Coordination of return-to-work for employees on sick leave due to common mental disorders: facilitators and barriersShow others and affiliations
2022 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, no 13, p. 3113-3121Article in journal (Refereed) Published
Abstract [en]
Purpose To identify facilitators of and barriers to the coordination of return-to-work between the primary care services, the employee, and the employers from the perspective of coordinators and employees on sick leave due to common mental disorders (CMDs). Material and methods Descriptive qualitative study. Semi-structured interviews were conducted with eighteen coordinators and nine employees on sick leave due to CMDs. The Consolidated Framework for Implementation Research (CFIR) was used as a starting point for the interview guides and in the thematic analysis of data. Results The results show facilitators and barriers related to the CFIR domains "intervention characteristics," "outer setting," "inner setting," and "characteristics of individuals." Positive attitudes, an open dialogue in a three-party meeting, and a common ground for the sick leave process at the primary care centre facilitated coordination, while an unclear packaging, conflicts at the employees workplace, and a lack of team-based work were examples of barriers. Conclusion The results indicate a need for the detailed packaging of coordination; formalization of coordinators qualifications and levels of training; and acknowledgement of the role of organizational factors in the implementation of coordination. This is important to further develop and evaluate the efficacy of coordination.
Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2022. Vol. 44, no 13, p. 3113-3121
Keywords [en]
Adjustment disorders; anxiety disorders; depression; implementation science; sickness absence; vocational rehabilitation
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-172246DOI: 10.1080/09638288.2020.1855263ISI: 000596653300001PubMedID: 33280451OAI: oai:DiVA.org:liu-172246DiVA, id: diva2:1512946
Note
Funding Agencies|AFA Insurance [160183]
2020-12-282020-12-282022-10-11