TITLE

Sickness absence in musculoskeletal disorders - patients' experiences of interactions with the Social Insurance Agency and health care. A qualitative study

AUTHOR(S)
Hubertsson, Jenny; Petersson, Ingemar F.; Arvidsson, Barbro; Thorstensson, Carina A.
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p107
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Sickness absence has represented a growing public health problem in many Western countries over the last decade. In Sweden disorders of the musculoskeletal system cause approximately one third of all sick leave. The Social Insurance Agency (SIA) and the health care system are important actors in handling the sickness absence process. The objective was to study how patients with personal experience of sickness absence due to musculoskeletal disorders perceived their contact with these actors and what they considered as obstructing or facilitating factors for recovery and return to work in this situation. Methods: In-depth interviews using open-ended questions were conducted with fifteen informants (aged 33-63, 11 women), all with experience of sickness absence due to musculoskeletal disorders and purposefully recruited to represent various backgrounds as regards diagnosis, length of sick leave and return to work. The interviews were audio-recorded, transcribed verbatim and analysed using content analysis. Results: The informants' perceived the interaction with the SIA and health care as ranging from coherent to fragmented. Being on sick leave was described as going through a process of adjustment in both private and working life. This process of adjustment was interactive and included not only the possibilities to adjust work demands and living conditions but also personal and emotional adjustment. The informants' experiences of fragmented interaction reflected a sense that their entire situation was not being taken into account. Coherent interaction was described as facilitating recovery and return to work, while fragmented interaction was described as obstructing this. The complex division of responsibilities within the Swedish rehabilitation system may hamper sickness absentees' possibilities of taking responsibility for their own rehabilitation. Conclusions: This study shows that people on sick leave considered the interaction with the SIA and health care as an important part of the rehabilitation process. The contact with these actors was perceived as affecting recovery and return to work. Working for a more coherent process of rehabilitation and offering professional guidance to patients on sick leave might have an empowering effect.
ACCESSION #
59754063

 

Related Articles

  • `Unfair pressure' on sick staff.  // People Management;6/25/1998, Vol. 4 Issue 13, p16 

    Unveils a report on the unfair pressure on employees who take sickness leave in Great Britain, conducted by Unison, the public-sector employees' union. Measures used by corporations to control absenteeism; Comments from Sarah Copsey of Unison on absenteeism policies.

  • Gir tidlig vurdering og behandling hos spesialist i fysikalsk medisin og rehabilitering reduksjon i langtidsfravær hos sykmeldte med muskel- og skjelettsykdommer? Elvsåshagen, Harald; Tellnes, Gunnar; Abdelnoor, Michael H. // Norsk Epidemiologi;2009, Vol. 19 Issue 2, p219 

    Background: Most patients with long term sick leave due to musculoskeletal diseases are treated by general practitioners. The aim of this study was to test the hypothesis that early intervention by a specialist in physical medicine and rehabilitation will reduce the duration of long term sick...

  • Back to work after cancer. Taskila, Tyna // Occupational Health;May2014, Vol. 66 Issue 5, p20 

    The article discusses research suggesting that cancer diagnosis has an impact on work and that cancer survivors can return to work due to early detection and improved treatment. Topics discussed include struggle of cancer survivors to remain at work, other health problems of cancer survivors...

  • What works for not working: Rethinking your vacation policy. Metzger, Loretta // Ebn.benefitsnews.com;5/30/2018, p1 

    Employers should carefully consider whether a paid time off bucket or a traditional vacation and sick leave program is best for their employees.

  • Employees cook up creative excuses for missing work. Foster, Carly // Employee Benefit News Canada in Brief;11/13/2007, p5 

    The article reports on a survey by CareerBuilder.com which revealed that 32 percent of workers in Canada called in sick when they were really just fine at least once a year. More than 25% of workers consider sick days as equivalent vacation days, and 1-in-10 admit to playing hooky three or more...

  • Work-related psychosocial events as triggers of sick leave - results from a Swedish case-crossover study. Hultin, Hanna; Hallqvist, Johan; Alexanderson, Kristina; Johansson, Gun; Lindholm, Christina; Lundberg, Ingvar; Möller, Jette // BMC Public Health;2011, Vol. 11 Issue 1, p175 

    Background: Although illness is an important cause of sick leave, it has also been suggested that non-medical risk factors may influence this association. If such factors impact on the period of decision making, they should be considered as triggers. Yet, there is no empirical support available....

  • Long-Term Illness as an Occupational-Career Interruption: Gender Differences in the Determinants and Outcomes in Sweden. Lovell, Rachel E. // Scandinavian Journal of Disability Research;Jun2006, Vol. 8 Issue 2/3, p132 

    This paper examines one particular type of occupational-career interruption; long-term illness. Event history analysis is used to uncover gender differences in the factors that influence illness work absenteeism and regression for the consequences of this type of interruption in Sweden, a...

  • Effectiveness of early part-time sick leave in musculoskeletal disorders. Martimo, Kari-Pekka; Kaila-Kangas, Leena; Kausto, Johanna; Takala, Esa-Pekka; Ketola, Ritva; Riihimäki, Hilkka; Luukkonen, Ritva; Karppinen, Jaro; Miranda, Helena; Viikari-Juntura, Eira // BMC Musculoskeletal Disorders;2008, Vol. 9, Special section p1 

    Background: The importance of staying active instead of bed rest has been acknowledged in the management of musculoskeletal disorders (MSDs). This emphasizes the potential benefits of adjusting work to fit the employee's remaining work ability. Despite part-time sick leave being an official...

  • Coordinated and Tailored Work Rehabilitation: A Randomized Controlled Trial with Economic Evaluation Undertaken with Workers on Sick Leave Due to Musculoskeletal Disorders. Bültmann, Ute; Sherson, David; Olsen, Jens; Hansen, Carl Lysbeck; Lund, Thomas; Kilsgaard, Jørgen // Journal of Occupational Rehabilitation;Mar2009, Vol. 19 Issue 1, p81 

    Introduction In Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new “coordinated and tailored work rehabilitation” (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics