Heijbel Bodil, Josephson Malin, Vingård Eva
Occupation and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden Adaptus Rehab AB, Kristianstad, Sweden Tollarp Primay Care Center, Tollarp, Sweden.
Work. 2013;45(3):323-33. doi: 10.3233/WOR-2012-1478.
The aim was threefold: 1) to describe the experiences of driving and implementing a workplace-based rehabilitation intervention in cooperation with the occupational health service (OHS); 2) to investigate which people received multimodal and/or vocational rehabilitation measures; 3) to find predictors of return to work (RTW).
Altogether 779 employees on sick leave for 90 days or more with mainly musculoskeletal or psychological/stress-related problems, 90% women.
The HAKuL model was introduced, implying an early team assessment at the OHS and good access to rehabilitation measures. The study is a prospective three-year study with a two-year follow-up.
The rehabilitation intervention encountered challenges. Counter-measures were taken to facilitate coordination and communication. People with musculoskeletal problems often received both multimodal and vocational rehabilitation. Vocational rehabilitation was advocated for people who were under 55 years of age, and for those with stress-related problems. The strongest predictive factors for RTW were: having received only vocational rehabilitation and being under 45 years of age.
The HAKuL model can be used in a wider context, but the study shows the need for coordination between multiple stakeholders. Supervisors should pay attention to people who have musculoskeletal problems and are older, as soon as problems emerge.
本研究有三个目标：1）描述与职业健康服务机构（OHS）合作开展基于工作场所的康复干预措施的经历；2）调查哪些人接受了多模式和/或职业康复措施；3）找出重返工作岗位（RTW）的预测因素。
共有779名休病假90天及以上的员工，主要患有肌肉骨骼或心理/压力相关问题，其中90%为女性。
引入了HAKuL模型，这意味着在职业健康服务机构进行早期团队评估，并能很好地获得康复措施。该研究是一项为期三年的前瞻性研究，随访两年。
康复干预遇到了挑战。采取了应对措施以促进协调和沟通。患有肌肉骨骼问题的人通常同时接受多模式和职业康复。倡导为55岁以下以及有压力相关问题的人提供职业康复。重返工作岗位最强的预测因素是：仅接受过职业康复且年龄在45岁以下。
HAKuL模型可在更广泛的背景下使用，但研究表明需要多个利益相关者之间进行协调。一旦出现问题，主管应关注患有肌肉骨骼问题且年龄较大的人。
