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首页> 外文期刊>Revista Brasileira de Psiquiatria >Concession of sickness benefit to social security beneficiaries due to mental disorders
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Concession of sickness benefit to social security beneficiaries due to mental disorders

机译：精神疾病导致的疾病减免给社会保障受益人

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OBJECTIVE: Assess the odds of having an initial claim for statutory sickness benefit awarded (ascribed to mental disorder as the main registered diagnosis), in relation to institutional, clinical, sociodemographic and welfare factors in Juiz de Fora-MG, Brazil. METHOD: Two models of logistic regression, taking into account the categories of the medical examiners, were built with the aim of characterizing the relative weight of several variables affecting the medical conclusion. RESULTS: The factors more strongly related to an award of benefit were a claimant assessed by a physician without a specialization in psychiatry; with a diagnosis of psychosis; up to 29 years of age; with other non-psychiatric (musculoskeletal and cardiovascular) co-morbidities; registered with the national insurance system as employed; and male. DISCUSSION: In both models, examiners with a specialization in psychiatry were associated with a lower likelihood of award of benefit. This suggests that examinations undertaken by doctors having a specialty related to the diagnosis supporting the sickness benefit claim are stricter than those undertaken by non-specialists. CONCLUSION: The results suggest that benefit award odds were associated with the specialty of the examiner, medical diagnosis, age, gender and claimant category.
机译：目的：针对巴西Juiz de Fora-MG的机构，临床，社会人口统计学和福利因素，评估初次获得法定疾病津贴（归因于精神疾病作为主要注册诊断）的可能性。方法：考虑到体检医师的类别，建立了两种逻辑回归模型，旨在表征影响医学结论的几个变量的相对权重。结果：与授予赔偿金最密切相关的因素是由未经精神病专科医师评估的索赔人。诊断为精神病;年龄不超过29岁;与其他非精神疾病（肌肉骨骼和心血管疾病）合并症;在受雇的国家保险系统中注册;和男性。讨论：在这两种模型中，具有精神病学专长的审查员与获得利益的可能性较低相关。这表明具有与支持疾病补助要求的诊断相关的专业的医生所进行的检查要比非专家进行的检查更为严格。结论：结果表明，福利授予赔率与检查者的专业，医学诊断，年龄，性别和索赔人类别相关。

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