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How to assess work ability in relation to sickness certification? Sickness absence is an increasing public health problem in many countries and many physicians deal with sickness certification every day. Mostly this means that the physician must certify that the person has a disease or injury that has caused a loss in function leading to such a large reduction of work capacity, in relation to the demands of that persons work, that the person can not work. Many countries have rigid regulation as to which diseases are acceptable causes for absence, but little attention has been given to the process of evaluating work capacity or functional loss. Some countries (UK, Netherlands) use structured forms for the purpose of evaluating function, while others place more responsibility on the physician to give sufficient information on function for a decision as to welfare rights.

Workshop 5: EUPHA section on social security and health: How to assess work ability in relation to sickness certification?