OBJECTIVE: In this article, we estimate the effect of a multidisciplinary collaborationprogram on the length of sickness absence. The intention with the programwas to avoid long-term sickness absence by providing an early and holistic evaluation of the sick-listed individuals' conditions. The target group was individuals who were at risk of becoming long-term sick. The eligibility criteria were mainly based on register information that we have access to. METHODS: Using this register information, we estimate different Cox regression models and apply a nonparametric matching estimator. We have also conducted a small randomized experiment. RESULTS: The result from the randomized experiment is not statistically significant, but the point estimate provides the same result as was found in the observational study: The program prolongs rather than shortens the sickness absence spell. That is, the average sickness absence spell is prolonged by about 3 months. CONCLUSIONS: Our main explanation for this discouraging result is that the team focuses too much on rehabilitation rather than encouraging the sick-listed individual to return to work.
RCT Entities:
OBJECTIVE: In this article, we estimate the effect of a multidisciplinary collaborationprogram on the length of sickness absence. The intention with the programwas to avoid long-term sickness absence by providing an early and holistic evaluation of the sick-listed individuals' conditions. The target group was individuals who were at risk of becoming long-term sick. The eligibility criteria were mainly based on register information that we have access to. METHODS: Using this register information, we estimate different Cox regression models and apply a nonparametric matching estimator. We have also conducted a small randomized experiment. RESULTS: The result from the randomized experiment is not statistically significant, but the point estimate provides the same result as was found in the observational study: The program prolongs rather than shortens the sickness absence spell. That is, the average sickness absence spell is prolonged by about 3 months. CONCLUSIONS: Our main explanation for this discouraging result is that the team focuses too much on rehabilitation rather than encouraging the sick-listed individual to return to work.
Authors: Sanneke Schepman; Johan Hansen; Iris D de Putter; Ronald S Batenburg; Dinny H de Bakker Journal: Int J Integr Care Date: 2015-06-24 Impact factor: 5.120
Authors: Carla Sabariego; Michaela Coenen; Elizabeth Ito; Klemens Fheodoroff; Chiara Scaratti; Matilde Leonardi; Anastasia Vlachou; Panayiota Stavroussi; Valentina Brecelj; Dare S Kovačič; Eva Esteban Journal: Int J Environ Res Public Health Date: 2018-03-19 Impact factor: 3.390