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The project that is the subject of this report is supported by Contract No. 600-96-27893 between the National Academy of Sciences and the Social Security Administration. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the agency that provided support for this project.
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COMMITTEE TO REVIEW THE SOCIAL SECURITY ADMINISTRATION'S DISABILITY DECISION PROCESS RESEARCH
DOROTHY P. RICE* (Chair), Professor Emeritus,
Department of Social and Behavioral Sciences, Institute for Health and Aging, University of California at San Francisco
MONROE BERKOWITZ, Professor of Economics, Emeritus, and Director,
Disability and Health Economics Research, Rutgers University
RONALD S. BROOKMEYER, Professor of Biostatistics,
The Johns Hopkins University School of Hygiene and Public Health
GERBEN DEJONG, Director,
National Rehabilitation Hospital Research Center, and
Professor of Family Medicine and Adjunct Professor,
Georgetown University Institute of Public Policy
MARSHAL F. FOLSTEIN, Chairman and Professor of Psychiatry,
Tufts University School of Medicine, and
Psychiatrist-in-Chief,
New England Medical Center, Boston
ROBERT M. GROVES, Professor and Program Director,
Survey Research Center of the University of Michigan at Ann Arbor, and
Director of the Joint Program on Survey Methodology at the University of Maryland at College Park
ALAN M. JETTE, Professor and Dean,
Sargent College of Health and Rehabilitation Sciences, Boston University
WILLIAM D. KALSBEEK, Professor of Biostatistics and Director,
Survey Research Unit, University of North Carolina at Chapel Hill
JERRY L. MASHAW, Sterling Professor of Law and Management and Professor,
Institute for Social and Policy Studies, Yale University
CATHARINE C. MASLOW, Director,
Initiative on Alzheimer's and Managed Care, Alzheimer's Association, Washington, D.C.
DONALD L. PATRICK,* Professor of Health Services,
University of Washington School of Public Health and Community Medicine
HAROLD A. PINCUS, Deputy Medical Director and Director,
Office of Research, American Psychiatric Association, Washington, D.C.
JOHN A. SWETS,** Chief Scientist, Information Sciences,
BBN Corporation, Cambridge, Massachusetts
EDWARD H. YELIN, Professor of Medicine and Health Policy,
Department of Medicine and Institute for Health Policy Studies, University of California at San Francisco
Study Staff
GOOLOO S. WUNDERLICH, Study Director
KATHLEEN NOLAN, Research Associate
KRISTEN ROBINSON, Program Officer (until May 1998)
REBECCA LUCCHESE, Administrative Assistant
MARGO CULLEN, Administrative Assistant (until July 1998)
BOARD ON HEALTH CARE SERVICES INSTITUTE OF MEDICINE
DON E. DETMER* (Chair), University Professor of Health Policy,
University of Virginia
BARBARA J. McNEIL* (Vice Chair), Ridley Watts Professor,
Department of Health Care Policy, Harvard Medical School
STUART H. ALTMAN,* Sol C. Chaikin Professor of National Health Policy,
The Florence Heller Graduate School for Social Policy, Brandeis University
PAUL D. CLAYTON,* Medical Informaticist,
Intermountain Health Care, Salt Lake City, Utah
NANCY W. DICKEY, Private Practice,
Bryan, Texas
B. KEN GRAY, Corporate Medical Director,
Metroplex Emergency Physician Associates, P.A., Dallas, Texas
PAUL F. GRINER,* Vice President and Director,
Center for the Assessment and Management of Change in Academic Medicine, Association of American Medical Colleges, Washington, D.C.
RUBY P. HEARN,* Senior Vice President,
Robert Wood Johnson Foundation, Princeton, New Jersey
PETER BARTON HUTT,* Partner,
Covington & Burling, Washington, D.C.
BRENT C. JAMES, Executive Director,
Institute for Health Care Delivery Research, and
Vice President,
Medical Research and Continuing Medical Education, Intermountain Health Care, Salt Lake City, Utah
JACQUELINE KOSECOFF, President and Co-Chief Executive Officer,
Protocare, Santa Monica, California
SHEILA T. LEATHERMAN, Executive Vice President,
United HealthCare Corporation, Minneapolis, Minnesota
JOHN LUDDEN, Senior Vice President for Medical Affairs,
Harvard Pilgrim Health Care, Brookline, Massachusetts
RUSSELL L. MILLER, Private Consultant (Retired, State University of New York, Health Science Center, Brooklyn),
Washington, D.C.
MILDRED MITCHELL-BATEMAN,* Clinical Director,
Huntington Hospital, Huntington, West Virginia
MARY MUNDINGER,* Dean and Centennial Professor in Health Policy,
Columbia University
UWE E. REINHARDT,* James Madison Professor of Political Economy,
Princeton University
MARY LEE SEIBERT, Acting Provost,
Ithaca College
GAIL L. WARDEN,* President and Chief Executive Officer,
Henry Ford Health System, Detroit, Michigan
JANET M. CORRIGAN, Director,
Board on Health Care Services, IOM
COMMITTEE ON NATIONAL STATISTICS NATIONAL RESEARCH COUNCIL
JOHN E. ROLPH (Chair),
Department of Information and Operations Management, University of Southern California
JOSEPH G. ALTONJI,
Institute for Research on Poverty, Department of Economics, Northwestern University
JULIE DAVANZO,
RAND, Santa Monica, California WILLIAM F. EDDY, Department of Statistics, Carnegie Mellon University
WILLIAM D. KALSBEEK,
Survey Research Unit, Department of Biostatistics, University of North Carolina at Chapel Hill
RODERICK J.A. LITTLE,
School of Public Health, University of Michigan
THOMAS A. LOUIS,
Division of Biostatistics, University of Minnesota
CHARLES F. MANSKI,
Department of Economics, Northwestern University
WILLIAM D. NORDHAUS,
Department of Economics, Yale University
JANET L. NORWOOD,
The Urban Institute, Washington, D.C.
EDWARD B. PERRIN,
Department of Health Services, University of Washington
PAUL R. ROSENBAUM,
Department of Statistics, The Wharton School, University of Pennsylvania
FRANCISCO J. SAMANIEGO,
Division of Statistics, University of California at Davis
RICHARD L. SCHMALENSEE,
Sloan School of Management, Massachusetts Institute of Technology
MIRON L. STRAF, Director,
Committee on National Statistics, National Research Council
ANDREW WHITE, Deputy Director,
Committee on National Statistics, National Research Council
Acknowledgments
The Committee to Review the Social Security Administration's Disability Decision Process Research (the committee) acknowledges with appreciation the many people who participated in the Workshop on Functional Capacity and Work Requirements and contributed to its success. We acknowledge those who served as formal discussants, and the many others who contributed to the lively and informative discussions at the workshop.
Support for the study was provided by the Social Security Administration. We particularly wish to thank David Barnes, Rosanne Hanratty, and Scott Muller who served as government project officers for the study. They provided valuable ideas in the planning for the workshop.
We also acknowledge with gratitude the commitment and support of the committee staff in organizing the workshop and preparing the report. Gooloo Wunderlich, Study Director, not only undertook the major responsibility for the workshop, but also prepared the report. Kristen Robinson worked closely with the study director in organizing the workshop, developing the agenda, and preparing background material pertinent to the workshop. Margo Cullen, Administrative Assistant, efficiently managed all the logistical and administrative arrangements and the smooth operation of the workshop. Jane West, consultant, served as rapporteur for the workshop, and we gratefully acknowledge her efforts. Many thanks go to Kathleen Nolan and Rebecca Lucchese for reviewing the drafts, preparing the charts for publication, formatting the tables, and making editorial corrections to the entire report. The chair thanks the committee members for their time and commitment to the workshop.
The report was reviewed by individuals chosen for their diverse perspectives and technical expertise in accordance with procedures approved by the National Research Council's Report Review Committee. The purpose of this independent
review is to provide candid and critical comments to assist the authors and the National Academy of Sciences in making the published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The content of the review comments and the draft manuscript remain confidential to protect the integrity of the deliberative process. The committee wishes to thank the following individuals for their participation in the report review process: Laurence Branch, Duke University; Joan Leon, independent consultant; Mary Mundinger, Columbia University; Janet Norwood, Urban Institute; and Edward Perrin, University of Washington. While the individuals listed above provided many constructive comments and suggestions, responsibility for the final content of the report rests solely with the authoring committee and the National Academy of Sciences.
Dorothy P. Rice, Chair