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Ståhl, C. (2020). The Judas kiss: On the work and retrenchment cures and the troubles they bring. Work: A journal of Prevention, Assessment and rehabilitation, 65(1), 181-186
Open this publication in new window or tab >>The Judas kiss: On the work and retrenchment cures and the troubles they bring
2020 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 65, no 1, p. 181-186Article in journal (Refereed) Published
Abstract [en]

This Sounding Board article uses a number of societal stereotypes related to work and welfare to problematize the relationship between work and health, and how this relates to the prevention and management of work disability. It outlines current discourses in policy and research around these issues, and discusses some of the ethical implications of these discourses. The article concludes that the current policies on work disability and sickness insurance takes their point of departure in over-simplified account of the relationship between work and health, and that a more critical reading of the evidence is called for. The implications for research are also discussed, where a system-oriented perspective with attention to social gradients and the various working environments is called for.

Place, publisher, year, edition, pages
IOS Press, 2020
Keywords
Work disability;sickness absence;health;prevention
National Category
Learning
Identifiers
urn:nbn:se:liu:diva-162987 (URN)10.3233/WOR-193053 (DOI)000509412200020 ()31868707 (PubMedID)
Available from: 2020-01-07 Created: 2020-01-07 Last updated: 2020-02-17Bibliographically approved
Ståhl, C. (2019). Arbetets estetik. Arbetsmarknad & Arbetsliv, 25(2), 67-87
Open this publication in new window or tab >>Arbetets estetik
2019 (Swedish)In: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, Vol. 25, no 2, p. 67-87Article in journal (Refereed) Published
Abstract [sv]

Denna essä undersöker hur arbete har visualiserats och presenterats i bildkonst, musik och litteratur. I texten ges exempel från historien, samtiden och framtiden. Från exemplen kan två teman identifieras. Det första berör hur estetiska uttryck förmedlar bakomliggande kulturella, politiska eller ideologiska idéer om arbete, exempelvis genom propagandakonst eller skildringar av prekära arbetsförhållanden. Det andra berör relationen mellan arbete och resten av livet – här ser vi en sammansmältning av arbete och identitet, illustrerat av influerare och livsstilsbutiker, där arbete endast särskiljs från andra aktiviteter genom dess kommersialisering – och hur detta i sin tur ändrar aktivitetens karaktär.

National Category
Work Sciences
Identifiers
urn:nbn:se:liu:diva-161456 (URN)
Available from: 2019-11-01 Created: 2019-11-01 Last updated: 2019-12-12Bibliographically approved
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. In: : . Paper presented at Work Disability Prevention and Integration Conference (WDPI).
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)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

INTRODUCTION: Previous studies show differences regarding which clients receive sickness benefits as well as which clients are questioned or not within the sickness insurance system. There are indications that the characteristics of communication can have an impact on the sick leave process, which motivates this study with the following purpose.

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 the clients’ case.

MATERIALS AND METHODS: This was a document study using thirty client files including the correspondence between clients, their case-manager at the Swedish Social Insurance Agency (SIA) as well as other stakeholders. The clients included had been on a work capacity evaluation during their sick leave spell and were aged 32-64 years. There were twenty women and ten men in this study, with a variety of the degree of sickness absence, disability pension and part time work. The material was analyzed using qualitative document analysis.

RESULTS: The results show different approaches in communication, characterized by emotional communication, matter-of-fact driven communication and information exchange, which have diverse success in affecting authority decisions. Arguments characterized by emotions such as frustration or desperation are to a larger extent neglected compared to those characterized by a matter-of-fact driven approach and referring to regulations and medical certificates. There are also differences in how information about the client is interpreted by different professionals.

CONCLUSION: There are differences regarding how clients and stakeholders communicate the clients’ needs and prerequisites, and how this affect the SIA. Further research must be carried out in order to establish social insurance literacy, initially for individuals on sick leave within the sickness insurance, and whether there are differences between diverse groups that could lead to injustice in the system.

Keywords
Work Capacity Evaluation, Social Insurance Agency, Insurance Medicine, Sickness Insurance System
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-163162 (URN)
Conference
Work Disability Prevention and Integration Conference (WDPI)
Available from: 2020-01-20 Created: 2020-01-20 Last updated: 2020-02-04Bibliographically approved
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: 2019-10-18Bibliographically approved
Ståhl, C. (2019). Det paradoxala arbetsförmågebegreppet: Recensionsessä. Sociologisk forskning, 56(2), 181-188
Open this publication in new window or tab >>Det paradoxala arbetsförmågebegreppet: Recensionsessä
2019 (Swedish)In: Sociologisk forskning, ISSN 0038-0342, Vol. 56, no 2, p. 181-188Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Lund, Sweden: Sveriges Sociologförbund, 2019
National Category
Sociology
Identifiers
urn:nbn:se:liu:diva-161457 (URN)
Available from: 2019-11-01 Created: 2019-11-01 Last updated: 2019-12-12Bibliographically approved
Gensby, U., Limborg, H. J., Mahood, Q., Ståhl, C. & Albertsen, K. (2019). Employer Strategies for Preventing Mental HealthRelated Work Disability: A Scoping Review. Nordic Journal of Working Life Studies, 9(1), 57-101
Open this publication in new window or tab >>Employer Strategies for Preventing Mental HealthRelated Work Disability: A Scoping Review
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2019 (English)In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 9, no 1, p. 57-101Article in journal (Refereed) Published
Abstract [en]

This study examined Nordic research on psychosocial work environment and disability manage- ment, specifically employer strategies for preventing work disability in common mental disorders (CMDs).A scoping review was performed to identify strategies across several research databases, alongside contact with content experts, hand-searching of non-indexed journals, and internet searches. Identification and selection of relevant studies, charting of data, and collating and sum- marizing of results was done using a six-step framework for conducting scoping reviews. Several key elements and knowledge gaps were identified in current prevention approaches and work- place initiatives across the included studies.We propose a program theory for workplace preven- tion of CMD-related work disability.The program theory may help specify employer strategies, and bridge activities with stakeholders outside the workplace.

National Category
Work Sciences
Identifiers
urn:nbn:se:liu:diva-161455 (URN)10.18291/njwls.v9i1.113082 (DOI)
Available from: 2019-11-01 Created: 2019-11-01 Last updated: 2019-12-12
Strindlund, L., Abrandt Dahlgren, M. & Ståhl, C. (2019). Employers’ views on disability, employability, and labor market inclusion: A phenomenographic study. Disability and Rehabilitation, 41(24), 2910-2917
Open this publication in new window or tab >>Employers’ views on disability, employability, and labor market inclusion: A phenomenographic study
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, no 24, p. 2910-2917Article in journal (Refereed) Published
Abstract [en]

PURPOSE: 

This study aims to increase our understanding of employers' views on the employability of people with disabilities. Despite employers' significant role in labor market inclusion for people with disabilities, research is scarce on how employers view employability for this group.

METHODS: 

This was a qualitative empirical study with a phenomenographic approach using semi-structured interviews with 27 Swedish employers from a variety of settings and with varied experience of working with people with disabilities.

RESULTS: 

The characteristics of employers' views on the employability of people with disabilities can be described as multifaceted. Different understandings of the interplay between underlying individual-, workplace-, and authority-related aspects form three qualitatively different views of employability, namely as constrained by disability, independent of disability, and conditional. These views are also characterized on a meta-level through their association with the cross-cutting themes: trust, contribution, and support.

CONCLUSIONS: 

The study presents a framework for understanding employers' different views of employability for people with disabilities as a complex internal relationship between conceived individual-, workplace-, and authority-related aspects. Knowledge of the variation in conceptions of employability for people with disability may facilitate for rehabilitation professionals to tailor their support for building trustful partnerships with employers, which may enhance the inclusion of people with disabilities on the labor market. Implications for rehabilitation Employers' views on employing people with disabilities vary with respect to individual-, workplace-, and authority-related aspects in relation to trust, contribution and support. Knowledge of the employers' views on the employability of people with disabilities can support professionals in authorities and in vocational rehabilitation. The findings illustrate the importance of analyzing what type of support employers need as a starting point for building trustful partnerships between authority actors and employers. The findings offer a vocabulary that can be used by professionals in authorities and in vocational rehabilitation in tailoring employer-oriented support to increase labor market inclusion of people with disabilities.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Employers, people with disabilities, employability, labor market inclusion, Sweden, phenomenography
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-161453 (URN)10.1080/09638288.2018.1481150 (DOI)000499283100006 ()29962236 (PubMedID)2-s2.0-85049169088 (Scopus ID)
Available from: 2019-11-01 Created: 2019-11-01 Last updated: 2019-12-18Bibliographically 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
Karlsson, E., Sandqvist, J., Seing, I. & Ståhl, C. (2019). Social validitet för försäkringsmedicinska utredningar och påföljande myndighetsbeslut inom sjukförsäkringen. Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Social validitet för försäkringsmedicinska utredningar och påföljande myndighetsbeslut inom sjukförsäkringen
2019 (Swedish)Report (Other academic)
Abstract [sv]

Bakgrund: I det svenska sjukförsäkringssystemet utförs försäkringsmedicinska utredningar av särskilda enheter inom hälso- och sjukvården på uppdrag av Försäkringskassan. Dessa utredningar ligger sedan till grund för handläggares beslut om sjukskrivnas rätt till sjukpenning. Studier av social validitet är ännu ovanliga inom försäkringsmedicin och folkhälsa men kan bidra med kunskap om vad som främjar eller hindrar att metoder uppfattas som godtagbara, begripliga och betydelsefulla.

Syfte: Att utforska sjukskrivna personers upplevelse av social validitet för försäkringsmedicinska utredningar och påföljande myndighetsbeslut avseende sjukpenning inom sjukförsäkringen.

Metod: Detta var en kvalitativ longitudinell studie baserad på telefonintervjuer med 30 sjukskrivna som varit på en försäkringsmedicinsk utredning, samt delvis deras akter från Försäkringskassan. En deduktiv innehållsanalys användes.

Resultat: Sjukskrivnas förståelse för utredningen var beroende av huruvida de specifika testerna var tydligt relaterade till personernas svårigheter eller ej och vilken information de hade fått. De anser att den standardiserade strukturen inte är relevant för alla och att bristen på individanpassning förvårar möjligheten att få en rättvis bild av deras arbetsförmåga. 

Diskussion: Social validitet utforskades för försäkringsmedicinska utredningar och myndighetsbeslut i termer av godtagbarhet, begriplighet och betydelse. Utredningarna indikerar en låg social validitet i termer av godtagbarhet på grund av bristen på individanpassning, även om vissa delar är mer socialt valida än andra. Vidare varierade utredningarnas begriplighet beroende på deras applicerbarhet och den erhållna informationen, medan dimensionen betydelse indikerar en högre grad av social validitet. Handläggarens påföljande myndighetsbeslut ansågs däremot orelaterat till utredningens resultat, sakna konkreta argument och ibland motsägande andra aktörers rekommendationer, vilket indikerar en låg social validitet i termer av både godtagbarhet, begriplighet och betydelse. 

Slutsats: Social validitet finns för delar av utredningarna men är låg för det påföljande myndighetsbeslutet.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2019. p. 39
Series
HELIX working papers, ISSN 1654-8213 ; 5
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-160717 (URN)
Available from: 2019-10-04 Created: 2019-10-04 Last updated: 2019-10-11Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3310-0895

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