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Rolander, Bo
Publications (10 of 21) Show all publications
Sjöholm, H., Hägg, S., Nyberg, L., Rolander, B. & Kammerlind, A.-S. (2019). Correction: The Cone Evasion Walk test: Reliability and validity in acute stroke (vol 24, e1744, 2019). Physiotherapy Research International, 24(3), Article ID e1801.
Open this publication in new window or tab >>Correction: The Cone Evasion Walk test: Reliability and validity in acute stroke (vol 24, e1744, 2019)
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2019 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 24, no 3, article id e1801Article in journal (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
WILEY, 2019
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-164528 (URN)10.1002/pri.1801 (DOI)000476567400006 ()31321856 (PubMedID)
Available from: 2020-03-20 Created: 2020-03-20 Last updated: 2020-05-02
Jonker, D., Rolander, B., Balogh, I., Sandsjo, L., Ekberg, K. & Winkel, J. (2013). Rationalisation in public dental care - impact on clinical work tasks and mechanical exposure for dentists - a prospective study. Ergonomics, 56(2), 303-313
Open this publication in new window or tab >>Rationalisation in public dental care - impact on clinical work tasks and mechanical exposure for dentists - a prospective study
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2013 (English)In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 56, no 2, p. 303-313Article in journal (Refereed) Published
Abstract [en]

Swedish dentistry has been exposed to frequent rationalisation initiatives during the last half century. Previous research has shown that rationalisation often results in increased risk of developing work-related musculoskeletal disorders, thus reducing sustainability in the production system. In this prospective study, we assessed mechanical exposures among Swedish dentists in relation to specific rationalisations of clinical dental work during a six-year period. Body postures and movements of 12 dentists were assessed by inclinometry synchronised to video recordings of their work. No rationalisation effects could be shown in terms of a reduction in non-value-adding work (waste), and at job level, no major differences in mechanical exposure could be shown between baseline and follow-up. Conclusion: The present rationalisation measures in dentistry do not seem to result in rationalisation at job level, but may potentially be more successful at the overall dental system level. Practitioner summary: In contrast to many previous investigations of the mechanical exposure implications of rationalisation, the present rationalisation measures did not increase the level of risk for dentists. It is highlighted that all occupations involved in the production system should be investigated to assess production system sustainability.

Place, publisher, year, edition, pages
Taylor and Francis: STM, Behavioural Science and Public Health Titles / Taylor and Francis, 2013
Keywords
loss analysis, sustainable production system, inclinometry, video analysis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-90206 (URN)10.1080/00140139.2012.760751 (DOI)000315155000013 ()
Available from: 2013-03-21 Created: 2013-03-21 Last updated: 2017-12-06
Rolander, B., Jonker, D., Winkel, J., Sandsjo, L., Balogh, I., Svensson, E. & Ekberg, K. (2013). Working conditions, health and productivity among dentists in Swedish public dental care - a prospective study during a 5-year period of rationalisation. Ergonomics, 56(9), 1376-1386
Open this publication in new window or tab >>Working conditions, health and productivity among dentists in Swedish public dental care - a prospective study during a 5-year period of rationalisation
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2013 (English)In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 56, no 9, p. 1376-1386Article in journal (Refereed) Published
Abstract [en]

In recent decades, comprehensive rationalisations have been implemented in public dentistry in Sweden. How rationalisations affect working conditions, health and production from a long-term perspective has been poorly investigated. This study aims to analyse changes and associations in dentists' working conditions, health and productivity during a 5-year period. In 2003 and 2008, 65 dentists responded to questionnaires measuring work conditions and health. Treatment times for patients and productivity were tracked in electronic registers. Paired t-tests showed that the number of treated adult patients per dentist increased, and perceived physical working conditions improved while perceived work control and leadership deteriorated. Structural equation modelling showed that physical factors were important for health and productivity. When assessing risks in the work environment, there is a need to understand the interaction of effects on working conditions and health due to rationalisations so as to increase the sustainability of production systems.

Practioner Summary: Dentistry in Sweden has undergone considerable change. Questionnaire surveys with dentists, undertaken in 2003 and 2008, found that the present rationalisations resulted in improved perceived physical working conditions. Aspects of the psychosocial working environment had deteriorated, however. This is a concern as health and workability are important for workplace efficiency.

Place, publisher, year, edition, pages
Taylor and Francis: STM, Behavioural Science and Public Health Titles, 2013
Keywords
physical working conditions, production, organisational sustainability, leadership, work control
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-100320 (URN)10.1080/00140139.2013.817613 (DOI)000325060600003 ()
Available from: 2013-11-04 Created: 2013-11-04 Last updated: 2017-12-06Bibliographically approved
Sjölander, C., Rolander, B., Järhult, J., Mårtensson, J. & Ahlström, G. (2011). Health-related quality of life in family members of patients with an advanced cancer diagnosis: A prospective one-year study. Health and Quality of Life Outcomes
Open this publication in new window or tab >>Health-related quality of life in family members of patients with an advanced cancer diagnosis: A prospective one-year study
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2011 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525Article in journal (Refereed) Submitted
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-74266 (URN)
Available from: 2012-01-23 Created: 2012-01-23 Last updated: 2017-12-08
Jonker, D., Rolander, B., Balogh, I., Sandsjö, L., Ekberg, K. & Winkel, J. (2011). Mechanical exposure among general practice dentists in Sweden and possible implications of rationalization.. Ergonomics, 54(10), 953-560
Open this publication in new window or tab >>Mechanical exposure among general practice dentists in Sweden and possible implications of rationalization.
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2011 (English)In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 54, no 10, p. 953-560Article in journal (Refereed) Published
Abstract [en]

The present study investigates dental work in terms of time distribution and mechanical exposure in value-added and non-value-added tasks. Further rationalization of dental work would typically involve an increase in the proportion of value-added tasks. Information on mechanical exposure within classes of value-added and non-value-added tasks can be used to predict possible implications of rationalization.

Twenty-four dentists were investigated. Using a data logger, postures and movements were continuously recorded for each subject during four hours of work, which included 45 minutes of video recording. Time distribution and mechanical exposure for each work activity were calculated from the video recordings, using a loss analysis technique. Value-added tasks, which comprised 57% of the total working time, generally implied significantly more constrained mechanical exposures as compared with non-value-added tasks.

The results indicate that future rationalization of dental work, involving a reduction of nonvalue-added tasks, may increase the risk of developing musculoskeletal disorders.

Place, publisher, year, edition, pages
Taylor & Francis, 2011
Keywords
Dentistry; Efficiency; Value-added; Workload
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-65419 (URN)10.1080/00140139.2011.606919 (DOI)000299924800007 ()
Available from: 2011-02-07 Created: 2011-02-07 Last updated: 2017-12-11
Rolander, B., Jonker, D., Balogh, I., Sandsjö, L., Winkel, J., Svensson, E. & Ekberg, K. (2010). Impact on working conditions, productivity and health of dentists – a prospective study during rationalizations in public dental care. In: : . Paper presented at 7th International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS 2010), 28 August - 3 September 2010, Angers, France.
Open this publication in new window or tab >>Impact on working conditions, productivity and health of dentists – a prospective study during rationalizations in public dental care
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2010 (English)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-73468 (URN)
Conference
7th International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS 2010), 28 August - 3 September 2010, Angers, France
Available from: 2012-01-04 Created: 2012-01-04 Last updated: 2013-09-19
Jonker, D., Rolander, B., Balogh, I., Sandsjö, L., Ekberg, K. & Winkel, J. (2010). Rationalization in public dental care and impact on biomechanical exposures for dentists - a prospective study. Oral presentation.. Paper presented at Seventh International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders PREMUS 2010. Angers, France August/September 2010..
Open this publication in new window or tab >>Rationalization in public dental care and impact on biomechanical exposures for dentists - a prospective study. Oral presentation.
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2010 (English)Conference paper, Published paper (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-73465 (URN)
Conference
Seventh International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders PREMUS 2010. Angers, France August/September 2010.
Available from: 2012-01-04 Created: 2012-01-04 Last updated: 2013-09-03
Rolander, B. (2010). Work conditions, musculoskeletal disorders and productivity of dentists in public dental care in Sweden: Are dentists working smarter instead of harder?. (Doctoral dissertation). Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Work conditions, musculoskeletal disorders and productivity of dentists in public dental care in Sweden: Are dentists working smarter instead of harder?
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction: During the last 20 years, Sweden and other countries have been adjusting their models of welfare to a changed economic environment. Rationalization, influenced by New Public Management, has been implemented in public dentistry in order to improve efficiency and to streamline activities. This has involved transferring some of dentists’ tasks to dental hygienists and dental nurses. The goal is to achieve a more efficient mix of skills and more interaction between professional groups, in order to utilize all skills better in a more efficient work organization. Organizational changes may have an effect on the work environment both with regard to physical and to psychosocial work conditions and affect health and well-being. In many cases these changes have a profound negative effect on musculoskeletal and mental health, and corresponding risk factors, by reducing the number of natural breaks and thus reducing the efficacy of targeted ergonomic interventions. Dentists in Jönköping County in Sweden perceive high precision demands and poor working postures in their work. The five studies in this thesis describe organizational changes and analyse the risk of illness among dentists in the public sector in Jönköping County.

Aim: The main aim is to study dentists’ physical and psychosocial work conditions and investigate associations with musculoskeletal disorders, work ability and sick leave during a period of extensive rationalizations; secondly, to assess the risk of illness as a basis for recommending preventive measures.

Methods: The present thesis was designed with four cross-sectional studies (Paper I-IV) and one prospective longitudinal study (Paper V). In Paper I, a questionnaire concerning physical and psychosocial work conditions and health was sent out to all employees working in public dental care in Jönköping County in Sweden. To obtain more information on the difficult physical work situation for dentists (Paper I), an observation study with Portable Ergonomic Observation (Paper II) and an sEMG study (Paper III) was then conducted. Paper IV deals with psychosocial issues (using the same survey as in Paper I) and questions in the Eysenk Personality Questionnaire (EPQ) and the Marlowe-Crown scale SD (MCSD), to analyse their impact on perceived physical load. In Paper V, data about physical and psychosocial conditions and health from a survey, as well as production data (number of adult treatments per year per dentist) from computerized patient records (T4), are analysed with regard to changes and associations during a period of extensive rationalizations (2003 – 2008).

Results: In Paper I, dentists reported the poorest physical work conditions of all occupational groups and high prevalence of musculoskeletal disorders. However, relatively low intensity of pain was reported and only a small proportion thought that work was affected. Paper II and Paper III confirmed that dentists’ work is physically demanding, with sitting postures and head bent forward, as well as prolonged low muscle loading. Paper IV shows that physical load is mainly influenced by psychosocial demands and to some extent by loss of work control. The results in Paper V show that during the period of extensive rationalizations between 2003 and 2008, dentists perceive improved precision demands and fewer uncomfortable work postures, but still a high level of physical load. The number of adults treated per dentist also improved, but there was a slight deterioration in work control and leadership.

Conclusions: The results in this thesis show a consistent picture of high perceived physical load due to high precision demands and uncomfortable work postures, supported by observation of body movements (Portable Ergonomic Observation) and sEMG signs during psychosocially demanding circumstances. The rationalizations implemented in Jönköping County during the period 2003-2008 have not resulted in a deterioration of the physical environment, in spite of the fact that dentists produce more treatments of adult patients than before. This result may indicate that rationalizations do not always lead to increased health risks; it depends how they are implemented. Dentists may have changed the way they work for the better, and due to task delegation and SMS reminders a smoother patient flow has probably resulting in a reduction of workload and perceived stress regarding financial loss.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2010. p. 78
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1191
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-65428 (URN)978-91-7393-348-3 (ISBN)
Public defence
2010-10-29, Originalet, Qulturumhuset, Länssjukhuset Ryhov, Jönköping, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2011-02-07 Created: 2011-02-07 Last updated: 2020-02-26Bibliographically approved
Jonker, D., Rolander, B. & Balogh, I. (2009). Relation between perceived and measured workload obtained by long-term inclinometry among dentists. Applied Ergonomics, 40(3), 309-315
Open this publication in new window or tab >>Relation between perceived and measured workload obtained by long-term inclinometry among dentists
2009 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 40, no 3, p. 309-315Article in journal (Refereed) Published
Abstract [en]

Dentists reported high perceived physical work conditions. Working postures and movements of the head and upper extremities during dental work were registered with inclinometry measurements during four hours. The aim was to clarify the relationship between measured working postures/movements and perceived physical work conditions. Dentists worked with elevated arms and a rather steep forward inclination of the head. Correlations (r = -0.52 to -0.66) between inclination velocity and perceived workload on VAS scales were found, but there were only weak correlations between observed working postures. The different tasks involved in dental work provide limited variation in work movements and postures, measured by inclinometry. By alternating between sitting and standing, it might be possible to achieve variation in physical workload during dental work.

Keywords
Questionnaire, Inclinometry, Dentistry
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-17629 (URN)10.1016/j.apergo.2008.12.002 (DOI)
Available from: 2009-04-07 Created: 2009-04-06 Last updated: 2017-12-13
Jonker, D., Rolander, B., Balogh, I., Sandsjö, L., Ekberg, K. & Winkel, J. (2008). Mechanical exposure levels and duration of value-adding versus non-value-adding tasks among general practice dentists in Sweden.. Paper presented at The 40th Nordic Ergonomic Society conference, Reykjavík, Iceland 11-13th August 2008..
Open this publication in new window or tab >>Mechanical exposure levels and duration of value-adding versus non-value-adding tasks among general practice dentists in Sweden.
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2008 (English)Conference paper, Published paper (Refereed)
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-73903 (URN)
Conference
The 40th Nordic Ergonomic Society conference, Reykjavík, Iceland 11-13th August 2008.
Available from: 2012-01-16 Created: 2012-01-16 Last updated: 2013-09-03
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