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Persson, Jan
Publications (10 of 49) Show all publications
Persson, J., Bernfort, L., Wåhlin, C., Öberg, B. & Ekberg, K. (2015). Costs of production loss and primary health care interventions for return-to-work of sick-listed workers in Sweden. Disability and Rehabilitation, 37(9), 771-776.
Open this publication in new window or tab >>Costs of production loss and primary health care interventions for return-to-work of sick-listed workers in Sweden
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2015 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, no 9, 771-776 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to investigate, from the perspective of society, the costs of sick leave and rehabilitation of recently sick-listed workers with musculoskeletal disorders (MSD) or mental disorders (MD). Methods: In a prospective cohort study, 812 sick-listed workers with MSD (518) or MD (294) were included. Data on consumption of health care and production loss were collected over six months from an administrative casebook system of the health care provider. Production loss was estimated based on the number of sick-leave days. Societal costs were based on the human capital approach. Results: The mean costs of production loss per person were EUR 5978 (MSD) and EUR 6381 (MD). Health care interventions accounted for 9.3% (MSD) and 8.2% (MD) of the costs of production loss. Corresponding figures for rehabilitation activities were 3.7% (MSD) and 3.1% (MD). Health care interventions were received by about 95% in both diagnostic groups. For nearly half of the cohort, no rehabilitation intervention at all was provided. Conclusions: Costs associated with sick leave were dominated by production loss. Resources invested in rehabilitation were small. By increasing investment in early rehabilitation, costs to society and the individual might be reduced. Implications for Rehabilitation Resources invested in rehabilitation for sick-listed with musculoskeletal and mental disorders in Sweden are very small in comparison with the costs of production loss. For policy makers, there may be much to gain through investments into improved rehabilitation processes for return to work. Health care professionals need to develop rehabilitative activities aiming for return to work, rather than symptoms treatment only.

Keyword
Economic analysis; Sweden; mental disorders; musculoskeletal disorders; rehabilitation; sick leave; societal costs
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-114181 (URN)10.3109/09638288.2014.941021 (DOI)000352139300006 ()25055999 (PubMedID)
Available from: 2015-02-11 Created: 2015-02-11 Last updated: 2018-01-11
Ekberg, K., Wåhlin, C., Persson, J., Bernfort, L. & Öberg, B. (2015). Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders. Journal of occupational rehabilitation, 25(3), 627-637.
Open this publication in new window or tab >>Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders
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2015 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, no 3, 627-637 p.Article in journal (Refereed) Published
Abstract [en]

Objectives The study aims to identify individual and workplace factors associated with early return to work (RTW)-defined as within 3 months-and factors associated with later RTW-between 3 and 12 months after being sick-listed-in a cohort of newly sick-listed individuals with common mental disorders. Methods In a prospective cohort study, a cross-sectional analysis was performed on baseline measures of patients granted sick leave due to common mental disorders. A total of 533 newly sick-listed individuals fulfilled the inclusion criteria and agreed to participate. A baseline questionnaire was sent by post within 3 weeks of their first day of certified medical sickness; 354 (66 %) responded. Those who were unemployed were excluded, resulting in a study population of 319 individuals. Sick leave was recorded for each individual from the Social Insurance Office during 1 year. Analyses were made with multiple Cox regression analyses. Results Early RTW was associated with lower education, better work ability at baseline, positive expectations of treatment and low perceived interactional justice with the supervisor. RTW after 3 months was associated with a need to reduce demands at work, and turnover intentions. Conclusions Early RTW among sick-listed individuals with common mental disorders seems to be associated with the individuals need to secure her/his employment situation, whereas later RTW is associated with variables reflecting dissatisfaction with work conditions. No health measures were associated with RTW. The study highlights the importance of considering not only health and functioning, but also workplace conditions and relations at the workplace in implementing RTW interventions.

Place, publisher, year, edition, pages
Springer Verlag (Germany), 2015
Keyword
Common mental disorders; Return to work; Work conditions; Sick leave duration
National Category
Basic Medicine Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-121301 (URN)10.1007/s10926-015-9570-9 (DOI)000359948000017 ()25634798 (PubMedID)
Note

Funding Agencies|Swedish Research Council for Health, Working Life and Welfare (FORTE); County Council of Ostergotland, Sweden

Available from: 2015-09-16 Created: 2015-09-14 Last updated: 2018-01-11Bibliographically approved
Öberg, B., Wåhlin, C., Persson, J., Bernfort, L. & Ekberg, K. (2013). A prospective cohort study on newly sick-listed patients with musculoskeletal disorders and sustainable return to work. In: : . Paper presented at Eighth International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS 2013), Busan, Korea, July 7-11, 2013 (pp. 312-312). .
Open this publication in new window or tab >>A prospective cohort study on newly sick-listed patients with musculoskeletal disorders and sustainable return to work
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2013 (English)Conference paper, Oral presentation with published abstract (Other academic)
Keyword
MSD, Return to work, Prognostic factors
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-96802 (URN)
Conference
Eighth International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS 2013), Busan, Korea, July 7-11, 2013
Available from: 2013-08-27 Created: 2013-08-27 Last updated: 2013-09-04
Persson, J., Bernfort, L., Wåhlin, C., Öberg, B. & Ekberg, K. (2013). Costs to society related to sickness absence due to musculoskeletal or mental disorders in Sweden - results from a cohort study. In: : . Paper presented at Eighth International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS), Busan, Korea, July 7-11, 2013 (pp. 339-339). .
Open this publication in new window or tab >>Costs to society related to sickness absence due to musculoskeletal or mental disorders in Sweden - results from a cohort study
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2013 (English)Conference paper, Oral presentation with published abstract (Refereed)
Keyword
Return to work, interventions, cost analysis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-96796 (URN)
Conference
Eighth International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS), Busan, Korea, July 7-11, 2013
Available from: 2013-08-27 Created: 2013-08-27 Last updated: 2013-09-03
Wåhlin, C., Ekberg, K., Persson, J., Bernfort, L. & Öberg, B. (2013). Evaluation of self-reported work ability and usefulness of interventions among sick-listed patients. Journal of occupational rehabilitation, 23(1), 32-43.
Open this publication in new window or tab >>Evaluation of self-reported work ability and usefulness of interventions among sick-listed patients
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2013 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 23, no 1, 32-43 p.Article in journal (Refereed) Published
Abstract [en]

Aim To describe the types of intervention offered, to investigate the relationship between the type of intervention given, patient-reported usefulness of interventions and the effect on self-reported work ability in a cohort of sick-listed patients with musculoskeletal disorders (MSD) or mental disorders (MD).

Methods A prospective cohort study was performed including 810 newly sick-listed patients (MSD 62 % and MD 38 %). The baseline questionnaire included sociodemographic characteristics and measures of work ability. The 3-month follow-up questionnaire included measures of work ability, type of intervention received, and judgment of usefulness.

Results Twenty-five percent received medical intervention modalities (MI) only, 45 % received a combination of medical and rehabilitative intervention modalities (CRI) and 31 % received work-related interventions combined with medical or rehabilitative intervention modalities (WI). Behavioural treatments were more common for patients with MD compared with MSD and exercise therapy were more common for patients with MSD. The most prevalent workplace interventions were adjustment of work tasks or the work environment. Among patients with MD, WI was found to be useful and improved work ability significantly more compared with only MI or CRI. For patients with MSD, no significant differences in improved work ability were found between interventions.

Conclusions Patients with MD who received a combination of work-related and clinical interventions reported best usefulness and best improvement in work ability. There was no difference in improvements in work ability between rehabilitation methods in the MSD group. There seems to be a gap between scientific evidence and praxis behaviour in the rehabilitation process. Unimodal rehabilitation was widely applied in the early rehabilitation process, a multimodal treatment approach was rare and only one-third received work-related interventions. It remains a challenge to understand who needs what type of intervention.

Place, publisher, year, edition, pages
Springer Verlag (Germany), 2013
Keyword
Musculoskeletal disorders; Mental disorders; Sick leave; Self-reported; Work ability; Usefulness; Interventions, Sweden
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-76147 (URN)10.1007/s10926-012-9376-y (DOI)000314505200004 ()22760957 (PubMedID)
Funder
FAS, Swedish Council for Working Life and Social Research, 2004-0582
Available from: 2012-03-29 Created: 2012-03-29 Last updated: 2017-12-07Bibliographically approved
Alwin, J., Persson, J. & Krevers, B. (2013). Perception and significance of an assistive technology intervention - the perspectives of relatives of persons with dementia. Disability and Rehabilitation, 35(18), 1519-1526.
Open this publication in new window or tab >>Perception and significance of an assistive technology intervention - the perspectives of relatives of persons with dementia
2013 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 35, no 18, 1519-1526 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to examine relatives' perception of an assistive technology intervention aimed at persons with dementia (PwDs) and their relatives, and to examine whether, and how, experiences of the intervention process differed between relatives valuing the intervention to be of high, and relatives perceiving it to be of low significance. Method: A total of 47 relatives of PwDs within the Swedish Technology and Dementia project were interviewed telephonically using a modified version of the Patient perspective on Care and Rehabilitation process instrument. A total of 46 participants were divided into two groups depending on whether they valued the intervention to be of great significance (GS group; N = 33) or of some/no significance (SNS group; N = 13). Results: Several aspects of the intervention were perceived as highly important, e.g. being shown consideration and respect, and having somewhere to turn. The results indicate that relatives in the GS group perceived certain aspects of the intervention process as highly fulfilled to a larger extent than did relatives in the SNS group. Conclusions: This study illustrates how process evaluations can be used to increase the understanding and to identify improvement aspects of interventions.

Place, publisher, year, edition, pages
Informa Healthcare, 2013
Keyword
Assistive technology, caregiving, dementia, process evaluation, relatives
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-54310 (URN)10.3109/09638288.2012.743603 (DOI)000322657900004 ()
Available from: 2010-03-09 Created: 2010-03-09 Last updated: 2017-12-12
Ekberg, K., Wåhlin, C., Persson, J., Bernfort, L. & Öberg, B. (2013). Predictive values for early and late return to work of the Work Ability Index (WAI), the single-item question (WAI-1), and EQ-5D among sick listed in musculoskeletal and mental disorders. In: : . Paper presented at Eighth International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS), Busan, Korea, July 7-11, 2013 (pp. 313-313). .
Open this publication in new window or tab >>Predictive values for early and late return to work of the Work Ability Index (WAI), the single-item question (WAI-1), and EQ-5D among sick listed in musculoskeletal and mental disorders
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2013 (English)Conference paper, Oral presentation with published abstract (Refereed)
Keyword
Work ability, screening, prognosis, long-term sick leave, short-term sick leave
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-96800 (URN)
Conference
Eighth International Conference on Prevention of Work-related Musculoskeletal Disorders (PREMUS), Busan, Korea, July 7-11, 2013
Available from: 2013-08-27 Created: 2013-08-27 Last updated: 2013-09-03
Wåhlin, C., Ekberg, K., Persson, J., Bernfort, L. & Öberg, B. (2012). Association between clinical and work-related interventions and return to work for patients with musculoskeletal or mental disorders. Journal of Rehabilitation Medicine, 44(4), 355-362.
Open this publication in new window or tab >>Association between clinical and work-related interventions and return to work for patients with musculoskeletal or mental disorders
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2012 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 4, 355-362 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to explore what characterizes patients receiving clinical interventions vs combined clinical and work-related interventions in a cohort of sick-listed subjects with musculoskeletal or mental disorders. Factors associated with return-to-work were also analysed.

Design: A prospective cohort study.

Methods: A total of 699 newly sick-listed patients responded to a questionnaire on sociodemographics, measures of health, functioning, work ability, self-efficacy, social support, work conditions, and expectations. The 3-month follow-up questionnaire included patients' self-reported measures of return-to-work, work ability and type of interventions. The most frequent International Classification of Diseases-10 diagnoses for patients' musculoskeletal disorders were dorsopathies (M50-54) and soft tissue disorders (M70-79), and for patients with mental disorders, depression (F32-39) and stress reactions (F43).

Results: Patients with mental disorders who received combined interventions returned to work to a higher degree than those who received only clinical intervention. The prevalence of work-related interventions was higher for those who were younger and more highly educated. For patients with musculoskeletal disorders better health, work ability and positive expectations of return-to-work were associated with return-to-work. However, combined interventions did not affect return-to-work in this group.

Conclusion: Receiving combined interventions increased the probability of return-to-work for patients with mental disorders, but not for patients with musculoskeletal disorders. Better health, positive expectations of return-to-work and better work ability were associated with return-to-work for patients with musculoskeletal disorders.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-73425 (URN)10.2340/16501977-0951 (DOI)000303850800010 ()
Funder
FAS, Swedish Council for Working Life and Social Research, 2004-0582
Note

funding agencies|FAS (Swedish Council for Working Life and Social Research)||

Available from: 2012-01-03 Created: 2012-01-03 Last updated: 2017-12-08Bibliographically approved
Persson, J. & Husberg, M. (2012). Can we rely on QALYs for assistive technologies?. Technology and Disability, 24(1), 93-100.
Open this publication in new window or tab >>Can we rely on QALYs for assistive technologies?
2012 (English)In: Technology and Disability, ISSN 1055-4181, E-ISSN 1878-643X, Vol. 24, no 1, 93-100 p.Article in journal (Refereed) Published
Abstract [en]

In decision making on the adoption of health care programmes, assistive technologies (ATs) and AT services for people with disabilities, cost-effectiveness analysis is increasingly important. The quality-adjusted life-year (QALY), which incorporates quality of life as well as survival, has become a standard unit of comparative efficacy, although there are methodological challenges in its use. The applicability of the concept of cost per QALY gained through intervention was investigated in one study of rollators and one of hearing aids. It was shown that two widely used instruments for deriving QALYs, HUI3 and EQ-5D, yield differing results, which may also differ depending on the type of disability. Because the magnitude of these differences could affect decision makers' willingness to provide reimbursement, the variability of cost-effectiveness results due to methodology should be considered in the policy-making process.

Place, publisher, year, edition, pages
IOS Press, 2012
Keyword
Cost-effectiveness analysis, QALY, EQ-5D, HUI3, assistive technology
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-80149 (URN)10.3233/TAD-2012-0337 (DOI)
Available from: 2012-08-21 Created: 2012-08-21 Last updated: 2017-12-07
Ekberg, K., Wåhlin, C., Persson, J., Bernfort, L. & Öberg, B. (2011). Is Mobility in the Labor Market a Solution to Sustainable Return to Work for Some Sick Listed Persons?. Journal of occupational rehabilitation, 21(3), 355-365.
Open this publication in new window or tab >>Is Mobility in the Labor Market a Solution to Sustainable Return to Work for Some Sick Listed Persons?
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2011 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 21, no 3, 355-365 p.Article in journal (Refereed) Published
Abstract [en]

Aim: The study aims to identify characteristics associated with long-term expectations of professional stability or mobility among recently sick-listed workers, and to study whether expectations of professional mobility and turnover intentions were associated with duration of sick leave.

Methods: A cross-sectional study was performed on baseline measures in a prospective cohort study of patients who were granted sick leave due to musculoskeletal (MSD) or mental (MD) disorders. A total of 1,375 individuals fulfilled the inclusion criteria. A baseline questionnaire was sent by mail within 3 weeks of their first day of certified medical sickness; 962 individuals responded (70%). The main diagnosis was MSD in 595 (62%) individuals and MD in 367 (38%).

Results: Expectations of ability to remain in the present profession in 2 years was associated with better health and health-related resources, younger age, higher education, and better effort-reward balance. Effort-reward imbalance, MD, high burnout scores, and better educational and occupational position were associated with turnover intentions. Low expectations of ability to remain in the present profession defined two vulnerable groups with regard to RTW, those with no turnover intentions were older, had lower personal resources, more often had MSD, and slower RTW rate. Those with turnover intentions had a clear effort-reward imbalance and high burnout scores.

Conclusions: The results of this explorative study underline the importance of differentiating RTW-interventions based on knowledge about the sick-listed person's resources in relation to the labor market and the work place, and their expectations of future employment and employability.

Place, publisher, year, edition, pages
Springer, 2011
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-70023 (URN)10.1007/s10926-011-9322-4 (DOI)000297174100008 ()21785906 (PubMedID)
Funder
FAS, Swedish Council for Working Life and Social Research, 2004-0582
Available from: 2011-08-15 Created: 2011-08-15 Last updated: 2017-12-08
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