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
2008 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 40, no 8, 628-636 p.Article in journal (Refereed) Published
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.
voccational rehabilitation, sick-leave, longitudinal studies, economics, intervention studies, return to work, co-operation
IdentifiersURN: urn:nbn:se:su:diva-57882DOI: 10.2340/16501977-0233ISI: 000259409200008OAI: oai:DiVA.org:su-57882DiVA: diva2:418457
authorCount :52011-05-232011-05-232011-05-23Bibliographically approved