 The study found that insurance physicians are generally motivated in their jobs and have a positive attitude towards the Dutch social security system. However, they face significant barriers when it comes to performing work disability assessments, including work pressure and lack of time. Additionally, the majority of their cases are described as difficult. This suggests that the underlying ASC model in modified form is suitable for describing the assessment behavior of insurance physicians and the determinants of this behavior. This article was authored by Anima Johanaser, Muldis Henny, Shellart Antonius J.M., and others.