25 Exploring the concept inability to work fulltime in the context of work disability assessments and/or reducing, working hours [7, 12]. Within the research team we discussed characteristics, dimensions and indicators to compose an overview of the concept inability to work fulltime. RESULTS Participant characteristics We initially invited 33 persons (13 physicians and 20 patient representatives) for interviews, 19 of whom (ten physicians and nine representatives of patient organizations) agreed to participate. Reasons for refraining from participation varied: lack of time, illness, insufficient expertise, or the topic or interview did not fit with the scope of the organization. In our final group, seven out of ten physicians were insurance physicians: four working in public disability insurance (Ph1–4), and three working in private disability insurance (Ph5–7). Three participants were occupational health physicians (Ph8–10). Nine physicians were male, and five had obtained a PhD-degree. The nine staff members from patient organizations represented patients with five disabling chronic diseases (mental and behavioral conditions (n = 3) Pa1–3, diseases of the nervous system (n = 3) Pa4–6, genitourinary system disorders (n = 1) Pa7, neoplasms (n = 1) Pa8, and diseases of the respiratory system (n = 1) Pa9). All subjects had received higher education, most at university level; six were female. All worked as project manager, (senior) staff member, or advisor. Main findings Overall, findings from the two stakeholder groups corresponded, with only a slight difference in point of view on inability to work fulltime. In the interviews, discussion of the key elements (dimensions and characteristics), the measurable indicators, and the related assessment methods was intertwined. An overview of the terminology and main findings is presented in Table 1. Patient representatives tended to describe the inability to work fulltime from a more holistic perspective, while physicians, and especially insurance physicians, used a more narrow bio-medical perspective. 2
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