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慢性病患者融入和再融入工作策略的有效性:欧洲策略的系统评价。

Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies.

机构信息

Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany.

Neurorehabilitation KABEG-Gailtal-Klinik, 9620 Hermagor, Austria.

出版信息

Int J Environ Res Public Health. 2018 Mar 19;15(3):552. doi: 10.3390/ijerph15030552.

Abstract

Due to low employment rates associated to chronic conditions in Europe, it is essential to foster effective integration and re-integration into work strategies. The objective of this systematic review is to summarize the evidence on the effectiveness of strategies for integration and re-integration to work for persons with chronic diseases or with musculoskeletal disorders, implemented in Europe in the past five years. A systematic search was conducted in MedLine, PsycINFO, CDR-HTA, CDR-DARE and Cochrane Systematic Reviews. Overall, 32 relevant publications were identified. Of these, 21 were considered eligible after a methodological assessment and included. Positive changes in employment status, return to work and sick leave outcomes were achieved with graded sickness-absence certificates, part-time sick leave, early ergonomic interventions for back pain, disability evaluation followed by information and advice, and with multidisciplinary, coordinated and tailored return to work interventions. Additionally, a positive association between the co-existence of active labour market policies to promote employment and passive support measures (e.g., pensions or benefits) and the probability of finding a job was observed. Research on the evaluation of the effectiveness of strategies targeting integration and re-integration into work for persons with chronic health conditions needs, however, to be improved and strengthened.

摘要

由于欧洲与慢性疾病相关的低就业率,促进有效的融入和重返工作策略至关重要。本系统综述的目的是总结过去五年在欧洲实施的针对慢性疾病或肌肉骨骼疾病患者的融入和重返工作策略的有效性证据。在 MedLine、PsycINFO、CDR-HTA、CDR-DARE 和 Cochrane 系统评价中进行了系统检索。共确定了 32 篇相关出版物。其中,经过方法学评估,有 21 篇被认为符合条件并被纳入。分级病假证明、兼职病假、早期腰痛的人体工程学干预、残疾评估后提供信息和建议、多学科、协调和定制的重返工作干预措施,都可以实现就业状况、重返工作和病假结果的积极变化。此外,还观察到积极的劳动力市场政策促进就业与被动支持措施(如养老金或福利)之间的共存与找到工作的概率之间存在正相关。然而,针对慢性健康状况患者融入和重返工作的策略的评估效果的研究仍需要改进和加强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/852f/5877097/8aba632ef519/ijerph-15-00552-g001.jpg

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