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The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.

The development of instruments to measure the work disability assessment behaviour of insurance physicians

Open access
Steenbeek, Romy, Schellart, Antonius JM, Mulders, Henny, Anema, Johannes R, Kroneman, Herman, Besseling, Jan·2011·BMC Public Health
DOI 10.1186/1471-2458-11-1
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Abstract

BACKGROUND: Variation in assessments is a universal given, and work disability assessments by insurance physicians are no exception. Little is known about the considerations and views of insurance physicians that may partly explain such variation. On the basis of the Attitude--Social norm--self Efficacy (ASE) model, we have developed measurement instruments for assessment behaviour and its determinants. METHODS: Based on theory and interviews with insurance physicians the questionnaire included blocks of items concerning background variables, intentions, attitudes, social norms, self-efficacy, knowledge, barriers and behaviour of the insurance physicians in relation to work disability assessment issues. The responses of 231 insurance physicians were suitable for further analysis. Factor analysis and reliability analysis were used to form scale variables and homogeneity analysis was used to form dimension variables. Thus, we included 169 of the 177 original items. RESULTS: Factor analysis and reliability analysis yielded 29 scales with sufficient reliability. Homogeneity analysis yielded 19 dimensions. Scales and dimensions fitted with the concepts of the ASE model. We slightly modified the ASE model by dividing behaviour into two blocks: behaviour that reflects the assessment process and behaviour that reflects assessment behaviour.The picture that emerged from the descriptive results was of a group of physicians who were motivated in their job and positive about the Dutch social security system in general. However, only half of them had a positive opinion about the Dutch Work and Income (Capacity for Work) Act (WIA). They also reported serious barriers, the most common of which was work pressure. Finally, 73% of the insurance physicians described the majority of their cases as 'difficult'. CONCLUSIONS: The scales and dimensions developed appear to be valid and offer a promising basis for future research. The results suggest that the underlying ASE model, in modified form, is suitable for describing the assessment behaviour of insurance physicians and the determinants of this behaviour. The next step in this line of research should be to validate the model using structural equation modelling. Finally, the predictive value should be tested in relation to outcome measurements of work disability assessments.

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Research works printed but not linked: 54

  1. Marinus AMF: Interdoktervariatie in de huisartsenpraktijk (Inter-doctor variation in GPs' practices). PhD thesis. 1993, University of Amsterdam
  2. Taylor RJ: General-practitioner prescribing. J R Coll Gen Prac. 1977, 27: 79-82.
  3. Delnoij DMJ, Spreeuwenberg PMM: Variation in GPs' referral rates to specialists in internal medicine. Eur J Public Health. 1997, 7: 427-435. 10.1093/eurpub/7.4.427. · doi:10.1093/eurpub/7.4.427
  4. Ydreborg BAM, Ekberg K: Disqualified for disability pension -a case/referent study. Disabil Rehabil. 2004, 26: 1079-1086. 10.1080/09638280410001704368. · doi:10.1080/09638280410001704368
  5. Spanjer J, Krol B, Groothoff JW: Inter-rater reliability in disability assessment based on a semi-structured interview report. Disabil Rehabil. 2008, 30: 1885-1890. 10.1080/09638280701688185. · doi:10.1080/09638280701688185
  6. Spanjer J, Krol B, Popping R, Groothoff JW, Brouwer S: Disability disability evaluation: the role of detailed information on functioning in addition to medical history taking. J Rehabil Med. 2009, 41: 267-272. 10.2340/16501977-0323. · doi:10.2340/16501977-0323
  7. Shiels C, Gabbay M: The influence of GP and patient gender interaction on the duration of certified sickness absence. Fam Pract. 2006, 23: 246-253. 10.1093/fampra/cmi110. · doi:10.1093/fampra/cmi110
  8. Hofstee WKBH, Kroneman H, De Boer WEL: Representatieve beoordeling van arbeidsvermogen (Representative assessment of work capacity). TBV. 2009, 17: 406-409. · doi:10.1007/bf03081295
  9. Fishbein M, Ajzen I: Belief, attitude, intention and behaviour; An introduction to theory and reserch. 1975, Reading (MA): Addison-Wesley
  10. Tellnes G, Sandvik L, Moum T: Inter-doctor variation in sickness certification. Scan J Prim Health Care. 1990, 8: 45-52. 10.3109/02813439008994928. · doi:10.3109/02813439008994928
  11. Thies-Zajong S, Szecsenyi J, Kochen MM: Attitudes and empirical referral data of West German family physicians. Gesundheitswesen. 1993, 55: 635-640.
  12. Besseling JJM, Bockting AJV, Franquinet JMWAF, Sprenger WJ: Evaluatie stelselherziening (System revision evaluation). 1990, Amsterdam: GMD (Joint Medical Examination Service)
  13. Van de Goor AG: Effects of regulation on disability duration. PhD thesis. 1997, Amsterdam, Thesis Publishers
  14. Aarts L, De Jong P, Van der Veen R: Met de beste bedoelingen wao 1975-1999 trends, onderzoek en beleid. (With the nest intentions WAO 1975-1999: trends, research and policies). 2002, Doetinchem: Elsevier bedrijfsinformatie
  15. Wevers CWJ, Vinke H: Bedrijfsartsen over verzuimbegeleiding, een casusonderzoek (Company doctors on sick leave management; a case study). TBV. 1999, 7: 78-83. · doi:10.1007/bf0373560
  16. De la Court E: WAO volume-effect van de eerstejaarsherbeoordeling en zijn determinanten: reïntegratie in het eerste WAO jaar (WAO volume effect of the first-year reassessment and its determinants: reintegraton in the first WAO year). 2000, Hoofddorp: TNO Arbeid
  17. Norrmen G, Svardsudd K, Andersson D: Impact of physician-related factors on sickness certification in primary health care. Scand J Prim Health Care. 2006, 24: 104-109. 10.1080/02813430500525433. · doi:10.1080/02813430500525433
  18. Kerstholt JH, De Boer WEL, Jansen EJM: Psychologische aspecten van claimbeoordeling (Psychological aspects of claims assessment). 2002, Hoofddorp: TNO Arbeid
  19. Laitinen-Krispijn SM, Nicolaï LC: Verzekeringsgeneeskundige beoordeling bij psychische problematiek (Insurance medicine assessment in the case of mental problems). TBV. 2006, 14: 167-170. · doi:10.1007/bf03074369
  20. Spanjer J: De inter- en intra-beoordelaarsbetrouwbaarheid van WAO-beoordelingen (The inter-rater and intra-rater reliability of WAO assessments). TBV. 2001, 9: 234-241.
  21. Razenberg PPA: Verzekeringsgeneeskundige oordeelsvorming. Inzicht in de praktijk (Insurance medicine assessments. Insight into practice). PhD thesis. 1992, University of Amsterdam
  22. Van Deursen CGL: Claimbeoordeling WAO: het handelen van verzekeringsartsen in de praktijk (WAO Claims assessment: the actions of insurance physicians in practice). 2000, Amsterdam: National Institute of Social Insurance Agencies (Lisv)
  23. Van Deursen, Veerman TJ: Randvoorwaarden van de sociaal-medische begeleiding : onderzoek onder verzekeringsartsen en arbeidsdeskundigen die lid zijn van het Lisv uitvoerderspanel (Parameters for sociomedical counselling: survey among insurance physicians and labour experts who are members of the Lisv implementation panel). 1997, Amsterdam: National Institute of Social Insurance Agencies (Lisv)
  24. Spanjer J: Tien stellingen rond herstelgedrag (Ten propositions concerning recovery behavior). TBV. 1999, 7: 233-235. · doi:10.1007/bf03073575
  25. Besseling JJM: Burgerlijke staat en arbeidsongeschikheid 1977-1983 (Marital status and work disability). 1986, Amsterdam: GMD (Joint Medical Examination Service)
  26. Moore PJ, Adler NE, Robertson PA: Medical malpractice: the effect of doctor-patient relations on medical patient perceptions and malpractice intentions. West J Med. 2000, 173: 244-250. 10.1136/ewjm.173.4.244. · doi:10.1136/ewjm.173.4.244
  27. Mudde EC: Ziek in de zin der wet. De interpretatie van ziekteverzuim door verzekeringsgeneeskundigen en rapporteurs (Sickness within the meaning of the law. The interpretation of sick leave by insurance physicians and rapporteurs). PhD thesis. 1995, University of Amsterdam
  28. Weijman I, Ros WJG, Rutten GEHM, Schaufeli WB, Schabracq MJ, Winnubst JAM: Fatigue in employees with diabetes: its relation with work characteristics and diabetes related burden. Occup Environ Med. 2003, 60 (suppl 1): 93-98. 10.1136/oem.60.suppl_1.i93. · doi:10.1136/oem.60.suppl_1.i93
  29. Ybema JF, Evers M: Profiel Arbeid en Gezondheid 2005 (Labour and Health Profile 2005). 2005, Hoofddorp: TNO Work and Employment
  30. Berendsen L, Mullenders P: De manager de baas? Een onderzoek naar WAO-managers en hun integrale verantwoordelijkheid voor het werk van verzekeringsartsen (Is the manager the boss? A study of WAO managers and their integral responsibility for the work of insurance physicians). 2004, Den Haag: Inspectie Werk en Inkomen
  31. Choy J: Rapportage van de raadplegingen door bureau SMZ met de verzekeringsartsen en arbeidsdeskundigen (Reports of assessments by bureau SMZ with insurance physicians and labour specialists). 2005, Amsterdam: Bureau SMZ
  32. Edlund C, Dahlgren L: The physician's role in the vocational rehabilitation process. Disabil Rehabil. 2002, 24: 727-733. 10.1080/09638280210124310. · doi:10.1080/09638280210124310
  33. Willems JHBM, Kroneman H: Arts of advocaat? Nieuwe wao verandert de rol van verzekeringsarts (Physician or lawyer? New WAO alters the role of the insurance physician). 2003, MDC, 9: 337-340.
  34. De Bont A, Van den Brink JC, Berendsen L, Boonk M: De beperkte controle van de informatie voor de arbeidsongeschiktheidsbeoordeling (The limited checks on information for work disability assessment). 2002, Ned Tijdschr Geneeskd, 146: 27-30.
  35. Van Glabbeek RHJ: Houden verzekeringsartsen zich aan de wet? Het Schattingsbesluit en de Standaard Geen Duurzaam Benutbare Mogelijkheden in de praktijk (Do insurance physicians comply with the law? The Estimation Decree and the Permanent Full Disability Standard) Dissertation for the occupational health and safety training course for doctors). 2003, Netherlands School of Public and Occupational Health (NSPOH): Utrecht
  36. Sprenger WJ: Arbeidsdeskundigen en verzekeringsgeneeskundigen van de gemeenschappelijke medische dienst over de gevolgen van de stelselherziening voor hun praktijk (Labour experts and insurance physicians of the Joint Medical Examination Service (GMD) on how a revision of the system would affect their practice). 1989, Amsterdam: GMD (Joint Medical Examination Service)
  37. De Boer WEL, Croon NHTh, Van der Toorn M, Csánky-Achilles HW: Enquête Medisch Arbeidsongeschiktheidscriterium (Medical Work Disability Criterion Survey). 1996, TBV, 4: 98-104.
  38. Brenninkmeijer V, Lagerveld SE, Blonk RWB: Moeilijk objectiveerbare klachten in de praktijk van de bedrijfs- en verzekeringsarts. Een empirisch onderzoek (Complaints in the practice of company doctors and insurer's medical advisers that are hard to assess objectively: an empirical study). 2006, TBV, 14: 354-359.
  39. Van Berkel NA, Njoo T: Overleg met de behandelende sector: het effect van informatie van de behandelaar op de WAO-beoordeling, vergelijkend onderzoek tussen twee UVI's. (Consultation with the treating sector: the effect of information from the treating physician on the WAO assessment: comparative surveys between two social security administration agencies). 2001, Amsterdam: Netherlands School of Occupational Health (NSOH)
  40. Spanjer J: De reproduceerbaarheid van WAO-beoordelingen, een literatuuronderzoek (The reproducability of WAO assessments, a literature study). 2002, TBV, 10: 195-198.
  41. Spanjer J: Voorbeelden: Een hulpmiddel om de ernst van de beperkingen te beoordelen (Examples: an aid for assessing the seriousness of limitations). 2002, TBV, 10: 109-111.
  42. De Bont AA, Berendsen L, Boonk MPA, Van de Brink JC: In de spreekkamer van de verzekeringsarts : een onderzoek naar het verzekeringsgeneeskundige deel van de WAO claimbeoordeling.(In the surgery of the insurer's medical adviser: a study of the insurance medicine part of the WAO claims assessment). 2000, Zoetermeer: CTSV
  43. Maas-Oostenbrink AJ, Simon-de Zwart AJ: Standaard 'Geen Duurzaam Benutbare Mogelijkheden' altijd benutbaar? een onderzoek naar het gebruik van de standaard GDBM bij maligne aandoeningen met een infauste prognose (Permanent Full Disability Standard always useable? A study of the use of the standard in the case of malignant disorders with an unfavourable prognosis). 1999, Hoofddorp: TNO Arbeid
  44. Van Dijk JK, Messchendorp HJ, Koopman MI, Steenbeek R, Van Til CT: Personeel in beeld. De arbeidsbeleving van medewerkers in ziekenhuizen, revalidatiecentra en andere instellingen die vallen onder de CAO-Z (Personnel in the picture. The work perception of employees in hospitals, rehabilitation centres and other institutions covered by the 'Z' collective agreement). 2002, Utrecht: Prismant
  45. Smulders PGW, Andries F, Otten F: Hoe denken Nederlanders over hun werk? Opzet, kwaliteit en eerste resultaten van de TNO Arbeidssituatie Survey. (What do Dutch people think about their work? Design, quality and first results of the TNO Working Conditions Survey). 2001, Hoofddorp: TNO Arbeid
  46. Kristensen T, Borg V: Copenhagen Psychosocial Questionnaire (COP-SOQ). 2000, Kopen-hagen: National Institute of Occupational Health
  47. Goudswaard A, Dhondt S, Kraan K: Flexibilisering en Arbeid in de Informatie-maatschappij; werknemersvragenlijst, bestemd voor werknemers van bedrijven die deelnemen aan het SZW-Werkgeverspanel 1998 (Flexibilisation and Work in the Information Society; questionnaire for employees of businesses that take part in the 1998 Employers Panel of the Ministry of Social Affairs and Employment). 1998, Hoofddorp: TNO Arbeid
  48. Houtman I, Goudswaard A, Dhondt S, Van der Grinten M, Hildebrandt V, Van der Poel EGT: Evaluation of the monitoring study of stress and physical load. 1995, The Hague: VUGA
  49. De Boer WEL, Wijers J, Spanjer J, Van der Beijl I, Zuidam W: Gespreksmodellen in de verzekeringsgeneeskunde (Discussion models in insurance medicine). TBV. 2006, 14: 17-23. · doi:10.1007/bf03074300
  50. Nagtegaal GH: De rol van het dagverhaal in de oordeelsvorming van de verzekeringsarts ten aanzien van AAW/WAO beoordelingen (The role of the client's account of daily activities in assessment by insurance physicians for the purposes of the AAW/WAO). 1997, Utrecht: Netherlands School of Public Health (NSPH)
  51. Jöreskog KG, Sörbom D: Interactive Lisrel (version 8.72). 2004, Lincolnwood (Il): Scientific Software International Inc
  52. Gifi A: Homals users Guide. 1981, Department of Datatheory, University of Leiden
  53. Weggemans M: Leiding geven aan professionals? Niet doen! (Providing leadership to professionals. Don't do it!). 2008, Schiedam: Scriptum
  54. De Boer WEL: Quality of evaluation of work disability. PhD Thesis. 2010, University of Amsterdam

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Metadata

Authors
Steenbeek, R., Schellart, A. J., Mulders, H., Anema, J. R., Kroneman, H., & Besseling, J.
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2011-01-03
Volume
11
Issue
1
Pages
1-1
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/1471-2458-11-1
OpenAlex
W2159370636
Cited by
420
References
39
FWCI
43.42
Type
journal article
Language
en
Open access
gold
Licence
creativecommons.org/licenses/by/2.0 (tdm)

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CoChat. (2026). Citation check: The development of instruments to measure the work disability assessment behaviour of insurance physicians. https://app.cochat.ai/papers/10.1186/1471-2458-11-1
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Steenbeek, R., Schellart, A. J., Mulders, H., Anema, J. R., Kroneman, H., & Besseling, J. (2011). The development of instruments to measure the work disability assessment behaviour of insurance physicians. BMC Public Health. https://doi.org/10.1186/1471-2458-11-1

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