Table 2 Implementation strategy: insurance physicians' wishes regarding educational training and support in the use of the guidelines
Training module | Form, implementation | Method |
|---|---|---|
Introduction to the guidelines for depression | Experts from the curative sector and insurance physicians with knowledge of depression | Presentation of problems from curative and insurance-medical viewpoints; mutual questioning regarding experience and vision |
Materials, tools | Summary card listing all diagnostic criteria | Practise in the use of the materials, and case histories |
Case-histories | Group discussion and practise in applying the guidelines | What constitutes a good assessment? What is unclear? Why? |
Work ability assessment | Insurance physician and psychiatrist/psychologist-researcher | Scientific insights, experiences, focus on problems (LFA) |
Information on treatment possibilities | Experts from the curative sector | Current thinking on appropriate treatment. What questions can the insurance physician put to the curative physician? |
Carrying out and interpreting psychiatric tests | Psychologist, psychiatrist | Different presentation in ethnic minorities (a high proportion of the claimants) |
Detailed explanation and interpretation of the HRSD questionnaire | Psychologist, psychiatrist | Practise in the use of the questionnaire |
Feedback | Insurance physician and guidelines author/researcher | Feedback from the profession; opportunity to ask questions |