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非全日制病假作为治疗肌肉骨骼疾病患者的一种方法。

Part-time sick leave as a treatment method for individuals with musculoskeletal disorders.

机构信息

Swedish Business School, Örebro University, Örebro, Sweden.

出版信息

J Occup Rehabil. 2012 Sep;22(3):418-26. doi: 10.1007/s10926-011-9348-7.

Abstract

INTRODUCTION

There is increasing evidence that staying active is an important part of a recovery process for individuals on sick leave due to musculoskeletal disorders (MSDs). It has been suggested that using part-time sick-leave rather than full-time sick leave will enhance the possibility of full recovery to the workforce, and several countries actively favor this policy. The aim of this paper is to examine if it is beneficial for individuals on sick leave due to MSDs to be on part-time sick leave compared to full-time sick leave.

METHODS

A sample of 1,170 employees from the RFV-LS (register) database of the Social Insurance Agency of Sweden is used. The effect of being on part-time sick leave compared to full-time sick leave is estimated for the probability of returning to work with full recovery of lost work capacity. A two-stage recursive bivariate probit model is used to deal with the endogeneity problem.

RESULTS

The results indicate that employees assigned to part-time sick leave do recover to full work capacity with a higher probability than those assigned to full-time sick leave. The average treatment effect of part-time sick leave is 25 percentage points.

CONCLUSIONS

Considering that part-time sick leave may also be less expensive than assigning individuals to full-time sick leave, this would imply efficiency improvements from assigning individuals, when possible, to part-time sick leave.

摘要

简介

越来越多的证据表明,对于因肌肉骨骼疾病(MSD)而休病假的人来说,保持活跃是康复过程的重要组成部分。有人建议,使用兼职病假而不是全职病假将增加完全恢复工作的可能性,因此几个国家积极支持这一政策。本文旨在研究对于因 MSD 而休病假的个人来说,与全职病假相比,兼职病假是否更有益。

方法

本研究使用了瑞典社会保险局的 RFV-LS(登记)数据库中的 1170 名员工样本。使用两阶段递归双变量概率模型来处理内生性问题,估计与全职病假相比,兼职病假对恢复工作能力和完全康复的概率的影响。

结果

结果表明,与分配全职病假的员工相比,分配兼职病假的员工更有可能完全恢复工作能力。兼职病假的平均处理效应为 25 个百分点。

结论

考虑到兼职病假可能比分配员工全职病假成本更低,如果可能的话,将员工分配到兼职病假将提高效率。

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