Quoi de neuf
SYSTEMATIC REVIEW INTERRATER RELIABILITY – BMJ
What is already known on this topic
Social and private disability insurers use medical experts to evaluate claimants with impaired health to determine eligibility for disability benefits. Anecdotal evidence suggests that experts often disagree in their judgment of capacity to work when assessing the same claimant
What this study adds
This systematic review of 23 reproducibility studies from 12 countries shows a lack of good quality data applicable to the real world of disability assessment In most studies, medical experts reached only low to moderate reproducibility in their judgment of capacity to work.
Studies reported higher reproducibility when experts used a standardised evaluation procedure.These findings are disconcerting and call for substantial investment in research to improve assessment of disability
Interview in TBV, The Netherlands