EVIDENCE NEEDS, TRAINING DEMANDS, AND OPPORTUNITIES FOR KNOWLEDGE TRANSLATION IN SOCIAL SECURITY AND INSURANCE MEDICINE: A EUROPEAN SURVEY

被引：2

作者：

Kunz, Regina ^{[1
]}

Verbel, Adrian ^{[1
]}

Weida-Cuignet, Rebecca ^{[1
]}

Hoving, Jan L. ^{[2
,3
]}

Weinbrenner, Susanne ^{[4
]}

Friberg, Emilie ^{[5
]}

Klipstein, Andreas ^{[6
]}

Van Haecht, Christiaan ^{[7
]}

Autti-Ramo, Ilona ^{[8
]}

Agosti, Nadine ^{[9
]}

Vargas-Prada, Sergio ^{[10
]}

Kneepkens, Robert ^{[11
]}

Lindenger, Gert ^{[12
]}

de Boer, Wout ^{[1
]}

Schaafsma, Frederieke G. ^{[3
,13
]}

机构：

[1] Univ Basel Hosp, Dept Clin Res, Evidence Based Insurance Med EbIM Res & Educ, Spitalstr 8 12, CH-4031 Basel, Switzerland

[2] Univ Amsterdam, Locat Acad Med Ctr AMC, Coronel Inst Occupat Hlth, APH Inst,Med Ctr, Amsterdam, Netherlands

[3] Res Ctr Insurance Med KCVG, Amsterdam, Netherlands

[4] German Pens Insurance, Dept Social Med & Rehabil, Berlin, Germany

[5] Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden

[6] Swiss Insurance Med, Medworld, Steinhausen, Switzerland

[7] Natl Alliance Christian Mutual, Dept Med Management, Brussels, Belgium

[8] Minist Social Affairs & Hlth, Council Choices Hlth Care, Helsinki, Finland

[9] Natl Hlth Insurance Fonds, Paris, France

[10] Univ Glasgow, Hlth Working Lives Grp, Inst Hlth & Wellbeing, Coll Med Vet & Life Sci, Glasgow, Lanark, Scotland

[11] Achmea, Tilburg, Netherlands

[12] European Union Med Assurance & Social Secur, Brussels, Belgium

[13] Univ Amsterdam, Locat VU Univ Med Ctr, APH Inst, Dept Publ & Occupat Hlth,Med Ctr, Amsterdam, Netherlands

来源：

JOURNAL OF REHABILITATION MEDICINE | 2021年 / 53卷 / 04期

关键词：

social security; disability evaluation; return to work; evidence-based practice; quality assurance; surveys and questionnaires; guidelines; TASK-FORCE; PHYSICIANS; DISORDERS;

D O I：

10.2340/16501977-2821

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To perform a European survey of the evidence needs and training demands of insurance medicine professionals related to professional tasks and evidence-based practice. Design: International survey. Subjects: Professionalsworking in insurance medicine. Methods: Experts designed an online questionnaire including 26 questions related to 4 themes: evidence needs; training demands; evidence-seeking behaviour; and attitudes towards evidence-based medicine. Descriptive statistics were presented by country/conference and the total sample. Results: A total of 782 participants responded. Threequarter of participants experienced evidence needs at least once a week, related to mental disorders (79%), musculoskeletal disorders (67%) and occupational health (65%). Guidelines (76%) and systematic reviews (60%) were the preferred types of evidence and were requested for assessment of work capacity (64%) and prognosis of return to-work (51%). Evidence-based medicine was thought to facilitate decision-making in insurance medicine (95%). Fifty-two percent of participants felt comfortable finding, reading, interpreting, and ap? plying evidence. Countries expressed similar needs for reviews on typical topics. Conclusion: This study reveals evidence gaps in key areas of insurance medicine, supporting the need for further research, guidelines and training in evidence-based insurance medicine. Importantly, insurance medicine professionals should recognize that evidence-based practice is crucial in producing high-quality assessments.

引用

页数：9