[Changes in occupational disability in East Germany in relation to changes in the age structure].
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Biomedical subjects
Publications and source records attributed to H Stach.
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An extreme negative development in the frequency of adolescent's exemptions from work during 1967-1977 is opposed by a positive development in the following period. Thus, in 1987 adolescents reached the lowest recorded level in respect to illness-caused absentee rates, related to the 1967 level. Therefore, decreases of sickness figures almost exclusively resulted from changes in the younger age groups, especially in adolescents. In the other age groups work absenteeism due to sickness not only remained at the high 1976 level, the year with the highest sickness figure in the GDR, but continuously exceeded it. The results are critically discussed.
The negative development of sickness figures up to 1976/77 as well as the subsequent change of this trend in adolescents are analysed with regard to specific diagnoses. Both, the positive trend change and remaining problems are presented.
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The doctors related figure data of unfitness for work of the social insurence provides important informations for management and comparisions of efficiency in health system. It should be used better than before. However it is not suited to reflect the quality of doctors expertise of unfitness for work, but it signals striking deviations about to be explained. At the interpretation of the doctors related figure data of unfitness for work the knowledge of some methodical particularities is necessary to avoid the risk of incorrect evaluations.
Recommendations are given to organize the evaluation of doctor's related figure data of unfitness for work. They include both the districts administrative authorities of Social Insurance and the departments of health system of districts councils. To avoid the risk of incorrect evaluations, an accurate knowledge of facilities ad limits of this figure data is necessary. At adequate application it can contributes to advance discussions among experts to problems of doctor's expertise of unfitness for work.
Exemptions from work of long duration have a considerable portion in sickness figure. Almost the half of absentee rate due to illness results out of exemptions from work with a duration of more than four weeks. The main portion of sickness figure results from cases of unfitness for work with a duration until of half a year. Cases of unfitness for work of yet longer duration are very seldom (0.5%). The absentee rate due to illness implied by these amounts to 10.6%. Corrected figures are estimated to take into consideration the longer payment of sickness benefit in the GDR (78 weeks), in comparison to the sickness figures of other socialist countries who suspend the payment of sickness benefit already after 26 weeks (CSSR 52 weeks).
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