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Occupational Medicine 1994;44:231-235
© 1994 Society of Occupational Medicine

research-article

Do occupational physicians agree about ill-health retiral? A study of simulated retirement assessments

A. G. Elder*,, I. S. Symington* and E. H. Symington{dagger}

*Occupational Health Service, Greater Glasgow Health Board Glasgow, UK
{dagger}Department of Public Health, University of Glasgow Glasgow, UK

A questionnaire survey on simulated ill-health retirement decisions was performed at a scientific conference for local authority medical advisers. Respondents were asked to make decisions based on ten case scenarios drawn from real life. The overall agreement amongst 35 physicians was low, with a k statistic of 0.241. There were wide variations amongst respondents, with two physicians accepting all ten cases for retirement while another accepted only one. The survey suggests that there is great potential for inconsistency and inequity in such decisions. An improvement in agreement between physicians might be achieved by training, consensus guidelines and audit. This issue should be addressed by occupational physicians and trustees of superannuation schemes.

Correspondence and reprint requests to: Dr A. G. Elder, Occupational Health Service, Central Unit, 20 Cochrane Street, Glasgow G1 1JA, UK


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