Institute for Medical Research and Occupational Health
Abstract
Arbitrarni tim sastavljen od liječnika-specijalista te članova drugostepene invalidske komisije SIZ MIORH reevaluirao je ocjenu gubitka radne sposobnosti u 1009 invalida-umirovljenika-dobrovoljaca (234 žene i 775 muškaraca). Ispitanici su bili umirovljeni i pregledani tijekom 1985. i 1986. god. Prosječna dob ispitanika bila je 50,4 g. (muškarci) odnosno 48,2 g.(žene). Ispitanici predstavljaju nasumce odabran uzorak među 10 870 invalida iz priobalne, kontinentalne i Zagrebačke regije, umirovljenih u istom razdoblju. Prema glavnoj dijagnozi odgovornoj za nastanak invalidnosti utvrđen je nesklad kriterija u populaciji žena prema muškarcima (p<0,001). Precijenjena je i uloga lokomotornog sustava (p<0,01). Utvrđen je i značajno veći broj pogrešno ocijenjenog gubitka radne sposobnosti u skupini poljoprivrednika prema ostalim zanimanjima (p<0,001). Reevaluacija gubitka radne sposobnosti nije upozorila na postojanje razlika u ocjeni invalidnosti komisija prema regiji i skupu internističkih, lokomotornih i neuropsihijatrijskih dijagnoza. To implicira dalja istraživanja funkcija kriterija za ocjenu gubitka radne sposobnosti.A team of specialist doctors and members of the Second-Degree Disability Board reevaluated disability without residual working capacity in 1009 volunteers, 234 women and 775 men. These were randomly selected out of 10870 pensioners from a coastal and a continental region of SR Croatia and from the city of Zagreb. In view of the main diagnosis responsible for the development of disability a discrepancy was found between the criteria as applied in women and in men (p<0.001). The role of the diseases of the locomotive system was found to have been overestimated (p<0.01). A significantly high number of false assessments was also established among agricultural workers in relation to the other occupations (p<0.001). Reassessment of working capacity did not show discrepancies in the diagnoses of diseases of the intestinal, locomotive and nervous systems as made by regional disability boards. Results suggest a need for further analysis of the functional criteria for the assessment of disability and residual working capacity
