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Bergroth, Alf
Publications (10 of 30) Show all publications
Åhrberg, Y., Landstad, B. J., Bergroth, A. & Ekholm, J. (2010). Desire, longing and vanity: Emotions behind successful return to work for women on long-term sick leave. Work: A journal of Prevention, Assesment and rehabilitation, 37(2), 167-177
Open this publication in new window or tab >>Desire, longing and vanity: Emotions behind successful return to work for women on long-term sick leave
2010 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 37, no 2, p. 167-177Article in journal (Refereed) Published
Abstract [en]

Objective: The purpose of this study is to identify situations and phenomena that have simplified returning to work for women on long-term sick leave. Participants: Seven women who were exposed to a relatively large number of risk factors that normally are associated with difficulties in returning to work. Methods: In-depth interviews with qualitative content analysis. Results: The analysis indicated four main categories of factors: The Individual, Interactions, Surrounding Resources, and Situations. In each of the main categories structural factors exist and it appears that these have been of significant importance to the women in their return to work. These are presented as Key Factors and they are: clarification of - and the need for - support in the personal process of change; desire, longing, and vanity; respectful interactions between the individual and people in her surroundings; the structure and content of the rehabilitation clinic; the importance of the perceived reality; and the individual's sense of control during the work related rehabilitation process. Conclusions: The results mostly revealed phenomena that have been indicated and described in earlier research studies. However, emotions such as desire, longing and vanity as motivation and driving forces behind a return to work have not been earlier described.

Keywords
Chronic pain; motivation; qualitative interviews; vocational rehabilitation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-12197 (URN)10.3233/WOR-2010-1067 (DOI)000282748500006 ()20938077 (PubMedID)2-s2.0-78650627272 (Scopus ID)
Available from: 2010-11-03 Created: 2010-11-03 Last updated: 2017-12-12Bibliographically approved
Jakobsson, B., Ekholm, J., Bergroth, A. & Ekholm Schüldt, K. (2010). Improved employment rates after multiprofessional cross-sector cooperation in vocational rehabilitation: A 6-year follow-up with comparison groups. International Journal of Rehabilitation Research, 33(1), 72-80
Open this publication in new window or tab >>Improved employment rates after multiprofessional cross-sector cooperation in vocational rehabilitation: A 6-year follow-up with comparison groups
2010 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 33, no 1, p. 72-80Article in journal (Refereed) Published
Abstract [en]

The objective of this study was to better understand the long-term effects of an improved model for cooperation on employment between rehabilitation professionals in vocational rehabilitation (VR). To compare these effects with those associated with the traditional model of cooperation. The study featured a group of patients who participated in a developmental project. All of the patients had some degree of restricted work capacity, which was evidenced somatically as well as mentally/socially. They had all experienced long periods of unemployment during the 2-year period before the intervention. A 'natural experiment study design' that relied on database records was used. Using matching criteria, we identified 'social twins' from a government register to create comparison groups at the local, county and national levels (n=4×51 patients). Repeated-measures analysis of variance and logistic regression were used to analyse the data. The majority (59%) of the study group was employed 3 years after the intervention compared with 39 and 41% in the two matched control groups, respectively. The corresponding figures after 6 years were 51 versus 39 and 37%. An individual with a somatically restricted work capacity was about twice as likely to secure gainful employment following VR as compared with an individual with a mentally/socially restricted work capacity. In conclusion, the study focused on an improved method of cooperation between rehabilitation actors in the context of VR programmes. A model that included systematic multiprofessional cross-sector group meetings was explored, and we concluded that a substantial percentage of the enrolled patients successfully secured employment over a 6-year period. This percentage exceeded that of matched pairs in a county and national group; we presume that these groups represented 'the usual form of cooperation'.

Keywords
Cooperation; Employment rate; Long-term follow-up; Matched pairs design; Multiprofessional; Rehabilitation group; Restricted work capacity; Vocational rehabilitation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-9963 (URN)10.1097/MRR.0b013e32832fea0a (DOI)000275062600011 ()19741547 (PubMedID)2-s2.0-76749129391 (Scopus ID)
Available from: 2009-10-05 Created: 2009-10-05 Last updated: 2017-12-13Bibliographically approved
Jakobsson, B., Bergroth, A., Ekholm, J., Schüldt Ekholm, K. & Svedlund, M. (2008). Multi-professional vocational rehabilitation group meetings with female clients - a qualitative study.. Work: A journal of Prevention, Assesment and rehabilitation, 30(4), 413-421
Open this publication in new window or tab >>Multi-professional vocational rehabilitation group meetings with female clients - a qualitative study.
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2008 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 30, no 4, p. 413-421Article in journal (Refereed) Published
Abstract [en]

Many women require vocational rehabilitation before they can return to work. The objective with the present study was to describe female clients' situation during the rehabilitation process, as it became apparent during the rehabilitation meetings with the various actors involved. The clients' diagnoses varied, but the majority was affected with musculoskeletal disorders. The meetings were audio-taped and transcribed verbatim, after which they were analysed by qualitative content analysis. The following themes emerged: Adaptation to the rehabilitation group; client's health status; the workplace's significance for rehabilitation; and the client's decision-point. Conflict between health and work was immensely important for rehabilitation. Differences in attitude were apparent during the rehabilitation meetings, as some clients were passive and exercised less influence on the planning, than the other more active clients did.

Keywords
rehabilitation, Rehabiliteringsvetenskap
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-4113 (URN)000258695100009 ()18725704 (PubMedID)2-s2.0-50049086415 (Scopus ID)4730 (Local ID)4730 (Archive number)4730 (OAI)
Available from: 2008-11-29 Created: 2008-11-19 Last updated: 2017-12-12Bibliographically approved
Ahlgren, Å., Bergroth, A., Ekholm, J. & Schüldt Ekholm, K. (2008). Selection of clients for vocational rehabilitation at six local social insurance offices.: a combined register and questionnaire study on rehabilitation measures and attitudes among social insurance officers.. Journal of Rehabilitation Medicine, 40(3), 178-184
Open this publication in new window or tab >>Selection of clients for vocational rehabilitation at six local social insurance offices.: a combined register and questionnaire study on rehabilitation measures and attitudes among social insurance officers.
2008 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, no 3, p. 178-184Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim of this study was to evaluate possible differences between local social insurance offices with regard to their selection of clients for vocational rehabilitation. A further aim was to determine whether social insurance officers from different local insurance offices have uniform attitudes regarding professional practice in their application of the insurance system. METHODS: A register-based investigation of 815 vocational rehabilitees served by 6 local social insurance offices in a Swedish county. The study was supplemented with a questionnaire to 30 officers about attitudes to social insurance. RESULTS: The office with the lowest rate of sick-listing periods exceeding one year, and a high frequency of employment training, showed the highest degree of work resumption and the lowest pension rate after vocational rehabilitation. There were wide differences in attitude among the local social insurance officers regarding professional practice in their application of the system. CONCLUSION: Intra-county differences occur in handling people on sick-leave who undergo vocational rehabilitation. The local social insurance offices with the highest and lowest outcome rates of work resumption and disability pension, respectively, select clients for vocational rehabilitation from different categories of cases. Social insurance officers from different local offices differ in their attitudes towards the social insurance system and its clients.

Keywords
rehabiliteringsvetenskap
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-1284 (URN)10.2340/16501977-0157 (DOI)000254393600004 ()18292918 (PubMedID)2-s2.0-41349085204 (Scopus ID)5683 (Local ID)5683 (Archive number)5683 (OAI)
Available from: 2008-11-29 Created: 2008-11-12 Last updated: 2017-12-13Bibliographically approved
Olsson, I., Millet, P., Vinberg, S., Olsson, G., Bergroth, A. & Landstad, B. (2008). Social welfare in Singapore and Sweden: Differences in organisational systems of health care, social security and rehabilitation.. International Journal of Disability Mangement Research, 2(3), 30-38
Open this publication in new window or tab >>Social welfare in Singapore and Sweden: Differences in organisational systems of health care, social security and rehabilitation.
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2008 (English)In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 2, no 3, p. 30-38Article in journal (Refereed) Published
Abstract [en]

The aim of the study is to describe and compare the health care, social security and rehabilitation systems in Singapore and Sweden. Two fundamental differences can be identified. First, the system in Singapore are strongly oriented towards a free market system, while Sweden’s demonstrates strong public control. Second, following from how the systems are oriented, Singaporeans are expected to have a higher degree of independence and control over their health care, social security and rehabilitation. It appears that Singapore has had greater success in attaining and maintaining a system of health promotion, which influences the three systems. However, the Swedish welfare system provides greater security to those who are in need of health care, social security and rehabilitation.

 

Keywords
fund system, welfare system, structure–functionalistic model, health care, social security
National Category
Public Administration Studies
Identifiers
urn:nbn:se:miun:diva-6549 (URN)2-s2.0-76149144187 (Scopus ID)5593 (Local ID)5593 (Archive number)5593 (OAI)
Available from: 2009-07-24 Created: 2009-07-24 Last updated: 2017-11-02Bibliographically approved
Kärrholm, J., Ekholm, K., Jakobsson, B., Ekholm, J., Bergroth, A. & Schüldt Ekholm, K. (2008). Systematic co-operation between employer, occupational health service and social insurance office: A 6-year follow-up of vocational rehabilitation for people on sick-leave, including economic benefits. Journal of Rehabilitation Medicine, 40(8), 628-636
Open this publication in new window or tab >>Systematic co-operation between employer, occupational health service and social insurance office: A 6-year follow-up of vocational rehabilitation for people on sick-leave, including economic benefits
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2008 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, no 8, p. 628-636Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate the effects of systematic co-operation among municipal employees on the number of sick-leave days per month and the type of benefit granted by the Social Insurance Office. A further aim was to evaluate the economic consequences for society.Design: A 6-year follow-up study with a matched-pairs design.Methods: Days on sick-leave were calculated for each subject one year before the intervention started and yearly for the following 6-year period. Statistical mixed-model analysis was used. The economic benefit of the intervention was estimated as the increased production stemming from fewer days on sick-leave.Subjects: Sixty-four employees on long-term sick-leave were individually matched with controls from another Social Insurance Office in a county with a socioeconomic structure similar to that of the study group.Results: The study group had 5.7 fewer days on sick-leave per month and person over the 6-year period (p=0.003). The estimated average economic benefit of the intervention was (sic)36,600 per person over the 6-year period. In conclusion, those who received systematic co-operation in vocational rehabilitation had fewer days on sick-leave than their "treatment-as-usual" peers. This effect persisted over 6 years, generating substantial net economic gains for society.

Keywords
vocational rehabilitation; sick-leave; longitudinal studies; economics; intervention studies; return to work; co-operation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-6413 (URN)10.2340/16501977-0233 (DOI)000259409200008 ()19020696 (PubMedID)2-s2.0-53349161575 (Scopus ID)4731 (Local ID)4731 (Archive number)4731 (OAI)
Available from: 2008-11-30 Created: 2008-11-30 Last updated: 2017-12-12Bibliographically approved
Kärrholm, J., Jakobsson, B., Schuldt Håård, U., Ekholm, J., Schuldt Ekholm, K. & Bergroth, A. (2007). The views of sick-listed employees' immediate superiors on co-operation in vocational rehabilitation.. Work: A journal of Prevention, Assesment and rehabilitation, 29(2), 101-111
Open this publication in new window or tab >>The views of sick-listed employees' immediate superiors on co-operation in vocational rehabilitation.
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2007 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 29, no 2, p. 101-111Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of this research was to investigate the views of sick-listed employees' immediate superiors on co-operation in vocational rehabilitation before and during a systematic, multi-professional, client-centred, solution-oriented co-operation project in vocational rehabilitation (SMVR intervention). METHOD: A same-subject study with a questionnaire was used, with 95 immediate superiors giving their views on co-operation both before and during the SMVR intervention. RESULTS AND CONCLUSIONS: The immediate superiors felt that the SMVR intervention was successful in promoting co-operation, and reported a significant decrease in referrals of employees from one organisation to another without the problem being resolved. Hence SMVR co-operation was experienced positively by the immediate superiors and in fact led to a joint responsibility in finding solutions. The immediate superiors saw greater possibilities than before for employees to resume regular or other jobs during the SMVR intervention. A more elaborate co-operation model such as the SMVR intervention increased the immediate superiors' experience of successful vocational rehabilitation. Organizations seeking to increase efficiency in vocational rehabilitation might well analyse their work methods and improve their forms of co-operation.

Keywords
rehabiliteringsvetenskap
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-4501 (URN)17726286 (PubMedID)2-s2.0-34548246031 (Scopus ID)5684 (Local ID)5684 (Archive number)5684 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2017-12-12Bibliographically approved
Ahlgren, Å., Bergroth, A., Ekholm, J. & Schüldt Ekholm, K. (2007). Work resumption after vocational rehabilitation: a follow-up two years after completed rehabilitation. Work: A journal of Prevention, Assesment and rehabilitation, 28(4), 343-354
Open this publication in new window or tab >>Work resumption after vocational rehabilitation: a follow-up two years after completed rehabilitation
2007 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 4, p. 343-354Article in journal (Refereed) Published
Abstract [en]

A short-term evaluation of vocational rehabilitation (VR) may give conclusions not automatically applicable over a longer term. The present study follows up alterations in work resumption or in social insurance benefits from the time of completed VR and during the following two years. AIM: The primary objective was to evaluate work resumption among previous sick-leavers granted vocational rehabilitation. The aim of the follow-up was to assess the stability of the outcome of VR over time and to analyse factors of importance for clients that remained at work. METHOD: A register investigation was based on 815 cases where the clients had taken part in vocational rehabilitation and were served by one of six local social insurance offices of a Swedish county. RESULTS: Of the clients studied, 52.4% had attained full working capacity The proportion had decreased to 37.4% two years later. One factor that differed between those who resumed work and those who returned to sick leave was the duration of the previous sick-leave period. Those who returned to work had had shorter sick leave, had jobs to return to and had received job training as a vocational rehabilitation measure. CONCLUSIONS: The clients with the best chances of being in work two years after completed vocational rehabilitation were those with short sickness absence, who had been selected for job training as a vocational rehabilitation, were aged 16-29 years and were employed in industry.

Keywords
Chronic pain, Disability pension, Outcome, Psychiatric disorders, Sickness absence, Social insurance, Vocational rehabilitation, Work resumption, Rehabiliteringsvetenskap, rehabilitering
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-1249 (URN)17522455 (PubMedID)2-s2.0-34249650073 (Scopus ID)4727 (Local ID)4727 (Archive number)4727 (OAI)
Available from: 2008-09-30 Created: 2009-06-05 Last updated: 2017-12-13Bibliographically approved
Kärrholm, J., Ekholm, K., Jakobsson, B., Ekholm, J., Bergroth, A. & Schüldt Ekholm, K. (2006). Effects on work resumption of a co-operation project in vocational rehabilitation: Systematic, multi-professional, client-centred and solution-oriented co-operation. Disability and Rehabilitation, 28(7), 457-467
Open this publication in new window or tab >>Effects on work resumption of a co-operation project in vocational rehabilitation: Systematic, multi-professional, client-centred and solution-oriented co-operation
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2006 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, no 7, p. 457-467Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The present aim was to evaluate the effect of systematic multi-professional co-ordinated rehabilitation (the Stockholm Co-operation Project) on the number of days' sick leave during the first and second half-years after the rehabilitation co-ordination period, compared to the year before. Another aim was to evaluate the economic effects at national level. METHOD: A matched-pairs design was used. The study group was based on 64 rehabilitees employed by a public employer in Stockholm, who took part in a systematic multi-professional co-operation project. To obtain pairs, the 64 individuals were individually matched with 64 people who received conventionally organised rehabilitation. Thus, there were 128 subjects altogether. RESULTS: The study group had substantially less sick leave days per month than the comparison group during the second half-year after the rehabilitation co-ordination period. The effect was even greater in a subgroup with more previous sick leave. During the first half-year after the intervention the comparison group had relatively more sick leave. No effect was found for a subgroup with less previous sick leave. The economic benefit of the intervention was estimated to 1,278 euros per month and person based on the whole group, and to 2,405 euros per month and person based on those with more sick leave. CONCLUSIONS: People who undergo co-ordinated rehabilitation have more working days after the intervention period than those with conventional rehabilitation. This way for rehabilitation actors to co-operate gives better outcomes for rehabilitation cases with long previous sick leave, but not for cases with less previous sick leave. It also generates economic gains at several levels.

Keywords
vocational rehabilitation, co-operation, multi-professional, economic effects., Rehabiliteringsvetenskap
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-1771 (URN)10.1080/09638280500198063 (DOI)000235622800006 ()16507508 (PubMedID)2-s2.0-33644593894 (Scopus ID)4160 (Local ID)4160 (Archive number)4160 (OAI)
Note

VR-Medicine, External

Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2017-12-13Bibliographically approved
Axelsson, R., Bergroth, A., Ekholm, J., Marnetoft, S.-U., Schüldt Ekholm, K., Selander, J. & Vahlne Westerhäll, L. (2006). Rehabiliteringsvetenskap: rehabilitering till arbetslivet i ett flerdisciplinärt perspektiv. Lund: Studentlitteratur
Open this publication in new window or tab >>Rehabiliteringsvetenskap: rehabilitering till arbetslivet i ett flerdisciplinärt perspektiv
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2006 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2006. p. 229
Keywords
rehabilitation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-3348 (URN)4722 (Local ID)9144045050 (ISBN)4722 (Archive number)4722 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2012-01-11Bibliographically approved
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