Sustained return to work and work participation after a new legislation obligating employers to notify prolonged sickness absence

Scandinavian Journal of Public Health
J I HalonenEira Viikari-Juntura

Abstract

Return to work (RTW) after prolonged sickness absence benefits both the individual and society. However, the effectiveness of legislation aiming to improve RTW remains uncertain. We examined whether sustained RTW and work participation were different before and after a legislative change enacted in 2012 (i.e. an intervention) that obligated employers to give notice of prolonged sickness absence to occupational health services. Two random samples (2010 and 2013) of the Finnish working aged population (70%, ~2.6 million each) were drawn. Using survival analysis, we assessed sustained RTW (≥28 consecutive working days) during a two-month follow-up after a sickness absence minimum of 30 calendar days in the pre- and post-intervention period. We also identified pathways for RTW with cluster analysis and calculated relative gain in work participation in the total sample and by several population subgroups. In the total sample, sustained RTW was 4% higher and the mean time to sustained RTW was 0.42 days shorter in the post- than in the pre-intervention period. The estimates were larger among women than men and among those with mental disorders compared with other diagnoses. Changes in the pathways for sustained RTW indicated a 4.9% re...Continue Reading

References

Mar 26, 2005·Health Economics·Jan Erik AskildsenOivind Anti Nilsen
Aug 17, 2010·European Journal of Public Health·Tarja HeponiemiMarko Elovainio
Jan 17, 2012·Scandinavian Journal of Work, Environment & Health·Birgit AustOtto M Poulsen
Apr 6, 2012·Journal of Occupational Rehabilitation·Nicole HoefsmitFrans J N Nijhuis
Feb 1, 2013·Occupational Medicine·J SmedleyD Coggon
Jul 9, 2013·Journal of Occupational Medicine and Toxicology·Line FossKnut Skyberg
Nov 25, 2014·International Journal of Health Care Quality Assurance·Marco António Ferreira Rodrigues Nogueira dos SantosJohan Herlitz
Oct 8, 2015·Scandinavian Journal of Work, Environment & Health·Birgit AustOtto M Poulsen

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Citations

Feb 24, 2018·Scandinavian Journal of Public Health·Lauri SääksvuoriIsmo Linnosmaa
Nov 14, 2020·Work : a Journal of Prevention, Assessment, and Rehabilitation·Erja SormunenKari-Pekka Martimo
Apr 9, 2021·Journal of Occupational Rehabilitation·Johanna KaustoJenni Ervasti
Oct 15, 2020·Journal of Occupational Rehabilitation·Martin Inge StandalIngebrigt Meisingset
Jun 18, 2021·BMC Public Health·Pauliina Mattila-HolappaJenni Ervasti

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