Söderberg Elsy, Vimarlund Vivian, Alexanderson Kristina
Division of Community Medicine, Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Work. 2010;35(2):143-51. doi: 10.3233/WOR-2010-0966.
In Sweden, the activities initiated to promote return to work (RTW) are performed in parallel by four different public organisations: the health services, the social services, the employment and the social insurance authorities. The aim was to gain deeper understanding on the experiences of professionals involved in cooperative projects aimed at promoting RTW among unemployed sickness benefit recipients. Qualitative analyses were performed of transcribed data from interviews of professionals participating in cooperative projects. First, the analysis identified that the daily collaboration on the same cases enabled development of good relationships and cooperative competence, which improved the contact with clients. Second, the cooperative projects made it possible to include only clients perceived motivated for RTW measures. Third, the closer and more frequent interaction with clients proved to be constructive in that it facilitated recognition and mobilisation of strengths and abilities. Fourth, the differences in rules and regulations between the social insurance and the unemployment insurance standards were often perceived to induce problems, for example, on how to assess the work capacity of clients. The assessments of work capacity represent important and complex tasks that professionals must perform without having access to either scientific knowledge or consensus agreement on which to base their decisions.
在瑞典，促进重返工作岗位（RTW）的活动由四个不同的公共组织并行开展：卫生服务部门、社会服务部门、就业部门和社会保险机构。目的是更深入地了解参与旨在促进失业疾病津贴领取者重返工作岗位的合作项目的专业人员的经验。对参与合作项目的专业人员访谈的转录数据进行了定性分析。首先，分析发现，就相同案例进行的日常合作促进了良好关系和合作能力的发展，从而改善了与客户的联系。其次，合作项目使得仅纳入那些被认为有动力采取重返工作岗位措施的客户成为可能。第三，事实证明，与客户更密切、更频繁的互动具有建设性，因为它有助于识别和调动客户的优势与能力。第四，社会保险和失业保险标准之间的规章制度差异常常被认为会引发问题，例如，在如何评估客户的工作能力方面。工作能力评估是专业人员必须执行的重要且复杂的任务，但他们在做决策时既没有科学知识作为依据，也没有达成共识的协议可供参考。
