Söderman M, Wennman-Larsen A, Alexanderson K, Friberg E
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77, Stockholm, Sweden.
Sophiahemmet University, Stockholm, Sweden.
BMC Public Health. 2019 Mar 29;19(1):349. doi: 10.1186/s12889-019-6666-8.
Experiences of encounters with professionals have been shown to influence return to work (RTW) among sickness absentees in general. The aim was to gain knowledge on experiences of encounters with healthcare professionals and the ability to RTW among women on long-term sickness absence (SA) due to breast cancer (BC) compared to among women on long-term SA due to other diagnoses.
Analyses of questionnaire data about experiences of encounters with healthcare professionals among 6197 women aged 19-65 years and on a SA spell lasting 4-8 months. Of those, 187 were on SA due to BC. Descriptive statistics and adjusted (for age, birth country, educational level, depressive symptoms) logistic regression analyses with 95% confidence intervals (CI) were conducted.
About 95% in both groups of women stated that they had experienced positive encounters with healthcare, and a minority, about 20%, had experienced negative encounters. Four specific types of positive encounters had been experienced to a lesser extent by women with BC: "allowed me to take own responsibility" (odds ratio (OR) 0.6; 95% CI 0.4-0.8), "encouraged me to carry through my own solutions" (OR 0.5; 95% CI 0.4-0.7), "made reasonably high demands" (OR 0.6; 95% CI 0.4-0.9), and "sided with me/stood on my side" (OR 0.6; 95% CI 0.4-0.8). Among the women with BC, 46% stated that positive encounters promoted their ability to RTW compared to 56% among the others.
Most of the women had experienced positive encounters and about half stated that positive encounters promoted their ability to RTW, although a slightly smaller proportion of the women with BC stated that. This study emphasizes that not only medical treatment but also encounters may influence the ability to RTW, something that is of clinical importance.
一般来说，与专业人员接触的经历已被证明会影响病假员工的返岗工作（RTW）情况。本研究的目的是了解因乳腺癌（BC）而长期病假（SA）的女性与因其他诊断而长期病假的女性相比，她们与医疗保健专业人员接触的经历以及返岗工作的能力。
对6197名年龄在19 - 65岁、病假时长为4 - 8个月的女性关于与医疗保健专业人员接触经历的问卷数据进行分析。其中，187人因乳腺癌而病假。进行了描述性统计以及调整（年龄、出生国家、教育水平、抑郁症状）后的逻辑回归分析，并给出95%置信区间（CI）。
两组女性中约95%表示她们与医疗保健人员的接触经历是积极的，少数人（约20%）经历过消极接触。因乳腺癌而病假的女性在四种特定类型的积极接触经历方面程度较低：“让我承担自己的责任”（优势比（OR）0.6；95% CI 0.4 - 0.8），“鼓励我实施自己的解决方案”（OR 0.5；95% CI 0.4 - 0.7），“提出合理的高要求”（OR 0.6；95% CI 0.4 - 0.9），以及“站在我这边/支持我”（OR 0.6；95% CI 0.4 - 0.8）。在因乳腺癌而病假的女性中，46%表示积极接触促进了她们的返岗工作能力，而其他女性中这一比例为56%。
大多数女性经历过积极接触，约一半的人表示积极接触促进了她们的返岗工作能力，不过因乳腺癌而病假的女性中表示这一点的确切比例略小。本研究强调，不仅医疗治疗，而且接触经历也可能影响返岗工作能力，这具有临床重要性。
