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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
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
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2008 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 40, no 8, 628-636 p.Article 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.

Place, publisher, year, edition, pages
2008. Vol. 40, no 8, 628-636 p.
Keyword [en]
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: urn:nbn:se:miun:diva-6413DOI: 10.2340/16501977-0233ISI: 000259409200008PubMedID: 19020696 Scopus ID: 2-s2.0-53349161575Local ID: 4731OAI: oai:DiVA.org:miun-6413DiVA: diva2:31452
Available from: 2008-11-30 Created: 2008-11-30 Last updated: 2009-06-07Bibliographically approved

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Kärrholm, JennyJakobsson, BjörnBergroth, AlfSchüldt Ekholm, Kristina
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CiteExportLink to record
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Citation style
  • apa
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