Document Detail


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.
MedLine Citation:
PMID:  18292918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Asa Ahlgren; Alf Bergroth; Jan Ekholm; Kristina Schüldt Ekholm
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  40     ISSN:  1650-1977     ISO Abbreviation:  J Rehabil Med     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-22     Completed Date:  2008-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  178-84     Citation Subset:  IM    
Affiliation:
Department of Health Science, Mid Sweden University, Sundsvall, Sweden. asa.ahlgren@miun.se
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Attitude
Chronic Disease
Disability Evaluation
Female
Humans
Insurance, Health
Male
Mental Disorders / psychology,  rehabilitation
Middle Aged
Pain / psychology,  rehabilitation
Questionnaires
Registries
Rehabilitation, Vocational* / psychology
Sick Leave
Social Security
Sweden
Work Capacity Evaluation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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