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Title: Satisfaction of staff of Swiss insurance companies with medical appraisals : a cross sectional study
Authors : Eichler, Klaus
Imhof, Daniel
Bollag, Yvonne
Stöhr, Susanna
Gyr, Niklaus
Auerbach, Holger
Published in : BMC Research Notes
Volume(Issue) : 4
Issue : 1
Pages : 83
Pages to: 89
Publisher / Ed. Institution : BioMed Central
Issue Date: 2011
License (according to publishing contract) : CC BY 2.0: Attribution 2.0 Generic
Type of review: Peer review (publication)
Language : English
Subjects : Private insurance; Disability insurance; Private insurance company; Insurance physician; Occupational accident
Subject (DDC) : 360: Social problems and social insurance
Abstract: Background: A high quality of timely delivered medical appraisals is crucial for social and other insurances to judge possible occupational reintegration measures for patients with medical conditions who are in danger to lose their job. However, little is known about the satisfaction of staff of insurance companies with medical appraisals that they have commissioned. Our questionnaire survey prospectively included all medical appraisals arriving at Swiss insurances from FEB to APR 2008. We assessed the satisfaction of the commissioner with medical appraisals performed by medical assessors. In addition, we evaluated the contribution of several factors to overall satisfaction. The unit of sample was the medical appraisal. Findings: We analysed 3165 medical appraisals, 2444 (77%) of them from the public disability insurance, 678 (22%) from private accident, liability and loss of income insurances and 43 (1%) from other insurances. Overall satisfaction of staff of insurance companies in Switzerland was high, but satisfaction of the disability insurance with appraisals was generally lower compared to satisfaction of private insurances. The staff of the disability insurance judged time for preparation as too long in 30%. For staff of private insurance companies 20% of appraisals were not "worth its price". Well-grounded and comprehensible conclusions were the single most important factor for high overall satisfaction (OR 10.1; 95%-CI: 1.1-89.3). Conclusions: From the viewpoint of staff of insurance companies, a relevant part of medical appraisals arrives too late. Medical assessors have to take the specific needs of insurances into account, to perform more appraisals with sound conclusions in due time.
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Publication type: Article in scientific journal
DOI : 10.21256/zhaw-4051
ISSN: 1756-0500
Appears in Collections:Publikationen School of Management and Law

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