Disability pension despite vocational rehabilitation? A study from six social insurance offices of a county

Ahlgren, Åsa; Broman, Lisbet; Bergroth, Alf; Ekholm, Jan

doi:10.1097/00004356-200503000-00005

Cited by 18 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For review question 2 on the differential outcomes of vocational rehabilitation, five observational studies over time [19,[23][24][25][26] of people who had been on long-term sick leave were included. The study samples were drawn from official, population-based or employee-based registers of sick-listed individuals, which recorded who received vocational rehabilitation and who returned to work, and were analysed in terms of the characteristics of the people more or less likely to return to work afterwards.…”

Section: Resultsmentioning

confidence: 99%

“…This allows considerable differences in the choice of rehabilitation measure in different offices and in treatment and/or options offered to a person on sick leave [12,17].…”

Section: The National Policy Contextmentioning

confidence: 99%

“…Investigation of residual working capacity, on the other hand, often preceded disability pension. The authors suggested that investigation of residual working capacity, although counted as a vocational rehabilitation measure, was to be seen more as a verification of a need for disability pension and that this could be better handled within the health care system rather than in vocational rehabilitation [25]. Another study followed-up 291 clients who had participated in a comprehensive rehabilitation programme focusing on work training, upon completion of the programme and 1 year after completion [37].…”

Section: Is There Differential Access To Rehabilitation?mentioning

confidence: 99%

See 2 more Smart Citations

How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework

Burström

Nylén

Clayton

et al. 2010

Disability and Rehabilitation

View full text Add to dashboard Cite

Purpose. Under the national framework law in Sweden, all eligible people should have equal chances of receiving vocational rehabilitation. We aimed to review the evidence on (1) whether access to vocational rehabilitation is equitable in practice and (2) whether the outcomes vary for different groups in the population. Method. Systematic review of studies in Sweden that reported diagnostic or socio-demographic characteristics of people offered or taking up rehabilitation programmes and outcomes of such programmes for different diagnostic and sociodemographic groups. Searches of 11 relevant electronic databases, 15 organisational websites, citation searching and contact with experts in the field, for the period 1990-2009. Results. A total of 11 studies were included in the final review, six of which addressed review question (1) and seven addressed review question (2). All the six observational studies of access reported biased selection into vocational rehabilitation: greater likelihood for men, younger people, those with longer-term sick leave, those with lower income, employed rather than unemployed people and those with musculoskeletal and mental disorders or alcohol abuse. Having had a rehabilitation investigation also increased the likelihood of receiving vocational rehabilitation. Differential outcome of rehabilitation was reported in seven studies: outcomes were better for men, younger people, employed individuals, those with shorter sick leave and those with higher income. Selection into vocational rehabilitation was perceived as important for successful outcomes, but success also depended on the state of the local labour market. Conclusions. There is evidence of socio-demographic differences in access to and outcomes of vocational rehabilitation in Sweden, even though the national framework law is meant to apply to everyone. Few studies have deliberately measured differential access or outcomes, and there is a need for this kind of equity analysis of population-wide policies. Studies evaluating the effects of vocational rehabilitation must consider selection into the programmes for adequate interpretation of impact results.

show abstract

Section: Resultsmentioning

confidence: 99%

“…This allows considerable differences in the choice of rehabilitation measure in different offices and in treatment and/or options offered to a person on sick leave [12,17].…”

Section: The National Policy Contextmentioning

confidence: 99%

Section: Is There Differential Access To Rehabilitation?mentioning

confidence: 99%

See 1 more Smart Citation

How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework

Burström

Nylén

Clayton

et al. 2010

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Wallman et al16 found that the number of annual days of SA had the best prognostic precision for DP compared with other predictors such as age, length of education, and geographical area. Several other studies have also found that previous SA increases the risk of long-term SA and DP 11,17–21…”

Section: Introductionmentioning

confidence: 81%

Disability, sickness, and unemployment benefits among long-term sickness absentees five years before, during, and after a multidisciplinary medical assessment

Gustafsson

Lundh²,

Svedberg³

et al. 2011

JMDH

View full text Add to dashboard Cite

Aim:The aim was to describe how a multidisciplinary medical assessment changed the distribution of long-term sickness absentees between three different forms of social security support during a period of eleven years.Methods:The study group (n = 1002) consisted of persons on long-term sickness absence who were referred to a multidisciplinary medical assessment by the Social Insurance Office in Stockholm, Sweden between 1998 and 2007. Register data from the years 1993–2008 were linked to the study group. A calculation was provided for the number of days per person and year on unemployment benefits, sickness benefits, and disability pension, five years before, during, and five years after the assessment. Also, differences in the average number of days per person and year were calculated with one-way analysis of variance.Results:The number of days on sickness benefits increased up to the time of multidisciplinary medical assessment, from 69 to 218 days on average. After the assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days. Before the assessment the number of days on disability pension was 21, but this increased after the assessment from 104 days to an average of 272 days five years after the assessment. There were age differences regarding number of compensated days, and these were particularly pronounced for disability days after the assessment. Further, there were significant differences between types of diagnosis in relation to average days on disability pension after the assessment.Conclusion:The study shows that after a multidisciplinary medical assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits. The results indicate that for a large number of persons, a Social Insurance Office referral to an assessment does not improve their chances of returning to work, but rather seems to justify disability pension.

show abstract

“…Rehabilitation measures are often transformed into DP [13]. In a 2 year follow-up of people receiving rehabilitation, 46% ended up with a DP [14]. In a 3 year followup study, data showed that psychosocial stress preceding rehabilitation increased the risk of a DP by fourfold for women, but for men the difference was less prominent and not significant [15].…”

Section: Introductionmentioning

confidence: 99%

Sense of coherence and vocational rehabilitation of persons with chronic musculoskeletal disorders–gender aspects

Kaiser

Mattsson

Marklund³

et al. 2006

The Journal of Men's Health & Gender

View full text Add to dashboard Cite

Background: Sense of coherence (SOC) and perceived health (PH) have been seen as predictors of the outcome of vocational rehabilitation (VR) and as influencing the probability of disability pension (DP). We aimed to relate SOC and PH to outcome of VR with a focus on gender differences. Methods: A total of 372 patients (174 men and 198 women) with long-standing musculoskeletal disorders underwent VR. Data were obtained through questionnaires to patients and from subjects' records and computer files at the National Social Insurance Office. Results: Three years after the VR process had ended, men who received DP had significantly lower SOC scores than those who did not receive DP (125 vs. 146; p < 0.05). For women there was no difference. Both men and women who received DP significantly more often had a PH score above the mean (p 0.05), indicating bad health. Conclusions: Women who received DP had a higher SOC than men who received DP. The gender difference might be related to a societal recognition of musculoskeletal disorder among women, leading to a more generous acceptance of DP. The income disparity between men and women with lower income for women is probably also of importance. SOC might be a factor of value in predicting the rehabilitation process.

show abstract

Disability pension despite vocational rehabilitation? A study from six social insurance offices of a county

Cited by 18 publications

References 0 publications

How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework

How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework

Disability, sickness, and unemployment benefits among long-term sickness absentees five years before, during, and after a multidisciplinary medical assessment

Sense of coherence and vocational rehabilitation of persons with chronic musculoskeletal disorders–gender aspects

Contact Info

Product

Resources

About