Hennessey J C
Soc Secur Bull. 1997;60(3):3-20.
Congress is currently placing considerable emphasis on returning disabled-worker beneficiaries to work. However, going back to work is only the first step in the complex process of program termination due to work and trust fund savings. Not only must the beneficiary get a job, but also the work effort must be sustained at what is considered a substantial gainful activity (SGA) level by the disability program (so that an SGA termination will result) and a reasonable living condition must be achieved by the beneficiary (so that the person is motivated to continue working and lose benefits). This article focuses on those factors that affect the ability of the beneficiary to sustain such a work effort. Combined with previous findings about returning to work, we begin to see the overall effect of the factors on work efforts. Beneficiaries who have physical therapy rehabilitation have a higher tendency to start working and a lower tendency to stop. Those with vocational training or general education have a higher tendency to start working, but these factors do not help to sustain the effort. Beneficiaries who were helped with job placement have a higher tendency to start work, but they also have a higher tendency to stop. If beneficiaries knew about the trial-work period, but not about either the extended period of eligibility or Medicare continuation, then they had a higher tendency to start work and a higher tendency to stop. However, if they knew about all three work-incentive provisions, then the tendency to work was not affected.
国会目前相当重视让残疾工人受益人重返工作岗位。然而，重返工作岗位只是因工作和信托基金储蓄而导致项目终止这一复杂过程的第一步。受益人不仅必须找到工作，而且工作努力必须维持在残疾项目所认定的实质性有收益活动（SGA）水平（以便导致SGA终止），并且受益人必须实现合理的生活条件（以便其有动力继续工作并失去福利）。本文关注那些影响受益人维持这种工作努力能力的因素。结合先前关于重返工作岗位的研究结果，我们开始看到这些因素对工作努力的总体影响。接受物理治疗康复的受益人开始工作的倾向较高，停止工作的倾向较低。接受职业培训或普通教育的人开始工作的倾向较高，但这些因素无助于维持工作努力。获得工作安置帮助的受益人开始工作的倾向较高，但他们停止工作的倾向也较高。如果受益人了解试用工作期，但不了解延长资格期或医疗保险延续情况，那么他们开始工作的倾向较高，停止工作的倾向也较高。然而，如果他们了解所有三项工作激励规定，那么工作倾向就不会受到影响。
