Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
J Occup Rehabil. 2013 Jun;23(2):200-8. doi: 10.1007/s10926-013-9444-y.
The aims of this study are: (1) to describe the prevalence of needed and implemented work adjustments in a representative sample of Dutch employees with a chronic disease; and (2) to assess the effects of needed and implemented work adjustments on sick leave.
The prevalence of work adjustments was assessed in employees with a chronic disease, aged between 15 and 65 years (n = 7,687) from the 2007 Netherlands Working Conditions Survey (NWCS). Of these, N = 2,631 employees participated in the Netherlands Working Conditions Cohort Study (NWCCS) measurements in 2008 and 2009. The NWCCS data were used to investigate the effects of work adjustments on sick leave. All data were self-reported. A repeated measures ANOVA was performed to analyse differences in sick leave in 2007, 2008 and 2009 between employees with and without a need for work adjustments, for those who reported an implemented work adjustment and those who did not.
In 2007, the prevalence of implemented work adjustments among Dutch employees with a chronic disease was 22 %, while 30 % reported the need of a work adjustment. In employees with and without a need for work adjustments in 2007, a work adjustment in 2008 was significantly associated with a decrease in sick leave from 2007 to 2009.
The need for work adjustments is higher than the implementation of work adjustments. Work adjustments should be considered more often for employees with chronic diseases, because implementation of a work adjustment is associated with a decrease in sick leave.
本研究旨在：（1）描述在荷兰具有代表性的慢性病员工样本中，需要和实施的工作调整的流行情况；（2）评估需要和实施的工作调整对病假的影响。
在 2007 年荷兰工作条件调查（NWCS）中，对年龄在 15 至 65 岁之间的患有慢性病的员工（n=7687）进行了工作调整的流行情况评估。其中，有 N=2631 名员工参加了 2008 年和 2009 年的荷兰工作条件队列研究（NWCCS）测量。使用 NWCCS 数据来调查工作调整对病假的影响。所有数据均为自我报告。采用重复测量方差分析来分析 2007 年、2008 年和 2009 年之间，有和没有工作调整需求的员工、报告实施了工作调整的员工和没有实施工作调整的员工之间病假的差异。
2007 年，荷兰慢性病员工中实施工作调整的比例为 22%，而报告需要工作调整的比例为 30%。在 2007 年有和没有工作调整需求的员工中，2008 年的工作调整与 2007 年至 2009 年病假减少显著相关。
工作调整的需求高于工作调整的实施。对于患有慢性病的员工，应该更多地考虑工作调整，因为实施工作调整与病假减少有关。
