113 Residual work capacity and (in)ability to work fulltime among applicants with mental disorders Within this background, the aim of this study is to gain insight into 1) the prevalence of no residual work capacity, 2) the prevalence and degree of inability to work fulltime in case of residual work capacity, and 3) the associations of socio-demographic and disease related factors with no residual work capacity and the inability to work fulltime in a representative sample of applicants for a work disability benefit, diagnosed with a mental and behavioural disorder as their primary diagnosis, of the International Statistical Classification of Disease and Related Health Problems (ICD-10) disease group. METHODS Design and Sample The study is a cross-sectional register-based cohort study among applicants for a long-term disability benefit in the year 2016. Data were derived from the UWV register forms completed by the insurance physicians and labour experts at the time of assessment and anonymized by UWV. For this study only applicants whose primary diagnosis was a mental or behavioural disorder were included. Approval by a Medical Ethical Committee was not necessary under Dutch law, as the study is a register-based study and therefore not subject to the Medical Research Involving Human Subjects Act (WMO). Institutional Setting In the Dutch social security system, workers can apply for a long-term disability benefit after two years of sick leave according to the Work and Income Act (WIA) Netherlands [19]. They may receive disability benefits for a disease or handicap due to either occupational or non-occupational causes. After a medical disability assessment by an insurance physician of the UWV, individuals can either have a full and permanent work disability, a non-permanent but full work disability, a partial work disability, or no work disability. Insurance physicians assess whether applicants have no residual work capacity if: (1) they lose their total work capacity within three months, (2) when they have a terminal disease with such a bad life expectancy that they will lose their total work capacity within foreseeable time, (3) they have fluctuating work capacity, (4) they are hospitalized, or (5) they are not selfreliant due to a severe mental disorder or a physical disorder [8]. In that case, the insurance physician can conclude to (permanent or non-permanent) full work disability. If applicants are assessed with residual work capacity, the possible limitations in their mental and physical functioning caused by their disease are indicated. After the insurance physician has completed the assessment, an additional assessment by the labour expert follows to indicate whether the applicants are incentivized to continue in paid (parttime) employment at their current employer or should enrol in a new, more appropriate (part-time) job, according to their residual work capacity. 6
RkJQdWJsaXNoZXIy MTk4NDMw