Return-to-work of sick-listed workers without an employment contract -- what works?

Vermeulen, Sylvia J.; Tamminga, Sietske J.; Schellart, Antonius J. M.; Ybema, Jan Fekke; Anema, Johannes R.
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p232
Academic Journal
Background: In the past decade flexible labour market arrangements have emerged as a significant change in the European Union labour market. Studies suggest that these new types of labour arrangements may be linked to ill health, an increased risk for work disability, and inadequate vocational rehabilitation. Therefore, the objectives of this study were: 1. to examine demographic characteristics of workers without an employment contract sick-listed for at least 13 weeks, 2. to describe the content and frequency of occupational health care (OHC) interventions for these sick-listed workers, and 3. to examine OHC interventions as possible determinants for return-to-work (RTW) of these workers. Methods: A cohort of 1077 sick-listed workers without an employment contract were included at baseline, i.e. 13 weeks after reporting sick. Demographic variables were available at baseline. Measurement of cross-sectional data took place 4-6 months after inclusion. Primary outcome measures were: frequency of OHC interventions and RTW-rates. Measured confounding variables were: gender, age, type of worker (temporary agency worker, unemployed worker, or remaining worker without employment contract), level of education, reason for absenteeism (diagnosis), and perceived health. The association between OHC interventions and RTW was analysed with a logistic multiple regression analysis. Results: At 7-9 months after the first day of reporting sick only 19% of the workers had (partially or completely) returned to work, and most workers perceived their health as fairly poor or poor. The most frequently reported (49%) intervention was "the OHC professional discussed RTW". However, the intervention "OHC professional made and discussed a RTW action plan" was reported by only 19% of the respondents. The logistic multiple regression analysis showed a significant positive association between RTW and the interventions: "OHC professional discussed RTW"; and "OHC professional made and discussed a RTW action plan". The intervention "OHC professional referred sick-listed worker to a vocational rehabilitation agency" was significantly associated with no RTW. Conclusion: This is the first time that characteristics of a large cohort of sick-listed workers without an employment contract were examined. An experimental or prospective study is needed to explore the causal nature of the associations found between OHC interventions and RTW.


Related Articles

  • Establishing Post-Injury Employability for Heavy and Light Commercial Truck Drivers. Smith, Theodore Scott // Rehabilitation Professional;2012, Vol. 20 Issue 3, p177 

    Truck Drivers offer valuable worldwide economic contributions towards the distribution of goods and commodities. As Truck Drivers represent not only a significant proportion of the labor force, but also face numerous work-related risks, vocational counselors must evaluate post-injury...

  • Appendix I: Objectives, Scope, and Methodology.  // GAO Reports;1/26/2009, p33 

    The objectives, scope and methodology that relate to articles that appeared in this issue are presented.

  • Supervisors’ views on employer responsibility in the return to work process. A focus group study. Holmgren, Kristina; Ivanoff, Synneve Dahlin // Journal of Occupational Rehabilitation;Mar2007, Vol. 17 Issue 1, p93 

    Background: Supervisors’ attitudes and measures have been pointed out by employees to influence the return to work process. The purpose of this study was to explore supervisors’ views on employer responsibility in the return to work process and factors influencing the support of...

  • Vocational Rehabilitation Program for Persons with Occupational Deafness. Li, Eria Ping-Ying; Li-Tsang, Cecilia Wai-Ping; Lee, Tsor-Kui; Lee, Gladys Wai-Man; Lam, Eddie Chi-Fung // Journal of Occupational Rehabilitation;Dec2006, Vol. 16 Issue 4, p503 

    Introduction: A pilot return-to-work program based on the concept of work readiness and three-month job placement with support was developed to enable people with occupational deafness to return to the workforce. Methods: A convenient sample of six male persons with occupational deafness...

  • Helping your injured worker patients return to work. Montgomerie, Andrew // British Columbia Medical Journal;Jul/Aug2011, Vol. 53 Issue 6, p294 

    The article offers information on the rehabilitation programs and services provided by WorkSafeBC to help injured workers in British Columbia achieve a safe return to work and independent life. It notes the Occupational Rehabilitation 1 is centered on physical and functional conditioning and...

  • Considering Work for People Living with HIV/AIDS: Evaluating of a Group Employment Counseling Program. Kohlenberg, Betty; Watts, Meredith W. // Journal of Rehabilitation;Jan-Mar2003, Vol. 69 Issue 1, p22 

    Presents information on a study which evaluated a pilot program that was created to meet the needs of people living with HIV/AIDS considering a possible return to work after varying periods of absence from the work force. Description of the Making a Plan group counseling program; Methodology of...

  • EL MERCADO LABORAL Y LA FLEXISEGURIDAD. Fernández, Leire Hurtado // Capital Humano;Jun2011, Vol. 24 Issue 255, p11 

    No abstract available.

  • REASONS TO INVEST IN MACEDONIA.  // Macedonian Business Monthly;2015, Vol. 15 Issue 158, p3 

    The article discusses reasons to invest in Macedonia. Topics discussed include the protection of investors' right to property by the Constitution of the Republic of Macedonia, passage of labor laws promoting flexible employment contracts and flexibility of working time, expansion in Macedonian...

  • EU agreement on agency workers strikes the right balance. McFadden, Pat // Personnel Today;6/17/2008, p16 

    The article presents the views of several persons on an European Union agreement that would entitle agency workers to receive equal treatment after 12 weeks in a given job in Great Britain. According to the author, the deal reflects the government's commitment to both employers and workers. Ben...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics