[Medical evaluation of work capacity as a process of information transfer and processing].
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The current trend of health care cost containment has paved the way for innovative program development, utilizing current staff as well as introducing new professionals to traditional health care settings. Work capacity evaluation, physical capacity evaluation, and work hardening programs are proving to be lucrative ventures for capturing the worker's compensation market. These programs will increase their solvency as industrial injuries continue to rise, and insurance companies continue to seek objective work functioning evaluation units to clarify patient return-to-work potential. With these new program efforts, vocational evaluators and vocational rehabilitation counselors will assume their traditional roles in new rehabilitation settings. As long as hospitals continue to focus on out patient treatment programs, and insurance companies procure objective work evaluation and treatment program services, the market place for vocational rehabilitation professionals will continue to expand.
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Clinical picture and subject's occupation are the main points of reference in the evaluation of work capacity in subjects with overuse syndrome. Particular attention is paid to the degree and the location of pain, as well as functional limitations with respect to demands of the workplace. If the diagnosis is right and therapy and rehabilitation intensive, overuse syndrome usually does not entail long sick leaves. Exceptions are the athletes and certain jobs which require longer periods of rehabilitation. Furthermore, untimely diagnosis and inadequate treatment may extend the period of incapacity. If the therapy and medical rehabilitation cannot completely remedy the functional deficit in performing the regular job, application of pension policy regulations may be necessary. This applies to the immediate danger of disability with the possibility to change the job for a more adequate one, as well as to the disability due to occupational or general incapacity to work. If the health condition predisposes younger persons to disability, they may exercise their right to professional rehabilitation. This review gives a list of occupational diseases and causes which may be applied to the disability generated by the overuse syndrome.