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Kärrholm, Jenny
Publications (10 of 10) Show all publications
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
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
Mikaelsson, B., Ekholm, J., Kärrholm, J., Murray, R., Sandberg, T., Söderberg, J. & Nyman, K. (2003). Den svenska sjukan II: Regelverk och försäkringsmedicinska bedömningar i åtta lände. Stockholm: Fritzes
Open this publication in new window or tab >>Den svenska sjukan II: Regelverk och försäkringsmedicinska bedömningar i åtta lände
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2003 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Stockholm: Fritzes, 2003. p. 157
Series
Ds : departementsserien, ISSN 0284-6012 ; 2003:63
Keywords
Sjukfrånvaro, internationell jämförelse
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-5822 (URN)1460 (Local ID)91-38-22047-4 (ISBN)1460 (Archive number)1460 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2012-01-17Bibliographically approved
Ekholm, J., Bergroth, A., Selander, J., Marnetoft, S.-U., Schüldt Ekholm, K., Jakobsson, B., . . . Kärrholm, J. (2002). Hinder och framgångsfaktorer i rehabiliteringsprocessen: En sammanfattning baserad på kvantitativa och kvalitativa studier av faktorerer eller företeelser associerade med långtidsjukskrivnas återkomst i arbete. Östersund: Mitthögskolan
Open this publication in new window or tab >>Hinder och framgångsfaktorer i rehabiliteringsprocessen: En sammanfattning baserad på kvantitativa och kvalitativa studier av faktorerer eller företeelser associerade med långtidsjukskrivnas återkomst i arbete
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2002 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Östersund: Mitthögskolan, 2002
Series
Rapport / Mitthögskolan, Centrum för socialförsäkringsforskning, ISSN 1402-7909 ; 2002:1
Keywords
Arbetslivsinriktad rehabilitering, Samverkan
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-5349 (URN)419 (Local ID)419 (Archive number)419 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
Schüldt-Håård, U., Jakobsson, B., Kärrholm, J., Bergroth, A. & Ekholom, J. (2001). Klienters uppfattningar om rehabilitering i samverkan mellan företagshälsovård, offentlig arbetsgivare och försäkringskassa.. Socialmedicinsk Tidskrift: ett socialt och socialmedicinskt forum, 78(6), 517-531
Open this publication in new window or tab >>Klienters uppfattningar om rehabilitering i samverkan mellan företagshälsovård, offentlig arbetsgivare och försäkringskassa.
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2001 (Swedish)In: Socialmedicinsk Tidskrift: ett socialt och socialmedicinskt forum, ISSN 0037-833X, Vol. 78, no 6, p. 517-531Article in journal (Refereed) Published
Keywords
Arbetslivsinriktad rehabilitering Samverkan
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-1742 (URN)417 (Local ID)417 (Archive number)417 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
Cranner, J., Adolfsson, S., Thorlacius, S., Bergroth, A., Ekholm, J., Grönlund, R., . . . Pettersson, T. (2001). Nordiska rehabiliteringssystem - likheter och olikheter.: En komparativ beskrivning med inriktning på rehabiliteringsprocess och rundgångsproblematik. Socialmedicinsk Tidskrift, 78(6), 532-552
Open this publication in new window or tab >>Nordiska rehabiliteringssystem - likheter och olikheter.: En komparativ beskrivning med inriktning på rehabiliteringsprocess och rundgångsproblematik
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2001 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 78, no 6, p. 532-552Article in journal (Refereed) Published
Keywords
Samverkan, Arbetslinsinriktad rehabilitering, Socialförsäkring, Rundgångsproblematik
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-758 (URN)415 (Local ID)415 (Archive number)415 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2017-12-13Bibliographically approved
Jakobsson, B., Olsson, I., Bergroth, M., Kärrholm, J., Schuldt-Håård, U., Bergroth, A. & Ekholm, J. (2001). Samverkan i rehabilitering av Betaprojektet i Kungsbacka kommun. kort om utvärdering av Stockholmsprojektet samt en jämförelse med utvärdering av FRISAM Projektrapport.
Open this publication in new window or tab >>Samverkan i rehabilitering av Betaprojektet i Kungsbacka kommun. kort om utvärdering av Stockholmsprojektet samt en jämförelse med utvärdering av FRISAM Projektrapport
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2001 (Swedish)Report (Other academic)
Keywords
rehabilitering samverkan
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-6442 (URN)4920 (Local ID)4920 (Archive number)4920 (OAI)
Available from: 2009-03-24 Created: 2009-03-24 Last updated: 2009-12-01Bibliographically approved
Kärrholm, J., Jakobsson, B., Schüldt, U., Bergroth, A. & Ekholm, J. (2000). Utvärdering av Stockholmsprojektet 5: En registerstudie av ohälsa hos anställda som genomgått rehabilitering i samverkan inom Stockholmsprojektet.. Stockholm: Institutionen för Folkhälsovetenskap
Open this publication in new window or tab >>Utvärdering av Stockholmsprojektet 5: En registerstudie av ohälsa hos anställda som genomgått rehabilitering i samverkan inom Stockholmsprojektet.
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2000 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Institutionen för Folkhälsovetenskap, 2000
Series
Reports from the Department of Rehabilitation & Physical Medicine, Karolinska Institute, ISSN 0283-8443
Keywords
Samverkan, Arbetslivsinriktad rehabilitering, Ohälsodagar
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-5351 (URN)411 (Local ID)411 (Archive number)411 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
Jakobsson, B., Schüldt, U., Bergroth, M., Kärrholm, J., Bergroth, A. & Ekholm, J. (2000). Utvärdering av Stockholmsprojektet: Rehabilitering i samverkan - Slutrapport. Stockholm: Institutionen för Folkhälsovetenskap
Open this publication in new window or tab >>Utvärdering av Stockholmsprojektet: Rehabilitering i samverkan - Slutrapport
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2000 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Institutionen för Folkhälsovetenskap, 2000
Series
Reports from the Department of Rehabilitation & Physical Medicine, Karolinska Institute, ISSN 0283-8443
Keywords
Arbetslivsinriktad rehabilitering, Samverkan
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-5809 (URN)407 (Local ID)407 (Archive number)407 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
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