.
  • This qualitative study involved interviews with 7 medical examiners in the Netherlands, exploring their views on facilitators, barriers, and opportunities for adding value during assessments.
  • Findings highlight four key themes: a coherent assessment process, interdisciplinary collaboration, client-centered interactions, and comprehensive information provision, which can improve the overall work disability assessment experience.

Article Abstract

Background: Value-based healthcare delivery focuses on optimizing care provided by measuring the healthcare outcomes which are most important to the clients relative to the total care costs. However, the understanding of what adds value for clients during work disability assessment is lacking.

Objective: To explore what medical examiners (MEs) perceive as valuable during the work disability assessment process, by exploring possible: 1) facilitators, 2) barriers and 3) opportunities to add value for the client during the work disability assessment.

Methods: For this explorative qualitative study, 7 semi-structured interviews were conducted with MEs in the Netherlands. Thematic coding was performed for all interviews.

Results: A large variety of facilitators (n = 22), barriers (n = 17) and opportunities (n = 11) were identified and inductively subdivided into four main themes: 1) coherent process, including all time related aspects, 2) interdisciplinary collaboration, including all aspects related to the collaboration between the ME and other professionals, 3) client-centred interaction, including all aspects related to the supportive interplay from the ME towards the client, and 4) information provision on all aspects during the work disability assessment process towards the client to ensure a valuable work disability assessment process.

Conclusions: The overview of identified possible facilitators, barriers and opportunities to add value for clients from the perspective of the ME may stimulate improvement in the current work disability assessment practice and to better match the client needs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492118PMC
http://dx.doi.org/10.3233/WOR-230305DOI Listing

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