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Effects on work resumption of a co-operation project in vocational rehabilitation: Systematic, multi-professional, client-centred and solution-oriented co-operation
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
Department of Economics, Stockholm School of Economics, Stockholm.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
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2006 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, no 7, 457-467 p.Article 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.

Place, publisher, year, edition, pages
2006. Vol. 28, no 7, 457-467 p.
Keyword [en]
vocational rehabilitation, co-operation, multi-professional, economic effects.
Keyword [sv]
Rehabiliteringsvetenskap
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:miun:diva-1771DOI: 10.1080/09638280500198063ISI: 000235622800006PubMedID: 16507508Scopus ID: 2-s2.0-33644593894Local ID: 4160OAI: oai:DiVA.org:miun-1771DiVA: diva2:26803
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VR-Medicine, External

Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2016-09-27Bibliographically approved

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Kärrholm, JennyJakobsson, BjörnBergroth, AlfSchüldt Ekholm, Kristina
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Citation style
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