Comparative Study on Evaluations Conducted by Medical Doctors and Social Workers in which the Adapted Brazilian Functionality Index for Granting Retirement to Persons with Disability was applied
The present study sought to assess whether any statistically significant differences exist between evaluations conducted by medical doctors and those by social workers within the National Social Security Institute (INSS), regarding identification of disability using the adapted Brazilian functionality index to grant retirement.
To do this, an analytical investigation was done using the official INSS database for the period from October 2013 to January 2016, regarding evaluations to confirm disability among workers who were insured through the INSS. The analysis was conducted using the R software, version 3.4.1. A concordance index, significance analysis and the Pearson correlation test were applied. The sensitivity and specificity of the evaluations made by doctors, by social workers and by both were calculated. Arating index was obtained by dividing the result from the doctors’ evaluations by the result from the social workers’ evaluations.
The correlation analysis using the R software showed that there was no statistical difference between the evaluations conducted by medical doctors and social workers. However, differences were observed in relation to calculation of the sensitivity of the evaluations, and in the analyses on the rating index and standard deviation between the doctors’ and social workers’ evaluations, especially in the domains of sensory function, domestic life and education, work and economic life.
This study demonstrated that there is a difference between evaluations conducted by medical experts and by social workers, which can be explained in terms of each professional’s interpretation of what is defined in the manual. The criteria used to define the rules for obtaining the benefit should be discussed. We highlight that the prerequisite for identifying a disability is that an impairment should be characterized by means of the International Classification of Diseases (ICD-10), which is a medical prerogative.
2. Brasil. Censo Demográfico 2010: Características gerais da população, religião e pessoas com deficiência. Instituto Brasileiro de Geografia e Estatística. [Internet]. [acesso 26 Mai 2018]. Disponível em: http://www.ibge.gov.br/home/estatistica/populacao/censo2010
3. Rocha RNM. Perícia Médica em candidato portador de necessidade especial para concurso público: aspectos clínicos e científicos sobre a deficiência de incapacidade funcional e deficiência física [Monografia]. Brasília (DF): Universidade Gama Filho, Fundação Unimed; 2011.
4. Brasil. Lei Complementar no 142, de 8 de maio de 2013. [Internet]. [acesso 26 Mai 2018]. Disponível em: http://www.planalto.gov.br/ccivil_03/Leis/LCP/Lcp142.htm
5. Brasil. Relatório Final. Elaboração de Instrumento de Classificação de Funcionalidade de Pessoas com Deficiência para Cidadãos Brasileiros. Secretaria de Direitos Humanos. Secretaria Nacional de Promoção dos Direitos das Pessoas com Deficiência, 2012.
6. Franzoi AC, Xerez DR, Blanco M, Amaral T, Costa, AJ, Khan P, et al. Etapas da elaboração do Instrumento de Classificação do Grau de Funcionalidade de Pessoas com Deficiência para Cidadãos Brasileiros: Índice de Funcionalidade Brasileiro-IF-Br. Acta Fisiatrica, 20(3), 164-170.
7. Brasil. Decreto no 6949, de 25 de agosto de 2009 [Internet]. [acesso 26 Mai 2018]. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/decreto/d6949.htm
8. Brasil. Lei 13146, de 6 de julho de 2015 [Internet]. [acesso 26 Mai 2018]. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2015/lei/l13146.htm
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright policies & self-archiving
We are a RoMEO green journal.
Author's Pre-print: author can archive pre-print (ie pre-refereeing)
Author's Post-print: author can archive post-print (ie final draft post-refereeing)
Publisher's Version/PDF: author can archive publisher's version/PDF
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
Articles are published Under License of Creative Commons Attribution 4.0 License ©