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Karlsson, E., Seing, I., Sandqvist, J. & Ståhl, C. (2019). Communication characteristics between clients and stakeholders within the Swedish sickness insurance system: a document analysis of granted and withdrawn sickness benefit claims. Disability and Rehabilitation
Open this publication in new window or tab >>Communication characteristics between clients and stakeholders within the Swedish sickness insurance system: a document analysis of granted and withdrawn sickness benefit claims
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The purpose of this study was to investigate how communication within the Swedish sickness insurance system differs between cases of sick leave and how this may affect clients’ cases.

Materials and methods: This was a document study using 30 client files from the Swedish Social Insurance Agency (SIA). The clients included had been on a work ability evaluation during their sick leave spell and were aged 32–64 years. The material was analyzed using qualitative document analysis.

Results: The results show different approaches to communication, characterized by emotional argumentation, matter-of-fact driven argumentation and information exchange, which have diverse success in affecting official decisions. Arguments characterized by emotions such as frustration or desperation are to a larger extent neglected by the authorities compared to those characterized by a matter-of-fact driven approach and referring to regulations and medical certificates.

Conclusion: There are differences regarding how clients and stakeholders communicate the clients’ needs and pre-requisites, and how this affects official decisions. Further research must be carried out in order to establish social insurance literacy, initially for individuals on sick leave within the sickness insurance system, and whether there are differences between diverse groups that could lead to injustices.

  • Implications for rehabilitation
  • Within a social insurance context, professionals need to provide clients with adequate and individually adapted information in order for procedures to be perceived as comprehensible and manageable by the clients.

  • The support from stakeholders such as the treating physician and/or employer can affect clients’ sick-leave process.

  • Clients’ treating medical professionals can contribute to ensuring that clients rights are met by communicating the clients’ needs to other stakeholders in a formal way.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Sick leave; work ability; social insurance agency; vocational rehabilitation; social insurance system
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-156179 (URN)10.1080/09638288.2019.1592247 (DOI)30957576 (PubMedID)
Available from: 2019-04-08 Created: 2019-04-08 Last updated: 2019-04-15Bibliographically approved
Ståhl, C., Seing, I., Gerdle, B. & Sandqvist, J. (2019). Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context. Disability and Rehabilitation, 6, 656-665
Open this publication in new window or tab >>Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 6, p. 656-665Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To study social validity and perceived fairness of a new method for assessing general work ability in a sickness insurance context. Assessments are based on self-reports, combined with examinations by physicians, and, if needed, occupational therapists, physiotherapists and/or psychologists.

MATERIALS AND METHODS: Interviews with 36 insurance officials, 10 physicians, and 36 sick-listed persons, which were analysed through a qualitative content analysis.

RESULTS: Insurance officials and physicians considered the method useful and that it facilitated benefit decisions. The experiences of persons who had undergone the assessment differed, where the dialog with insurance officials seemed to have had an influence on experiences of the assessment and the decisions it led to.

CONCLUSIONS: The perceived fairness and social validity of the assessment depended on how it was carried out; organisational conditions and priorities; communication skills; and decision outcomes. Professionals have an important pedagogical task in explaining the purpose and procedure of the assessment in order for the sick-listed to perceive it as fair rather than square, i.e., too standardised and not considering individual conditions. If the assessment could be used also for rehabilitative purposes, it could possibly be perceived as more acceptable also in cases where it leads to denied benefits. Implications for rehabilitation The perceived fairness of work ability assessments is dependent on procedures for the assessment, communication with the person, and the outcome. What is considered fair differs between assessing professionals and persons being assessed. Professionals may influence the perceptions of fairness through their way of communication. Assessments need to be coupled with rehabilitation measures in order to perceived as relevant and acceptable.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Sweden, Work ability, return to work; assessment, sickness insurance, work disability
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:liu:diva-146118 (URN)10.1080/09638288.2017.1401675 (DOI)000461521100005 ()29145740 (PubMedID)2-s2.0-85034264041 (Scopus ID)
Note

Funding agencies: SSIA

Available from: 2018-03-28 Created: 2018-03-28 Last updated: 2019-04-01Bibliographically approved
Lundmark, Å. & Ståhl, C. (2019). Företagshälsovård mot sjukskrivning?: Företagshälsovårdstjänster i förebyggande och rehabiliterande syften i Norrköpings kommun. Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Företagshälsovård mot sjukskrivning?: Företagshälsovårdstjänster i förebyggande och rehabiliterande syften i Norrköpings kommun
2019 (Swedish)Report (Other academic)
Abstract [sv]

Denna rapport beskriver resultat från en studie där Norrköpings kommuns användning av företagshälsovårdens tjänster för sjuk- och friskanmälan undersökts. Syftet med rapporten är att beskriva sjukskrivnas erfarenheter av sjukskrivnings- och rehabiliteringsprocessen, med särskilt fokus på av användningen av företagshälsovård och hur detta hänger samman med kontakten med övriga aktörer. Studien bygger på intervjuer med femton deltagare som arbetar inom vård- och omsorgssektorn i Norrköpings kommun som har analyserats genom kvalitativ innehållsanalys.

Kontakten med företagshälsovården upplevs generellt som positiv, både i relation till sjuk- och friskanmälan och till olika åtgärder som initierats. Deltagarna uppskattar särskilt att kunna prata med en tredje part. Utformningen av avtal med företagshälsovården tycks dock ha betydelse för vilken typ av insatser som kan sättas in. Några problem med tjänsten för sjuk- och friskanmälan lyftes, exempelvis missvisande rubriceringar av sjukfrånvaroorsak, och upplevelser av onödig kontroll.

Betydelsen av chefens stöd lyfts av samtliga deltagare. En optimal kontakt med chefen karaktäriseras av en aktiv chef som sätter den sjukskrivne medarbetaren i fokus och i samråd med medarbetaren planerar och lägger upp återgången i arbete. Den ambivalenta chefen initierar anpassningar och åtgärder, men detta sker ibland utan involvering av medarbetaren. För sjukskrivna med en mera passiv chef är kontakt med

företagshälsovården ibland det enda stöd som initierats för att främja återgång till arbete. Resultatet pekar på att chefens roll och stöd vid sjukskrivning och återgång i arbete inte är utbytbart mot insatser från andra aktörer, såsom företagshälsovården. Kontakten med arbetsplatsen är viktig, och sjukskrivna betonar framför allt betydelsen av chefens kontakt, närvaro, och att denne anpassar kontakten utifrån sjukskrivningsorsak. Dialog mellan chef och medarbetare behövs kring hur kontakten med arbetsplatsen på lämpligast sätt bör läggas upp och på så vis anpassas efter den individuella situationen.

Företagshälsovården kan användas för att stödja arbetsgivaren i arbetet med att förebygga och hantera sjukfrånvaro, och de insatser som erbjuds upplevs ofta som uppskattade och effektiva. Insatserna från företagshälsovården och arbetsgivaren bör dock initieras i samråd med den sjukskrivne för att öka möjligheterna att insatserna upplevs som hjälpsamma och rättvisa.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2019. p. 33
Series
HELIX working papers, ISSN 1654-8213 ; 19:2
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-157506 (URN)
Available from: 2019-06-14 Created: 2019-06-14 Last updated: 2019-06-19Bibliographically approved
Ståhl, C., Costa-Black, K. & Loisel, P. (2018). Applying theories to better understand socio-political challenges in implementing evidence-based work disability prevention strategies. Disability and Rehabilitation, 40(8), 952-959
Open this publication in new window or tab >>Applying theories to better understand socio-political challenges in implementing evidence-based work disability prevention strategies
2018 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 8, p. 952-959Article in journal (Refereed) Published
Abstract [en]

Purpose: This article explores and applies theories for analyzing socio-political aspects of implementation of work disability prevention (WDP) strategies.

Method: For the analysis, theories from political science are explained and discussed in relation to case examples from three jurisdictions (Sweden, Brazil and Québec).

Results: Implementation of WDP strategies may be studied through a conceptual framework that targets: (1) the institutional system in which policy-makers and other stakeholders reside; (2) the ambiguity and conflicts regarding what to do and how to do it; (3) the bounded rationality, path dependency and social systems of different stakeholders; and (4) coalitions formed by different stakeholders and power relations between them. In the case examples, the design of social insurance systems, the access to and infrastructure of healthcare systems, labor market policies, employers’ level of responsibility, the regulatory environment, and the general knowledge of WDP issues among stakeholders played different roles in the implementation of policies based on scientific evidence.

Conclusions: Future research may involve participatory approaches focusing on building coalitions and communities of practice with policy-makers and stakeholders, in order to build trust, facilitate cooperation, and to better promote evidence utilization.

  • Implications for Rehabilitation
  • Implementation of work disability prevention policies are subject to contextual influences from the socio-political setting and from relationships between stakeholders

  • Stakeholders involved in implementing strategies are bound to act based on their interests and previous courses of action

  • To promote research uptake on the policy level, stakeholders and researchers need to engage in collaboration and translational activities

  • Political stakeholders at the government and community levels need to be more directly involved as partners in the production and utilization of evidence

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Implementation; evidence-based practice; health policy; rehabilitation; return to work
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-145066 (URN)10.1080/09638288.2016.1277399 (DOI)000426913400011 ()28094587 (PubMedID)
Available from: 2018-02-08 Created: 2018-02-08 Last updated: 2019-04-11
Ståhl, C. & Seing, I. (2018). Reforming Activation in Swedish Work Disability Policy. In: Ellen MacEachen (Ed.), The Science and Politics of Work Disability Prevention: (pp. 125-140). New York: Routledge
Open this publication in new window or tab >>Reforming Activation in Swedish Work Disability Policy
2018 (English)In: The Science and Politics of Work Disability Prevention / [ed] Ellen MacEachen, New York: Routledge, 2018, p. 125-140Chapter in book (Other academic)
Abstract [en]

In this chapter, we review the development of the activation concept in Swedish sickness insurance during the 2000s, by analyzing how it is conceptualized in government reports and translated into policy and practice. At different times, policy has been informed by different types of knowledge, where the conceptualization of activation has developed from focusing on individual responsibility for rehabilitation and promoting return to work through restricting access to benefits, towards a systems perspective, where return to work is considered a multistakeholder endeavor. We offer a critical analysis of the use of evidence in policy development and its practical consequences.

Place, publisher, year, edition, pages
New York: Routledge, 2018
National Category
Sociology Political Science
Identifiers
urn:nbn:se:liu:diva-157007 (URN)9780429443398 (ISBN)
Available from: 2019-05-22 Created: 2019-05-22 Last updated: 2019-05-23Bibliographically approved
Ståhl, C., Sandqvist, J. & Seing, I. (2017). Aktivitetsförmågeutredning (AFU): Tillämpning, upplevelser och utfall. Stockholm
Open this publication in new window or tab >>Aktivitetsförmågeutredning (AFU): Tillämpning, upplevelser och utfall
2017 (Swedish)Report (Other academic)
Abstract [sv]

Försäkringskassan har sedan 2010 utvecklat en metod, aktivitetsförmågeutredning (AFU), för bedömning av arbetsförmåga i relation till normalt förekommande arbete på arbetsmarknaden. Utredningen tar sin utgångspunkt i individens självrapporterade förmåga och involverar en bedömning av särskilt utbildade läkare, och vid behov även arbetsterapeuter, fysioterapeuter, och psykologer. AFU har testats i begränsad skala sedan 2011, vilket sedan stegvis har utökats.

I denna studie har 300 utredningar analyserats kvantitativt i relation till registerdata från Försäkringskassan, och 30 ärenden har analyserats kvalitativt genom aktanalyser. Därtill har intervjuer genomförts med handläggare, läkare och sjukskrivna. Studien har granskat utredningar genomförda under perioden 2013–2014.

Sammantaget tyder resultaten från de olika delstudierna i denna rapport på att AFU som bedömningsmetod oftast är i linje med den sjukskrivnes egen bedömning, och att inga skillnader i fortsatt sjukskrivning efter AFU finns beroende på kön eller ålder. Läkarens bedömning i AFU tycks inte predicera framtida sjukskrivning, vilket däremot individens självskattning gör.  Handläggare och bedömningsläkare (dvs. den läkare som utför AFU) anser generellt att AFU är en bra metod som ger relevant och användbar information. Dock används metoden sparsamt, vilket huvudsakligen tycks bero på ofullständig implementering. Utvidgade undersökningar uppskattas av handläggare och läkare då de ger ett bättre underlag. Dock finns det inga skillnader i fortsatt sjukskrivning mellan dem som fått utvidgad undersökning och övriga ärenden.

AFU leder till olika typer av utfall beroende på ärendets karaktär, där vissa får fortsatt sjukpenning eller sjukersättning, medan andra nekas fortsatt sjukskrivning. Utredningen spelar en mera central roll i ärenden där Försäkringskassan beslutar att neka sjukpenning, då den bidrar till att legitimera beslutet. I ärenden där sjukpenning beviljas bekräftar AFU huvudsakligen innehållet i tidigare underlag och får därmed en mera underordnad roll i kommunikationen med den sjukskrivne. Sjukskrivnas upplevelser av AFU skiljer sig åt, och inte enbart beroende på om utredningen lett till beviljad eller nekad sjukpenning. Försäkringskassans bemötande och handläggarnas dialog med de sjukskrivna tycks ha stor betydelse för hur sjukskrivna uppfattar utredningen och de beslut den leder till. Såväl handläggare som bedömningsläkare och andra inblandade vårdprofessioner har ett pedagogiskt ansvar i att förklara syftet med utredningen och de ingående momenten för att inte den sjukskrivne ska uppleva bedömningen som alltför standardiserad där individuella faktorer inte tas hänsyn till.

Abstract [en]

Since 2010, the Swedish Social Insurance Agency (SSIA) has developed a new method for activity ability assessments (aktivitetsförmågeutredning, AFU). This method is to be used when assessing work ability in relation to normally available jobs on the labor market, which is done after 180 days of sick leave. The assessment is based on a self-report from the person on sick leave, combined with an examination by specially trained physicians. If needed, an extended assessment may be carried out by occupational therapists, physiotherapists and/or psychologists. AFU has been tested on a limited scale since 2011, which has been gradually extended.

In this study, 300 assessments have been analyzed through regression analyses in relation to register data from the SSIA, and 30 case files have been analyzed through qualitative text analysis. Interviews has been carried out with insurance officials, physicians and sick-listed individuals who have undergone the assessment. The study have analyzed assessments carried out between 2013 and 2014. The overall results show that AFU as an assessment tool generally is in line with the self-reported ability, and there are no differences in continued sick leave based on gender or age. Physicians’ assessments in AFU does not predict future sick leave, which the self-reported assessment does. Insurance officials and physicians generally consider the method to be useful and that it provides relevant and useful information. It is however used sparsely, which is related to its limited implementation. Extended assessments are appreciated by officials and physicians as they provide more information; there are however no differences in future sick-leave between those who underwent extended assessments and those who did not.

AFU leads to different outcomes depending on the character of the case, where some are granted continued benefits while some gets denied. The assessment has a more significant role in cases where the SSIA denies benefits, where it serves to legitimize the decision. The experiences of people who has undergone the assessment differs, and not only between those who got benefits granted or denied. The contact with the SSIA and the dialogue with the insurance officials seems to have a large influence on how the sick-listed experience the assessment and the decisions it leads to. Officials and health care professionals involved in the assessment hence have an important pedagogical task in explaining the purpose with the assessment and its different parts, in order for the sick-listed not to feel that the assessment is standardized and not considering individual conditions.

Place, publisher, year, edition, pages
Stockholm: , 2017. p. 73
Series
Socialförsäkringsrapport, ISSN 1654-8574 ; 2017:15
National Category
Public Administration Studies
Identifiers
urn:nbn:se:liu:diva-146113 (URN)
Available from: 2018-03-28 Created: 2018-03-28 Last updated: 2018-03-28Bibliographically approved
Ståhl, C. (2016). Placing people in the same room is not enough: An interprofessional education intervention to improve collaborative knowledge of people with disabilities. Journal of Interprofessional Care, 30(3), 331-337
Open this publication in new window or tab >>Placing people in the same room is not enough: An interprofessional education intervention to improve collaborative knowledge of people with disabilities
2016 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 30, no 3, p. 331-337Article in journal (Refereed) Published
Abstract [en]

This study evaluates a continuing interprofessional education (CIPE) intervention designed to improve the skills and knowledge related to managing people with disabilities (PWD) in the educational, healthcare, and social insurance systems, and to improve shared knowledge and promote inter-organisational collaboration. The intervention comprised both on-site and online courses where participants could design their own curriculum based on their perceived needs. A longitudinal survey study was conducted with questions about knowledge of other organisations work with PWD, knowledge concerning disability policies, competence in meeting PWD, shared values across organisations, and inter-organisational collaboration. Participants knowledge about disability, disability policy, and how other organisations work with PWD significantly increased after the intervention. Changes in shared values, attitude towards inter-organisational collaboration, or effects on actual collaboration could not be determined. The results suggest that CIPE interventions where participants are allowed to form customised curriculums may increase general knowledge about disability among professionals. Results on knowledge of and collaboration with other organisations were less conclusive, where this may be explained by an educational setting that included little interaction between course participants. To promote professional exchange and experiential learning activities, contextualized educational settings that place more focus on interaction between participants may be advised.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS INC, 2016
Keywords
Inter-organisational collaboration; interprofessional education; longitudinal study; people with disabilities; survey; Sweden
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-128979 (URN)10.3109/13561820.2016.1147022 (DOI)000375903100009 ()27152537 (PubMedID)
Available from: 2016-06-09 Created: 2016-06-07 Last updated: 2018-01-10
Ellen, M., Kosny, A., Ståhl, C., OHagan, F., Redgrift, L., Sanford, S., . . . Mahood, Q. (2016). Systematic review of qualitative literature on occupational health and safety legislation and regulatory enforcement planning and implementation. Scandinavian Journal of Work, Environment and Health, 42(1)
Open this publication in new window or tab >>Systematic review of qualitative literature on occupational health and safety legislation and regulatory enforcement planning and implementation
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2016 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 42, no 1Article, review/survey (Refereed) Published
Abstract [en]

Objective The ability of occupational health and safety (OHS) legislation and regulatory enforcement to prevent workplace injuries and illnesses is contingent on political, economic, and organizational conditions. This systematic review of qualitative research articles considers how OHS legislation and regulatory enforcement are planned and implemented. Methods A comprehensive search of peer-reviewed, English-language articles published between 1990 and 2013 yielded 11 947 articles. We identified 34 qualitative articles as relevant, 18 of which passed our quality assessment and proceeded to meta-ethnographic synthesis. Results The synthesis yielded four main themes: OHS regulation formation, regulation challenges, inspector organization, and worker representation in OHS. It illuminates how OHS legislation can be based on normative suppositions about worker and employer behavior and shaped by economic and political resources of parties. It also shows how implementation of OHS legislation is affected by "general duty" law, agency coordination, resourcing of inspectorates, and ability of workers to participate in the system. Conclusions The review identifies methodological gaps and promising areas for further research in "grey" zones of legislation implementation.

Place, publisher, year, edition, pages
SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH, 2016
Keywords
inspector; meta-ethnography; OHS; OHS policy; OHS politics; policy; policy implementation; qualitative methodology; regulation; Robens report; worker representation
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-125160 (URN)10.5271/sjweh.3529 (DOI)000368554500002 ()26460511 (PubMedID)
Available from: 2016-02-15 Created: 2016-02-15 Last updated: 2018-01-10
Müssener, U., Ståhl, C. & Söderberg, E. (2015). Does the quality of encounters affect return to work? Lay people describe their experiences of meeting various professionals during their rehabilitation process. Work: A journal of Prevention, Assesment and rehabilitation, 52(2), 447-455
Open this publication in new window or tab >>Does the quality of encounters affect return to work? Lay people describe their experiences of meeting various professionals during their rehabilitation process
2015 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 52, no 2, p. 447-455Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Among the many aspects of the rehabilitation process that may be relevant for its outcome, the impact of encounters with various professionals has received little attention. OBJECTIVE: The objective was to gain a deeper understanding of how individuals with experiences of being on sick leave perceive their encounters with professionals, and how such encounters affected their ability to return to work, as well as their attitudes towards the sickness insurance system. METHODS: An inductive qualitative approach was used to analyze data from 20 interviews with men and women, aged 33-59, in Sweden who had experience of being on sick leave for at least 28 days. RESULTS: The study shows how interviewees encounters with professionals affected their self-confidence and perception of their ability to return to work. Professionals treatment of people on sick leave seems to be affected by the structural prerequisites for offering support, where sickness insurance regulations are suggested to have a large impact. CONCLUSIONS: An encouraging and supportive attitude on the part of the professionals is essential for empowering people to handle obstacles during the rehabilitation process; whereas feeling rejected and belittled in the return to work process may lead to disempowerment, and/or delays in measures and longer periods on sick leave.

Place, publisher, year, edition, pages
IOS PRESS, 2015
Keywords
Sickness absence; rehabilitation; lay person; sick leave; professionals
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-123175 (URN)10.3233/WOR-152121 (DOI)000364411700022 ()26409366 (PubMedID)
Note

Funding Agencies|Swedish Council for Working Life and Social Research

Available from: 2015-12-06 Created: 2015-12-04 Last updated: 2018-01-10
Seing, I., MacEachen, E., Ståhl, C. & Ekberg, K. (2015). Early-Return-to-Work in the Context of an Intensification of Working Life and Changing Employment Relationships. Journal of occupational rehabilitation, 25(1), 74-85
Open this publication in new window or tab >>Early-Return-to-Work in the Context of an Intensification of Working Life and Changing Employment Relationships
2015 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, no 1, p. 74-85Article in journal (Refereed) Published
Abstract [en]

Purpose Many Western welfare states have introduced early-return-to-work policies, in which getting sick-listed people back to work before they have fully recovered is presented as a rather unproblematic approach. This reflects a belief in the ability of employers and the labour market to solve sickness absence. Against this background, the aim of this study was to analyse return-to-work practice in local workplace contexts, in relation to Swedish early-return-to-work policy.

Methods Semi-structured interviews were conducted with 18 matched pairs of workers and managers. The material, comprising a total of 36 interviews, was analysed using qualitative content analysis.

Results Three main themes were identified: (1) intensive workplaces and work conditions (2) employer support—a function of worker value and (3) work attachment and resistance to job transition. The results reflected the intensity of modern working life, which challenged return-to-work processes. Managers had different approaches to workers’ return-to-work, depending on how they valued the worker. While managers used the discourse of ‘new opportunities’ and ‘healthy change’ to describe the transition process (e.g. relocation, unemployment and retirement), workers regularly experienced transitions as difficult and unjust.

Conclusions In the context of early-return-to-work policy and the intensity of modern working life, a great deal of responsibility was placed on workers to be adaptable to workplace demands in order to be able to return and stay at work. Overall, this study illustrates an emerging social climate where sick-listed workers are positioned as active agents who must take responsibility for sick leave and return-to-work process.

Place, publisher, year, edition, pages
Springer, 2015
Keywords
Social policy; Return-to-work; Sick leave; Work place; Career mobility
National Category
Occupational Therapy Public Health, Global Health, Social Medicine and Epidemiology Sociology Political Science Work Sciences
Identifiers
urn:nbn:se:liu:diva-112396 (URN)10.1007/s10926-014-9526-5 (DOI)000349971100008 ()24920449 (PubMedID)
Available from: 2014-11-25 Created: 2014-11-25 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3310-0895

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