Müssener Ulrika, Festin Karin, Upmark Marianne, Alexanderson Kristina
Division of Community Medicine, Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
J Rehabil Med. 2008 Nov;40(10):805-11. doi: 10.2340/16501977-0259.
To analyse different aspects of positive experiences of people on long-term sick leave with regard to their interactions with healthcare and social insurance professionals.
A random population-based questionnaire survey among 10,042 long-term sick-listed people in Sweden. Statements related to positive encounters with the professionals were analysed. Factor analysis and logistic regression was used to identify possible associations with gender, age, marital status, country of birth, level of education, part- or full-time sickness absence, self-rated health, depression during the past year, and reasons for sick leave.
Ninety-two percent of respondents had experienced positive encounters with healthcare and 73% had experienced positive encounters with social insurance. The mean rating was higher for healthcare. The respondents agreed most with the items "treated me with respect", "listened to me", and "was nice to me". Three aspects of interactions were identified: competence, personal attention, and confidence and trust. Women, people born in Sweden, and individuals with good self-rated health experienced the inter-actions as most positive.
The majority of the respondents on long-term sickness absence have had positive interactions with healthcare and social insurance. More research is required to determine the impact that such experiences might have on return to work, and how such interactions might be promoted.
分析长期病假人员在与医疗保健和社会保险专业人员互动方面的积极体验的不同方面。
对瑞典10042名长期病假人员进行基于人群的随机问卷调查。分析与专业人员积极接触相关的陈述。采用因子分析和逻辑回归来确定与性别、年龄、婚姻状况、出生国家、教育水平、部分或全时病假、自评健康状况、过去一年的抑郁情况以及病假原因之间的可能关联。
92%的受访者曾与医疗保健人员有过积极接触,73%的受访者曾与社会保险人员有过积极接触。对医疗保健的平均评分更高。受访者最认同“尊重我”“倾听我”和“对我友善”这些项目。确定了互动的三个方面:能力、个人关注以及信心和信任。女性、在瑞典出生的人以及自评健康状况良好的人对互动的体验最为积极。
大多数长期病假的受访者与医疗保健和社会保险有过积极互动。需要更多研究来确定这些体验可能对重返工作产生的影响,以及如何促进此类互动。