1. Evidence based disability evaluation
Wout de Boer

2. I have no conflicts of interest to report
Conflict of interests
I have no conflicts of interest to report

3. What do we have here?
After a period of trial and error in sick leave and certification,
a decision is made about the chances of the disabled individual to earn his or her living,
expressed in a degree of disability (yes/ no; degrees) which may entitle to a form of benefit.
This decision is based on arguments of relational (health-work), social-normative (what can we reasonably expect) and prognostic nature.

4. % Decision making % Previous Earnings Resources Competences
Health Body Struct
Condition Functions
Functional
Capacity
Requirements
Suitable Work
Suitable
Jobs
Earning
Capacity
Disability
Job Matching
Barema
Yes/ No %
FCL NL
How can the connection between health and legal disability be made?
What instruments exist? %

5. Are the decisions correct?
One cannot know, at the individual level if, the decisions about the chances of the individual are correct because the actual outcome depends on many other factors.
Typically, among other requirements, one hopes that decision-making is reliable.

6. About some of the decision-makers
Medical experts are involved in all schemes, in a decisive position or in a team of deciders about the arguments.
Medical experts are invited to participate with the assumption that they express the professional expert consensus, rather than their individual opinion.

7. What would they need?
Professional expert consensus needs to be there (guidelines, instruments etc.)
Professional expert consensus needs to be known
Professional expert consensus needs to be convincing.
What evidence do we have that this is the case?