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Table 6 Positive and negative features of the program implementation for various parties concerned

From: Intervention mapping for the development of a strategy to implement the insurance medicine guidelines for depression

Parties involved Positive features of program implementation Negative features
Management of Socio-Medical Department More public support
Meets ministry requirements
Fewer appeals and complaints
(Initial) loss of production
Research takes time
(Regional) managers Increased quality
Fewer complaints
Loss of production, possibly temporary
Appeals are not reduced
(Regional) staff physicians Better-quality assessments
More transparent decisions
Easier test procedure to check reports
Guidelines must not be rigid
Legal status of guidelines: implication for appeals?
Insurance physicians Useful guidelines and EBM information
Guidelines with instruments tailored to IPs in practice
Focus on quality and content
Scope for professional assessment maintained
Learning a new approach takes time; integration in personal routine is an effort
Stricter requirements made regarding examination and reporting Will the extra workload be appraised and supported by staff and management?
Legal status of guidelines: implication for appeals?
Claimants More thorough and uniform claim assessment Longer, more structured consultations (not necessarily a drawback)
Experts Influence on content Time input