Olsson Daniel, Alexanderson Kristina, Bottai Matteo
Department of Environmental Medicine (IMM), Unit of Biostatistics, Karolinska Institutet, Stockholm, Sweden
Department of Clinical Neuroscience (CNS), Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
Scand J Public Health. 2016 Feb;44(1):91-7. doi: 10.1177/1403494815608098. Epub 2015 Sep 29.
Previous studies suggest that positive encounters with healthcare and social insurance staff may be important in promoting return to work among long-term sickness absentees. This study aimed to identify more specifically what positive encounters are important for promoting ability to return to work.
A questionnaire about different types of encounters was sent to 10,042 people in Sweden on sick leave for 6-8 months (58% responded). For each positive encounter, we estimated the marginal probability difference (PD) of return to work, adjusting for age, sex, education, sick-leave diagnosis, and the sum score of all other encounters. Adjusting for the other encounters is important since of the observed variables these were the strongest confounders.
The positive encounters with both healthcare and social insurance staff significantly associated with promoting ability to return to work after adjusting for the other positive encounters were "Believed in my work capacity" PD=16.9 (95% CI: 12.0, 21.9) and 12.0 (6.3, 17.7), respectively; "Supported my suggestions for solutions": 9.5 (3.1, 15.9) and 11.6 (5.7, 17.4); "Was supportive and encouraging": 10.1 (3.6, 16.7) and 7.3 (1.7, 12.8). Additionally, the encounter with healthcare staff most strongly associated with promoting return to work was "Let me take responsibility" 14.8 (7.2, 22.3); and with social security staff: "Showed that she/he liked me" 10.4 (5.4, 15.4).
Healthcare and social security staff being supportive, encouraging, and believing in the sickness absentee's work capacity may be very important for increasing the probability for long-term sickness absentees' ability to return to work.
先前的研究表明，与医疗保健和社会保险工作人员的积极接触可能对促进长期病假员工重返工作岗位很重要。本研究旨在更具体地确定哪些积极接触对促进重返工作岗位的能力很重要。
向瑞典10,042名休病假6至8个月的人发送了一份关于不同类型接触的问卷（58%的人回复）。对于每一次积极接触，我们估计了重返工作岗位的边际概率差异（PD），并对年龄、性别、教育程度、病假诊断以及所有其他接触的总分进行了调整。对其他接触进行调整很重要，因为在所观察的变量中，这些是最强的混杂因素。
在对其他积极接触进行调整后，与促进重返工作岗位能力显著相关的与医疗保健和社会保险工作人员的积极接触分别为：“相信我的工作能力”，PD = 16.9（95%置信区间：12.0, 21.9）和12.0（6.3, 17.7）；“支持我提出的解决方案建议”：9.5（3.1, 15.9）和11.6（5.7, 17.4）；“给予支持和鼓励”：10.1（3.6, 16.7）和7.3（1.7, 12.8）。此外，与促进重返工作岗位最密切相关的与医疗保健工作人员的接触是“让我承担责任”，14.8（7.2, 22.3）；与社会保障工作人员的接触是：“表明她/他喜欢我”，10.4（5.4, 15.4）。
医疗保健和社会保障工作人员给予支持、鼓励并相信病假员工的工作能力，对于提高长期病假员工重返工作岗位的可能性可能非常重要。
