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  • 1.
    Ahlgren, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Work resumption or not after rehabilitation?: A descriptive study from six social insurance offices.2004In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 27, no 3, p. 171-180Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to describe measures and outcomes of vocational rehabilitation at six local national insurance offices in the same county in Sweden. Data were collected from mainframe registers and other records at each office. There were great differences in sickness allowance, incapacity rate, selected rehabilitation measures and resuming work. The percentage of sick-listed people who received any rehabilitation measure differed from 1.2 to 8.7%. The gender distribution for the study population was 36% men and 64% women and the predominant diagnosis was musculoskeletal pain conditions, which was followed by psychiatric disorders. Outcomes varied from office B, which reported 58% fully fit after completed planned rehabilitation, to office C, which reported only 24% fully fit. The clear differences in outcome between the offices indicate that various rehabilitation measures differ in effectiveness. The rehabilitation measure 'investigation of working ability' was not linked to any great proportion of people resuming work, but showed a greater correspondence to full disability pension. There were also large differences in social and demographic factors in the different municipalities. The effect of these on the rehabilitation process requires further investigation.

  • 2.
    Ahlgren, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    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.2008In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, no 3, p. 178-184Article in journal (Refereed)
    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.

  • 3.
    Ahlgren, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Work resumption after vocational rehabilitation: a follow-up two years after completed rehabilitation2007In: 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)
    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.

  • 4.
    Ahlgren, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Broman, Lisbet
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Disability pension despite vocational rehabilitation: A study from six social insurance offices of a county2005In: International Journal of Rehabilitation Reserch, ISSN 0342-5282, Vol. 28, no 1, p. 33-42Article in journal (Refereed)
    Abstract [en]

    Many long-term sick-listed individuals move from vocational rehabilitation to pension, rather than reaching the goal of return to work. There is thus reason to consider whether rehabilitation resources are being used optimally. Individuals receiving disability pensions are consuming financial and personnel resources at the insurance offices and also consume a large amount of health care. The general objective of the study was to evaluate the proportion of individuals granted vocational rehabilitation but then obtaining temporary or permanent disability pensions. All persons receiving any kind of rehabilitation and attending one of six local national insurance offices in a county in Sweden in 1998 and 1999 were studied. A 2-year follow-up was carried out to assess changes in status among those who had received temporary disability pensions. Of all individuals receiving rehabilitation, 46.2% ended up with a disability pension allowance. In addition, a large portion of the temporary disability pensions was transformed to permanent disability pensions within 2 years. For clients with a temporary disability pension, the rate of resuming work was close to nil. Among rehabilitation measures, investigation showed the lowest figures of work resumption while job training showed the best outcome in this respect. The study concluded that a large portion of the financial and personnel resources allocated by the national insurance offices to rehabilitation resulted in disability pensions.

  • 5. Axelsson, R
    et al.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, J
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Vahlne Westerhäll, L
    Rehabiliteringsvetenskap: rehabilitering till arbetslivet i ett flerdisciplinärt perspektiv2006Book (Other academic)
  • 6. Cranner, J
    et al.
    Adolfsson, S
    Thorlacius, S
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Grönlund, R
    Kärrholm, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Pettersson, T
    Nordiska rehabiliteringssystem - likheter och olikheter.: En komparativ beskrivning med inriktning på rehabiliteringsprocess och rundgångsproblematik2001In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 78, no 6, p. 532-552Article in journal (Refereed)
  • 7.
    Ekholm, Jan
    et al.
    Karolinska institutet.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ludvigsen Ehnhage, Pia
    Åhrberg, Yvonne
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Kärrholm, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Hinder och framgångsfaktorer i rehabiliteringsprocessen: En sammanfattning baserad på kvantitativa och kvalitativa studier av faktorerer eller företeelser associerade med långtidsjukskrivnas återkomst i arbete2002Report (Other academic)
  • 8.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Svedlund, Marianne
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Multi-professional vocational rehabilitation group meetings with female clients - a qualitative study.2008In: 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)
    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.

  • 9.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olsson, Inger
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Utvärdering av projektet Tidig samordnad rehabilitering i Jämtlands län.: En rapport om människors upplevelser av rehabilitering. Arbetsrapport 31999Report (Other scientific)
  • 10.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Do systematic multiprofessional rehabilitation group meetings improve efficiency in vocational rehabilitation?2005In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 24, no 3, p. 279-290Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of the present study was to investigate differences in the effects on employment between clients whose rehabilitation was coordinated in systematic multiprofessional rehabilitation group meetings and clients whose rehabilitation was coordinated in the "conventional" way. METHOD: The study was based on a sample of 51 individuals who received systematic group meeting coordination. All individuals in the study group were unemployed before the rehabilitation intervention. Two different comparison groups were chosen: one at a local level and another at a national level. The groups were matched on an individual level based on records obtained from The National Labour Market Board (AMS) and The National Social Insurance Board (RFV). The data were analysed by an analysis of variance (ANOVA) for repeated measures for binary responses. RESULTS: 68.6% in the study group and 49% in both the local comparison group and national group had some form of employment 24 months after rehabilitation. The ANOVA analyses (in terms of odds ratio) found that when all measurement points (6, 12 and 24 months after the rehabilitation) were included in the calculations that there was twice as high a chance of becoming employed after having received rehabilitation services through the multiprofessional group than for both comparison groups. The majority of employment in all the groups was associated with some form of subsidy or sheltered employment.

  • 11.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm Schüldt, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Improved employment rates after multiprofessional cross-sector cooperation in vocational rehabilitation: A 6-year follow-up with comparison groups2010In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 33, no 1, p. 72-80Article in journal (Refereed)
    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'.

  • 12.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olsson, Inger
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Maria
    Samverkan i rehabiliteringsprocessen: som lösning av rundgångsproblemet?1997In: Socialmedicinsk Tidskrift:, ISSN 0037-833X, Vol. 74, no 8-9, p. 381-389Article in journal (Refereed)
  • 13.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olsson, Inger
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Rehabilitering i Samverkan En process- och registerstudie av Betagruppens arbete i Kungsbacka kommun2004Report (Other scientific)
    Abstract [sv]

    Syftet med föreliggande rapport är att undersöka den fortsatta utvecklingen av arbetsmetoden; systematiserade flerpartssamtal och att studera effekterna av rehabiliteringsarbetet i Betagruppen. Den föregående utvärderingen av Betaprojektet hade en före- och efterdesign och det var inte så lätt att ställa resultaten av utvärderingen i relation till mera �konventionell� handläggning av rehabiliteringsärenden. För att få en uppfattning om effekterna av Betas arbetssätt jämförs i denna studie Betas arbetssätt med effekter av att arbeta mera �konventionellt�. I studien matchas Betagruppen med individer från andra kommuner i närområdet som har en liknande struktur som Kungsbacka kommun. Dessutom görs också en jämförelse med en riksgrupp. För att få fram effekter av de båda arbetssätten används registerstudier och för att få fram kunskaper om Betagruppens utveckling av samverkan mellan rehabiliteringsaktörerna och eventuella förändringar används gruppintervjuer och enkät.

  • 14.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olsson, Inger
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Maria
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Samverkan i rehabilitering.: En utvärdering av Betaprojektet i Kungsbacka kommun. Slutrapport1998Report (Other scientific)
  • 15.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olsson, Inger
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Maria
    Kärrholm, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schuldt-Håård, Ulrika
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Samverkan i rehabilitering av Betaprojektet i Kungsbacka kommun. kort om utvärdering av Stockholmsprojektet samt en jämförelse med utvärdering av FRISAM Projektrapport2001Report (Other academic)
  • 16.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Håård, Ulrika
    Karolinska institutet.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Karolinska institutet.
    Improved co-operation in vocational rehabilitation with systematic rehabilitation group meetings.2002In: Disability and Rehabilitation, ISSN 0963-8288, Vol. 24, no 14, p. 734-740Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The present aim was to investigate the communicative pattern in two rehabilitation groups. The rehabilitation group consisted of the client, a supervisor, an employer representative, an occupational health physician, a rehabilitation counsellor from the national social insurance office and a support person. METHOD: Participatory observation of 22 rehabilitation meetings. The communication was tape-recorded and transcribed word for word. The transcripts were coded and analysed both qualitatively and quantitatively. RESULTS AND CONCLUSION: The client made the most utterances in the groups, but most often in the form of answers to questions from the other actors. Following the client, the physician made the next most frequent utterances, most often as questions. The subjects most discussed concerned the client's situation regarding work, health and material support. None of the "professionals" dominated the meetings, although one picture that emerged was that the physician and employer representative played more prominent roles as takers of initiative and as coordinators while the client was more passive than the other actors. The discussions were calm and much latitude was allowed for the participants to put forward their own requirements, thoughts and feelings. The rehabilitation group may be viewed as a meeting place for "experts" and clients. The further management of the rehabilitation was by the actor the client most immediately needed. In this, rehabilitation in the rehabilitation group differs from the "case management" common in the rehabilitation field.

  • 17.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt, U.
    Bergroth, M.
    Kärrholm, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, J.
    Utvärdering av Stockholmsprojektet: Rehabilitering i samverkan - Slutrapport2000Report (Other academic)
  • 18.
    Kärrholm, Jenny
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Ekholm, Karolina
    Department of Economics, Stockholm School of Economics, Stockholm.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Ekholm, Jan
    Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Schüldt Ekholm, Kristina
    Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Effects on work resumption of a co-operation project in vocational rehabilitation: Systematic, multi-professional, client-centred and solution-oriented co-operation2006In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, no 7, p. 457-467Article in journal (Refereed)
    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.

  • 19.
    Kärrholm, Jenny
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Karolina
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    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 benefits2008In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, no 8, p. 628-636Article in journal (Refereed)
    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.

  • 20.
    Kärrholm, Jenny
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schuldt Håård, Ulrika
    Ekholm, Jan
    Schuldt Ekholm, Krstina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    The views of sick-listed employees' immediate superiors on co-operation in vocational rehabilitation.2007In: 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)
    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.

  • 21.
    Kärrholm, Jenny
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt, U.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, J.
    Utvärdering av Stockholmsprojektet 5: En registerstudie av ohälsa hos anställda som genomgått rehabilitering i samverkan inom Stockholmsprojektet.2000Report (Other academic)
  • 22.
    Landstad, Bodil
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jenny
    Schuldt, K.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Health-related quality of life in women at work despite ill-health. A prospective, comparative study of hospital cleaners/home-help staff before and after staff support2000In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, no 2, p. 91-101Article in journal (Refereed)
    Abstract [en]

    The aims of this prospective, non-randomized, comparative study were to elucidate how 99 female hospital cleaners and home-helps, at work despite ill-health, experienced their quality of life, and to study whether this was affected by a particular programme of staff support. The SF-36 questionnaire was used. This contains questions on physical, mental and social health status. Health status, i.e. experienced health, was assessed by the respondents themselves. Low quality of life relating to the dimensions bodily pain, general health perceptions and vitality proved to apply both to the hospital cleaners and the home-help staff, compared to a normal Swedish female population. No significant differences between the intervention group and the reference group were demonstrated among either the cleaners or the home-helps. Following the intervention/period of customary measures, experienced quality of lift was somewhat changed in the groups compared with the normal Swedish female population. This may indicate a certain unspecific improvement in experienced quality of life in both the intervention groups and the reference groups.

  • 23.
    Landstad, Bodil J
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schuldt, K
    Karolinska Inst, Dept Publ Hlth Sci, Div Rehabil Med, Stockholm.
    Ekholm, J
    Karolinska Inst, Dept Publ Hlth Sci, Div Rehabil Med, Stockholm.
    Broman, L
    Karolinska Inst, Dept Publ Hlth Sci, Div Rehabil Med, Stockholm.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Women at work despite ill health: Diagnoses and pain before and after personnel support - A prospective study of hospital cleaners/home-help personnel with comparison groups2001In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 33, p. 216-224Article in journal (Refereed)
    Abstract [en]

    The present study sought to elicit the diagnoses behind the pain conditions causing complaints by female hospital cleaners and home-help personnel who were working despite their symptoms. We also wished to describe the prevalence of musculoskeletal diagnoses and the intensity, frequency and location of pain, and changes in the clinical picture and pain after personnel supporting interventions. A prospective study was carried out with intervention groups and non-randomized comparison groups. The hospital cleaners intervention programme comprised occupational organizational measures, competence development, physical and psychosocial working environmental measures and individual and rehabilitation measures on both an individual and a group basis. The home-help programme comprised a 2-week stay at an orthopaedic rehabilitation unit, training of supervisors, comrade massage, purchase of training equipment and stress management. Myalgia/tendinitis occurred in 61% of shoulder girdle elevators, 18% of rotator cuffs, 16% of dorsal neck muscles and 29% of hip muscles. There was musculoskeletal pain in the lower back in 28% of cases. Referred pain from a musculoskeletal focus occurred in about one-sixth to one-third of individuals with the diagnosis in question. Neurogenic pain occurred in 6% of cases. No fibromyalgia syndrome was found. One-third of individuals felt pain all the time or almost all the time. The mean rated perceived “worst pain” was 70 mm on a visual analogue scale of 1-100 mm. Comparisons between intervention and reference groups indicated that some improvement in the clinical picture can be attained using this kind of general support programme for employees.

  • 24.
    Marnetoft, Sven-Uno
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, J
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, J
    Factors associated with successful vocational rehabilitation in a Swedish rural area2001In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 33, p. 71-78Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to identify factors associated with a positive outcome of vocational rehabilitation, and to identify groups that have been successfully rehabilitated in a Swedish rural area. In this study vocational rehabilitation is defined as medical multidisciplinary, psychological, social and occupational activities aiming to re-establish, among sick or injured people with previous work history, their working capacity and prerequisites for returning to the labour market. The study was based on 732 people on registered long-term sick-leave who, in a rural area in northern Sweden during 1992-94, became objects for vocational rehabilitation. Bivariate and stepwise logistic regression analysis was used to identify factors associated with the outcome. By successful vocational rehabilitation is meant reporting well (no economical benefit) at all three Lime-points 6, 12 and 24 months after termination of rehabilitation, or lowered benefit levels. The results indicate that younger, male, employed persons, with an early start on rehabilitation, in a programme entailing education, and partly sick-listed before the start of this programme, had the greatest chance of successful rehabilitation. In contrast, older, female, unemployed people, with a delayed start on rehabilitation, without education, and fully sick-listed before the start, greatly risked being unsuccessful with vocational rehabilitation. The results indicate how to improve the rehabilitation process: several process-related factors shown to be connected with successful vocational rehabilitation include time before the start of rehabilitation, partial instead of full sickness benefit, and education programmes.

  • 25.
    Olsson, Inger
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    En rapportering av försöksverksamheter riktade till människor med individuella behov av rehabilitering i Jämtlands län.: Arbetsrapport 11998Report (Other scientific)
  • 26.
    Olsson, Inger
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    En rapportering av rehabiliteringsssamordnarnas uppfattning om sitt eget arbete och om rehabilitering i samverkan.: Arbetsrapport 21998Report (Other scientific)
  • 27.
    Olsson, Inger
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    En rapportering av granskning av utvärderingar i delprojektens del- och slutrapporter sett ur ett individperspektiv: Arbetsrapport 41999Report (Other scientific)
  • 28.
    Olsson, Inger
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Millet, Patrick
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olsson, Göran
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Social welfare in Singapore and Sweden: Differences in organisational systems of health care, social security and rehabilitation.2008In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 2, no 3, p. 30-38Article in journal (Refereed)
    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.

     

  • 29. Schüldt-Håård, U
    et al.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Kärrholm, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholom, Jan
    Klienters uppfattningar om rehabilitering i samverkan mellan företagshälsovård, offentlig arbetsgivare och försäkringskassa.2001In: Socialmedicinsk Tidskrift: ett socialt och socialmedicinskt forum, ISSN 0037-833X, Vol. 78, no 6, p. 517-531Article in journal (Refereed)
  • 30.
    Åhrberg, Yvonne
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Landstad, Bodil J
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Faculty of Health Science, Nord-Trøndelag University College, Levanger, Norway.
    Ekholm, Jan
    Desire, longing and vanity: Emotions behind successful return to work for women on long-term sick leave2010In: 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)
    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.

1 - 30 of 30
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