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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">SMF</journal-id>
      <journal-title-group>
        <journal-title>Schweizerisches Medizin-Forum</journal-title>
      </journal-title-group>
      <issn pub-type="epub">1424-4020</issn>
      <issn pub-type="ppub">1424-3784</issn>
      <publisher>
        <publisher-name>EMH Schweizerischer Ärzteverlag AG</publisher-name>
        <publisher-loc>Farnsburgerstrasse 8
CH-4132 Muttenz</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">08768</article-id>
      <article-id pub-id-type="doi">10.4414/smf.2021.08768</article-id>
      <article-categories>
        <!-- rubric -->
        <subj-group subj-group-type="Article Type">
          <subject>Richtlinien</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Begutachtungsleitlinien Versicherungsmedizin</article-title>
      </title-group>
      <contrib-group>
        <contrib id="author-1" contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid"/>
          <name>
            <surname>Gantenbein</surname>
            <given-names>Andreas  R.</given-names>
          </name>
          <email>andreas.gantenbein@zurzachcare.ch</email>
          <aff>Quellenstrasse 34 | Bad Zurzach | 5330 | SWITZERLAND</aff>
        </contrib>
        <contrib id="author-2" contrib-type="author" corresp="no">
          <contrib-id contrib-id-type="orcid"/>
          <name>
            <surname>Koch</surname>
            <given-names>Marc Oliver</given-names>
          </name>
          <email/>
          <aff>Neurologie Toggenburg AG, Wattwil</aff>
        </contrib>
        <contrib id="author-3" contrib-type="author" corresp="no">
          <contrib-id contrib-id-type="orcid"/>
          <name>
            <surname>Mühl</surname>
            <given-names>Andreas</given-names>
          </name>
          <email/>
          <aff>Service de réadaptation en neurologie, Clinique romande de réadaptation, Sion</aff>
        </contrib>
        <contrib id="author-4" contrib-type="author" corresp="no">
          <contrib-id contrib-id-type="orcid"/>
          <name>
            <surname>Schmidt</surname>
            <given-names>Holger</given-names>
          </name>
          <email/>
          <aff>Kompetenzzentrum Versicherungsmedizin, Suva, Luzern</aff>
        </contrib>
        <contrib id="author-5" contrib-type="author" corresp="no">
          <contrib-id contrib-id-type="orcid"/>
          <name>
            <surname>Jung</surname>
            <given-names>Hans  H.</given-names>
          </name>
          <email/>
          <aff>Klinik für Neurologie, Universitätsspital Zürich, Zürich</aff>
        </contrib>
        <contrib id="author-6" contrib-type="author" corresp="no">
          <contrib-id contrib-id-type="orcid"/>
          <name>
            <surname>Stöckli</surname>
            <given-names>Hans-Rudolf</given-names>
          </name>
          <email/>
          <aff>Praxis Neuroliestal, Liestal</aff>
        </contrib>
      </contrib-group>
      <pub-date pub-type="epub" date-type="pub" iso-8601-date="2021.06.22">
        <day>22</day>
        <month>06</month>
        <year>2021</year>
      </pub-date>
      <volume>21</volume>
      <issue>2526</issue>
      <fpage>435</fpage>
      <lpage>440</lpage>
      <permissions>
        <copyright-statement>Copyright: EMH Schweizerischer Ärzteverlag AG</copyright-statement>
        <copyright-year>2021</copyright-year>
        <copyright-holder>EMH Schweizerischer Ärzteverlag AG</copyright-holder>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">
          <license-p>"Swiss Medical Forum" is an open access publication of EMH published in accordance with the terms of the Creative Commons licence attribution - NonCommercial - NoDerivatives 4.0 International. You are free to share, copy and redistribute the material in any medium or format under the following terms:</license-p>
          <license-p>Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</license-p>
          <license-p>NonCommercial — You may not use the material for commercial purposes.</license-p>
          <license-p>NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.</license-p>
          <license-p>"Non-commercial" means not primarily intended for or directed towards commercial advantage or monetary compensation. The incorporation of publications in commercial products, the use of publications to advertise for commercial products or services and any other usage that directly or indirectly pursues commercial interests is subject to the express previous consent of the publishing house as part of a written agreement.</license-p>
          <license-p>Please send us your request in writing. Exact indication of the publication from which you would like to reproduce material and detailed information about its intended use help to facilitate and expedite request processing.</license-p>
        </license>
      </permissions>
      <abstract abstract-type="article" xml:lang="de">
        <p>Die Schweizerische Neurologische Gesellschaft (SNG) war Initiantin zur Erstellung eines allgemeinen Teils der “Begutachtungs-Leitlinien“. Die versicherungsmedizinisch entscheidenden Aussagen, welche für die Qualität eines medizinischen Gutachtens ausschlaggebend sind, finden sich im allgemeinen Teil. Dieser fachspezifische Teil ist als Ergänzung aus fachneurologischer Sicht zu sehen.

In der Neurologie stehen diverse apparative Messmethoden zur naturwissenschaftlich-begründeten Plausibilisierung von subjektiven Beschwerden zur Verfügung im Sinne der evidence based medicine  , die in anderen Fachgebieten nicht in diesem Ausmass vorhanden sind oder sogar weitgehend fehlen. Dennoch ist im neurologischen Krankengut der Anteil von subjektiven Beschwerden, die sich bis heute der naturwissenschaftlichen Objektivierbarkeit entziehen erheblich. Solche Beschwerden, resp. Gesundheitsstörungen im gutachterlichen Kontext zu beurteilen, resp. zu plausibilisieren, erfordert neben entsprechenden versicherungsmedizinischen Kenntnissen eine grosse klinische Erfahrung.</p>
      </abstract>
    </article-meta>
  </front>
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