liu.seSök publikationer i DiVA
Ändra sökning
Avgränsa sökresultatet
1 - 19 av 19
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Goine, H
    et al.
    Uppsala University.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Engstrom, P
    Uppsala University.
    Palmer, E
    Uppsala University.
    Improving the quality of information on GPs certificates for sickness insurance-results of an experiment in Sweden in EUROPEAN JOURNAL OF PUBLIC HEALTH, vol 20, issue , pp 282-2822010Ingår i: EUROPEAN JOURNAL OF PUBLIC HEALTH, Oxford University Press , 2010, Vol. 20, s. 282-282Konferensbidrag (Refereegranskat)
    Abstract [en]

    n/a

  • 2.
    Müssener, Ulrika
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Ståhl, Christian
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Does the quality of encounters affect return to work? Lay people describe their experiences of meeting various professionals during their rehabilitation process2015Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 52, nr 2, s. 447-455Artikel i tidskrift (Refereegranskat)
    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.

  • 3.
    Müssener, Ulrika
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Arbetslivsinriktad rehabilitering. Linköpings universitet, Hälsouniversitetet.
    Svensson, Tommy
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för sociologi (SOC). Linköpings universitet, Filosofiska fakulteten.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Vilken betydelse har positivt bemötande för återgång i arbete?2009Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 86, nr 3, s. 238-244Artikel i tidskrift (Refereegranskat)
  • 4.
    Müssener, Ulrika
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Svensson, Tommy
    Linköpings universitet, Institutionen för beteendevetenskap. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Alexandersson, Kristina
    Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska lnstitutet, Stockholm, Sweden.
    Sickness absentees' experiences of positive encounters by healthcare and sickness insurance professionals: an interview studyManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    We need more knowledge on factors that can promote retum to work (RTW) grounded on peoples' own views. One such factor of importance is the way absentees themselves experience their interactions with professionals. The purpose of the study was to identify and analyse sick-listed persons' experiences of positive encounters with professionals.

    An inductive and descriptive-qualitative approach was used to analyse transcripts from 11 semi-structured interviews with persons after or during long-term sickness absence. Being treated with respect, feeling supported, establishing a personal relationship, perceiving demands as well-balanced, and patiicipating in decisions regarding rehabilitation appeared as important qualities. Several interviewees believed that positive encounters might promote RTW.

    Further research is needed to elucidate the aspects of such interactions that enhance empowerment and self-confidence in persons on sick leave, in order to develop professional treatment strategies that facilitates for rehabilitation, and to favour collaborative work between and within group of professionals.

  • 5.
    Müssener, Ulrika
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Svensson, Tommy
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för sociologi (SOC). Linköpings universitet, Filosofiska fakulteten.
    Alexandersson, Kristina
    Department of Clinical Neuroscience, Personal Injury Prevention, Stockholm, Sweden.
    Encouraging encounters: sick-listed persons’ experiences of interactions with rehabilitation professionals2007Ingår i: Social work in health care, ISSN 0098-1389, E-ISSN 1541-034X, Vol. 46, nr 2, s. 71-87Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Long-term sickness-absence has increased in many countries and more knowledge is warranted on factors that can promote return-to-work (RTW). Interactions with professionals might be one such factor and especially experiences of positive encounters. The purpose of the study was to identify and analyze sick-listed persons' experiences of positive encounters with professionals within social insurance and healthcare. An inductive and descriptive qualitative approach was used to analyze ttanscripts from 11 semi-structured interviews with persons with experience of long-term sickness absence.

    The following five categories of qualities of encounters were found to be of importance: being treated with respect, feeling supported, establishing a personal relationship, perceiving demands as well-balanced, and participating in decisions regarding rehabilitation measures. Several interviewees expressed the opinion that positive encounters with professionals can promote RTW.

    Further research is needed to elucidate the aspects of interactions that enhance empowerment and self-confidence in persons on sick leave, in order to develop professional treatment strategies that facilitate RTW.

  • 6.
    Nilsing, Emma
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Primary Healthcare Professionals' Experiences of the Sick Leave Process: A Focus Group Study in Sweden2013Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 23, nr 3, s. 450-461Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose The aim of this study was to explore primary healthcare (PHC) professionals' experiences of the sick leave process. Methods This is an explorative study using data from four semi-structured focus group discussions with a purposeful sample of PHC professionals in A-stergotland County, Sweden. Content analysis with an inductive approach was used in the analysis. Results Four key themes emerged from the analysis; priority to the sick leave process, handling sickness certifications, collaboration within PHC and with other stakeholders, and work ability assessments. Patients' need for sick leave was handled from each professional group's perspective. Collaboration was considered important, but difficult to achieve and all the competencies available at the PHC centre were not used for work ability assessments. There was insufficient knowledge of patients' work demands and contact with an employer was rare, and the strained relationship with the social insurance officers affected the collaboration. Conclusions This study highlights the challenges physicians and other PHC professionals face when handling the need for sick leave, especially when encountering patients with symptom-based diagnoses, and the influence of non-medical factors. Hindrances to good practice were increased demands, collaboration, and role responsibility. The challenges in the sick leave process concerned both content and consequences related to poor collaboration within PHC and with representatives from various organizations, primarily employers and social insurance officers. Further research on how to develop a professional approach for handling the sick leave process is needed.

  • 7.
    Nilsing, Emma
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Normelli, Helena
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum.
    Description of functioning in sickness certificates2011Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, nr 5, s. 508-516Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims: Sickness certificates are to provide information on a disease and its consequences on the patients functioning. This information has implications for the patients rights to sickness benefits and return-to-work measures. The objective of this study was to investigate the description of functioning in sickness certificates according to WHOs International Classification of Functioning, Disability, and Health (ICF), and to describe the influence of patients age, gender, diagnostic group, and affiliation of certifying physician. Method: A content analysis of written statements regarding how the disease limits the patients functioning with ICF as a framework was performed in 475 sickness certificates, consecutively collected in Ostergotland County, Sweden. Results: Musculoskeletal diseases (MSD) were the largest diagnostic group, followed by mental disorders (MD). Certificates were mainly issued from physicians at hospitals and in primary health care (PHC). ICF was applicable for classifying statements regarding functioning in 311 certificates (65%). The distribution of components was 58% body functions, 26% activity, and 7% participation. The descriptions were primarily restricted to the use of at least one component; namely, body functions. Subgroup analysis showed that descriptions of activity and participation were more common in certificates for MD and MSD, or those issued by PHC physicians. A multiple regression analysis with the activity component as dependent variable confirmed the results by showing that activity was related to both diagnosis and affiliation. Conclusions: In a consecutive sample of sickness certificates, it was shown that information on functioning is scarce. When functioning was described, it was mainly body oriented.

  • 8.
    Nilsing, Emma
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Sickness certificates in Sweden: did the new guidelines improve their quality?2012Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, nr 907Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Long-term sickness absence is high in many Western countries. In Sweden and many other countries, decisions on entitlement to sickness benefits and return to work measures are based on information provided by physicians in sickness certificates. The quality demands, as stressed by the Swedish sick leave guidelines from 2008, included accurate sickness certificates with assessment of functioning clearly documented. This study aims to compare quality of sickness certificates between 2007 and 2009 in Ostergotland County, Sweden. Quality is defined in terms of descriptions of functioning with the use of activity and participation according to WHOs International Classification of Functioning, Disability and Health (ICF), and in prescriptions of early rehabilitation. less thanbrgreater than less thanbrgreater thanMethods: During two weeks in 2007 and four weeks in 2009, all certificates had been collected upon arrival to the social insurance office in Ostergotland County, Sweden. Four hundred seventy-five new certificates were included in 2007 and 501 in 2009. Prolongations of sick leave were included until the last date of sick listing. Free text on functioning was analysed deductively using the ICF framework, and placed into categories (body functions/structures, activity, participation, no description) for statistical analysis. less thanbrgreater than less thanbrgreater thanResults: The majority of the certificates were issued for musculoskeletal diseases or mental disorders. Text on functioning could be classified into the components of ICF in 65% and 78% of sickness certificates issued in 2007 and 2009, respectively. Descriptions according to body components such as "sensations of pain" or "emotional functions" were given in 58% of the certificates from 2007 and in 65% from 2009. The activity component, for example "walking" or "handling stress", was more frequent in certificates issued in 2009 compared with 2007 (33% versus 26%). Prescriptions of early rehabilitation increased from 27% in 2007 to 35% in 2009, primarily due to more counseling. less thanbrgreater than less thanbrgreater thanConclusions: An improvement of the quality between certificates collected in 2007 and 2009 was demonstrated in Ostergotland County, Sweden. The certificates from 2009 provided more information linkable to ICF and incorporated an increased use of activity limitations when describing patients functioning. Still, activity limitations and prescriptions of early rehabilitation were only present in one-third of the sickness certificates.

  • 9.
    Nilsing Strid, Emma
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Sickness certificates: what information do they provide about rehabilitation?2014Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, nr 15, s. 1299-1304Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To investigate whether patients are prescribed rehabilitation early in a new sick leave period, and whether this prescription is associated with age, sex, diagnosis, description of functioning, and affiliation of certifying physician.

    Methods: A cross-sectional study using data from sickness certificates issued during a total sick leave period, collected consecutively during 2 weeks in 2007 in Östergötland County, Sweden. Rehabilitation prescribed in the first certificate or within 28 days after the start of sick leave was defined as early rehabilitation.

    Results: Musculoskeletal diseases (MSD) were the largest diagnostic group, followed by mental disorders (MD). The mean certified duration of sick leave was 94 days (SD 139), longest for MD patients. Early rehabilitation was prescribed in 27% of all certificates and in 45% of certificates for MSD and MD diagnoses. Logistic regression analysis indicated that prescription of early rehabilitation was associated with certificates issued for MSD and MD, youngest patients, and certificates issued by primary health care physicians. The final model explained 29% of variation in the prescription of early rehabilitation.

    Conclusion: There is a modest prescription of early rehabilitation in sickness certificates, based on younger age and MSD or MD diagnosis. This indicates that patients’ rehabilitation needs may not have been identified.

  • 10.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Den försäkringsmedicinska bedömningen i gränssnittet mellan medicin, försäkring och arbetsliv2009Ingår i: Försäkringsmedicin: i gränssnittet mellan medicin och försäkring / [ed] Bo J A Haglund / Elsy Söderberg (temaredaktör), Stockholm: Socialmedicinsk tidskrift , 2009, 86, s. 497-502Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Under de senaste åren har ett antal interventioner genomförts för att förbättra handläggningen av sjukskrivningsärenden inom hälso- och sjukvården och inom Försäkringskassan. I samband med en sjukskrivning ska läkaren som medicinskt sakkunnig i relation till Försäkringskassan och andra aktörer avge en objektiv bedömning rörande patienten. Den försäkringsmedicinska utredningen liksom aktivitetsförmågan ska översättas till arbetsförmåga i ett specifikt arbete eller till den reguljära arbetsmarknaden. Det finns implikationer till förbättringar i sjukskrivningspraxis samt behov av mera teoretisk forskning inom området.

    During the last years several interventions have been applied to enhance improvement in practice. An important task of physicians are to establish a diagnosis, assess the reduction in functional capacity associated with the disease and relate this information to the patient’s work tasks or to any job available at the labour market. The concept and framework especially in relation to a work life perspective need to be developed to facilitate practice. More theoretical research is warranted.

  • 11.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Hälsouniversitetet.
    Försäkringsmedicin: - i gränssnittet mellan medicin och försäkring2009Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    Detta temanummer syftar till att förmedla olika perspektiv på området försäkringsmedicin, visavi de förändringar som skett under de senaste åren i den svenska sjukförsäkringen och i administrationen av densamma. De förändringar som genomförts, såväl i lagstiftning som i praxis, engagerar många. Temanumret innehåller artiklar som är skriva av praktiker i myndigheter och forskare inom området.

    Försäkringsmedicinsk forskning omfattar studier av aspekter på olika strukturell nivå i samhället, som påverkar hur försäkringarna utnyttjas, konsekvenser av att de utnyttjas eller inte utnyttjas samt hur båda dessa faktorer och konsekvenserna kan påverkas. Förhoppningen är att temanumret kan inspirera till fortsatt dialog, till utveckling av vetenskaplig kunskap i försäkringsmedicin liksom av beprövad erfarenhet inom området.

  • 12.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Sickness benefits and measures promoting return to work2005Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background: Decisions concerning entitlement to sickness benefits have a substantial impact on the lives of individuals and on society. In most countries, such decisions are made by professionals working in public organisations, and there is much debate about the work performed by those experts, hence more knowledge is needed on this subject.

    Objectives: The overall aim of the research underlying this thesis was to study, from different perspectives, the practices of actors involved in making decisions regarding the right to both sickness benefits and measures aimed at promoting return to work (RTW).

    Materials and methods: Five separate studies were performed using different investigative designs, data, and data analyses. The first two studies (papers I and II) scrutinised scientific publications concerning the sickness certification practices of physicians and the routines of social insurance officers, respectively. The third investigation (paper III) assessed the quality of physician's sickness certificates as a basis for social insurance officers' decisions about sickness benefits. The fourth study (paper IV) examined the experiences of inter-organisational cooperation between public servants working at social insurance and employment offices. The last study (Paper V) analysed the experiences of patients regarding encounters with health care professionals and social insurance officers in this context.

    Results: The twenty-six studies of physicians' sickness certification practices that were reviewed (paper I) focused on physicians, and occasionally on physicians and patients, but never on the interaction between them. Most of the studies emanated from Norway and Sweden, and were conducted by researchers in medical science, mainly physicians. Questionnaires were used to collect data in 80% of the studies. It was found that different physicians varied greatly in regard to the length of sickness absence they certified for similar patients.

    All but two of the sixteen studies scrutinised in paper 11 were conducted by behavioural scientists using social science theory. In the majority of those investigations, data were obtained through interviews. The studies were done in Norway and Sweden, and dealt with different dimensions of managing clients, although only two of the investigations considered the actual granting of sickness benefits. The majority of the studies focused on coordination of RTW measures, and some of those indicated that gender bias affected the decisions that were made.

    In the study presented in paper III, it was found that many of the analysed sickness certificates (n = 2,249) did not contain enough information to allow social insurance officers to determine eligibility for sickness benefits. General practitioners and physicians in training provided more essential data than did other categories of physicians, for example concerning the patients' occupational tasks. Statements about rehabilitation measures aimed at promoting RTW were not included on 60% of the certificates for women, compared to 36% of those issued for men.

    As described in paper IV, analyses of fourteen interviews with public servants working together on the same cases in inter-organisational projects identified important areas of the experiences. The daily collaboration on cases enabled development of good relationships and improved what was referred to as cooperative competence. The collaborative nature of the project made it possible to include only those clients who were perceived as being motivated to participate in RTW measures. Close and more frequent interaction with clients proved to be beneficial in that it facilitated mobilisation of the clients. The discrepancy between the rules and regulations of the social insurance, and the unemployment authorities was an obstacle to cooperation.

    In the study reported in paper V, eleven sickness benefit recipients were interviewed about how they experienced encounters with rehabilitation professionals. The experiences were assigned to five major categories: being treated with respect, feeling supported, establishing a personal relationship, perceiving demands as well-balanced, and participating in decisions regarding rehabilitation. Several interviewees believed that RTW might be promoted by positive encounters and hindered by negative interactions.

    Conclusions: The overall conclusion that can be drawn from the current results is that there is insufficient knowledge concerning the sickness certification practices of physicians and the practices of social insurance officers regarding granting of sickness benefits. Closely related to the granting of sickness benefits, particulary given the work-line strategy in Sweden is the assessment of work capacity, which has, from the perspective of social insurance standards, been studied from a very limited viewpoint. The theoretical framework of research in this area need to be developed to provide better understanding of the mentioned practices and the interactions between the different professionals and between professsionals and clients, from the perspectives of both gender and ethnicity.

    Delarbeten
    1. Sickness certification practices of physicians: a review of the literature
    Öppna denna publikation i ny flik eller fönster >>Sickness certification practices of physicians: a review of the literature
    2003 (Engelska)Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 31, nr 6, s. 460-474Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    BACKGROUND: In most Western countries the responsibilities of physicians include assessing work ability and issuing certificates for sickness absence and disability pension. These tasks often have a substantial impact on the lives of patients and constitute a financial burden on employers, insurance companies, and communities.

    AIM: The aim was to review scientific studies on sickness certification practices of physicians published in English, Danish, Norwegian, or Swedish.

    METHOD: Analyses were carried out of studies searched for through literature databases, reference lists, and personal contacts.

    RESULTS: Twenty-six publications fulfilled the inclusion criteria. Most of these were published in the last decade. The studies focused on physicians, and occasionally on physicians and patients, but never on interaction between them. Data had generally been collected using questionnaires, some including case vignettes. There was a large variation in how long different physicians sickness-certified similar patients. Three comprehensive categories of studies were identified dealing with the following: (1). how physicians certify sickness; (2). factors that might affect the certification process; (i.e. elements related to the patient, to the physician, or to restrictions in insurance legislation); and (3). studies concerning attitudes. No studies were found that took into account the work conditions of the hospital or health-care organization in which the physician works.

    CONCLUSIONS: The research problems were seldom medical in nature but were instead carried out within the realm of behavioural science and should preferably be conducted using theories from behavioural, social, and public health scientific theories. Furthermore, factors such as gender, ethnicity, and power should be taken into consideration in studies on this complex phenomenon.

    Nationell ämneskategori
    Samhällsvetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-26249 (URN)10.1080/14034940310005367 (DOI)14675938 (PubMedID)10753 (Lokalt ID)10753 (Arkivnummer)10753 (OAI)
    Tillgänglig från: 2009-10-08 Skapad: 2009-10-08 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
    2. Gatekeepers in sickness insurance: a systematic review of the literature on practices of social insurance officers
    Öppna denna publikation i ny flik eller fönster >>Gatekeepers in sickness insurance: a systematic review of the literature on practices of social insurance officers
    2005 (Engelska)Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 13, nr 3, s. 211-223Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Decisions concerning entitlement to sickness benefits have a substantial impact on the lives of individuals and on society. In most countries, such decisions are made by staff of private or public insurance organisations. The work performed by these professionals is debated, hence more knowledge is needed on this subject. The aim of the present study was to review scientific studies of the practices of social insurance officers (SIOs) published in English, Danish, Norwegian and Swedish. Studies were searched for in literature databases, in reference lists, and through personal contacts. Analyses were made of type of study, areas investigated, research questions, theories used, and the results. Sixteen studies were included. SIOs and several other actors are responsible for applying measures to minimise sick-leave and promote return to work (RTW). The studies focusing on coordination of such measures revealed that SIOs felt unsure about how to handle their contacts with clients and other actors. One study indicated that the SIOs, partly due to lack of time, accepted the recommendations of physicians instead of making their own judgments about granting sickness benefits. While all SIOs must make decisions concerning entitlement to sickness benefits on a daily basis, few of the reviewed studies scrutinised the actual granting of sickness compensation. The studies were also deficient in that they investigated the decision latitude of the SIOs from a very limited perspective, mainly on an individual level and often primarily in relation to colleagues and/or clients rather than to the laws and regulations of the sickness insurance. The concepts and framework in this area of research need to be developed to facilitate elucidation of the interaction between different actors in local spheres, professionals in different disciplines, and between welfare staff and individual citizens.

    Nyckelord
    Client, Cooperation, Return to work, Sick-leave, Sickness benefit, Social insurance officer
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-45458 (URN)10.1111/j.1365-2524.2005.00551.x (DOI)
    Tillgänglig från: 2009-10-11 Skapad: 2009-10-11 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
    3. Sickness certificates as a basis for decisions regarding entitlement to sickness insurance benefits
    Öppna denna publikation i ny flik eller fönster >>Sickness certificates as a basis for decisions regarding entitlement to sickness insurance benefits
    2005 (Engelska)Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 33, nr 4, s. 314-320Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    BACKGROUND:

    The sickness certificate is a major instrument for establishing contact and conveying information between two authorities that have a substantial impact on the life situation and work situation of the patients, as well as on the economic costs of the society.

    AIM:

    A study was undertaken to assess the quality of physicians' sickness certificates as a basis for social insurance officers' decisions regarding entitlement to sickness benefits.

    METHOD:

    Information on all 2,449 sickness certificates for sick-leave periods exceeding 28 days' sick leave period received at the social insurance offices in one Swedish county during one week in 2002 was coded and analysed.

    RESULTS:

    Information provided in the certificates was often not sufficient to allow social insurance officers to determine eligibility for sickness benefits. Qualitative analyses of certificates from general practitioners (GPs) revealed that 21% contained ambiguous statements about the medical disorder, 30% were unclear regarding the assessment of functional capacity, and 22% required additional information on both those aspects. Sickness certificates issued by GPs and physicians under specialist training, as compared with other categories of physicians, more often provided essential data, for example concerning the patient's occupational tasks and type of employment.

    CONCLUSIONS:

    Physicians often fail to contribute required information concerning functional capacity and other important aspects when issuing sickness certificates. This limits the use of these documents as a basis for decisions regarding sickness insurance benefits. The practical consequences of incomplete certificates might be delayed payment of benefits and delayed initiation of return to work measures.

    Nyckelord
    Sick leave, Sickness benefit, Sickness certificate, Sickness insurances
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-50273 (URN)10.1080/14034940510005798 (DOI)
    Tillgänglig från: 2009-10-11 Skapad: 2009-10-11 Senast uppdaterad: 2017-12-12Bibliografiskt granskad
    4. Experiences of professionals participating in inter-organisational cooperation aimed at promoting clients' return to work
    Öppna denna publikation i ny flik eller fönster >>Experiences of professionals participating in inter-organisational cooperation aimed at promoting clients' return to work
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Background: Over the past decade, sickness absence has increased in Sweden and other Western European countries, with regard to both the number of people claiming sickness benefits and the length of the sick-leave spells. In Sweden, the activities initiated to promote RTW are performed in parallel by four different public organisations: the health services, the social services, the employment and the social insurance authorities. The present study focused on cooperation between professionals affiliated to the employment and social insurance authorities.

    Aim: To gain deeper understanding on the experiences of professionals involved in cooperative projects aimed at promoting RTW among unemployed sickness benefit recipients.

    Method: Qualitative analyses were performed of transcribed data from interviews of professionals participating in cooperative projects.

    Result: The analyses identified four impmtant areas of the experiences of such cooperation. First, the daily collaboration on the same cases enabled development of good relationships and cooperative competence, which improved the contact with clients. Second, the cooperative projects made it possible to include only clients perceived motivated for RTW measures. Third, the closer and more frequent interaction with clients proved to be constmctive in that it facilitated recognition and mobilisation of the strengths and abilities of the clients in the RTW process. Fotnih, the differences in rules and regulations between the social insurance and the unemployment insurance standards was often mentioned, and were perceived to induce problems, for example, on how to assess the work capacity of clients.

    Conclusion: The direct cooperation between the professionals from two different authorities was found to improve the application of RTW measures. The assessments of work capacity represent both important and complex tasks that professionals must perfonn without having access to either scientific knowledge or consensus agreement on which to base their decisions. Finally, it is important to gain further knowledge on how to create, develop, and maintain the 'cooperative competence' developed in the projects.

    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-81942 (URN)
    Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2012-09-26Bibliografiskt granskad
    5. Sickness absentees' experiences of positive encounters by healthcare and sickness insurance professionals: an interview study
    Öppna denna publikation i ny flik eller fönster >>Sickness absentees' experiences of positive encounters by healthcare and sickness insurance professionals: an interview study
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    We need more knowledge on factors that can promote retum to work (RTW) grounded on peoples' own views. One such factor of importance is the way absentees themselves experience their interactions with professionals. The purpose of the study was to identify and analyse sick-listed persons' experiences of positive encounters with professionals.

    An inductive and descriptive-qualitative approach was used to analyse transcripts from 11 semi-structured interviews with persons after or during long-term sickness absence. Being treated with respect, feeling supported, establishing a personal relationship, perceiving demands as well-balanced, and patiicipating in decisions regarding rehabilitation appeared as important qualities. Several interviewees believed that positive encounters might promote RTW.

    Further research is needed to elucidate the aspects of such interactions that enhance empowerment and self-confidence in persons on sick leave, in order to develop professional treatment strategies that facilitates for rehabilitation, and to favour collaborative work between and within group of professionals.

    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-81943 (URN)
    Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2015-06-02Bibliografiskt granskad
  • 13.
    Söderberg, Elsy
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Alexanderson, Kristina
    Department of Personal Injury Prevention, Karolinska Institutet, Stockholm, Sweden.
    Gatekeepers in sickness insurance: a systematic review of the literature on practices of social insurance officers2005Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 13, nr 3, s. 211-223Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Decisions concerning entitlement to sickness benefits have a substantial impact on the lives of individuals and on society. In most countries, such decisions are made by staff of private or public insurance organisations. The work performed by these professionals is debated, hence more knowledge is needed on this subject. The aim of the present study was to review scientific studies of the practices of social insurance officers (SIOs) published in English, Danish, Norwegian and Swedish. Studies were searched for in literature databases, in reference lists, and through personal contacts. Analyses were made of type of study, areas investigated, research questions, theories used, and the results. Sixteen studies were included. SIOs and several other actors are responsible for applying measures to minimise sick-leave and promote return to work (RTW). The studies focusing on coordination of such measures revealed that SIOs felt unsure about how to handle their contacts with clients and other actors. One study indicated that the SIOs, partly due to lack of time, accepted the recommendations of physicians instead of making their own judgments about granting sickness benefits. While all SIOs must make decisions concerning entitlement to sickness benefits on a daily basis, few of the reviewed studies scrutinised the actual granting of sickness compensation. The studies were also deficient in that they investigated the decision latitude of the SIOs from a very limited perspective, mainly on an individual level and often primarily in relation to colleagues and/or clients rather than to the laws and regulations of the sickness insurance. The concepts and framework in this area of research need to be developed to facilitate elucidation of the interaction between different actors in local spheres, professionals in different disciplines, and between welfare staff and individual citizens.

  • 14.
    Söderberg, Elsy
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Alexanderson, Kristina
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Sickness certificates as a basis for decisions regarding entitlement to sickness insurance benefits2005Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 33, nr 4, s. 314-320Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    The sickness certificate is a major instrument for establishing contact and conveying information between two authorities that have a substantial impact on the life situation and work situation of the patients, as well as on the economic costs of the society.

    AIM:

    A study was undertaken to assess the quality of physicians' sickness certificates as a basis for social insurance officers' decisions regarding entitlement to sickness benefits.

    METHOD:

    Information on all 2,449 sickness certificates for sick-leave periods exceeding 28 days' sick leave period received at the social insurance offices in one Swedish county during one week in 2002 was coded and analysed.

    RESULTS:

    Information provided in the certificates was often not sufficient to allow social insurance officers to determine eligibility for sickness benefits. Qualitative analyses of certificates from general practitioners (GPs) revealed that 21% contained ambiguous statements about the medical disorder, 30% were unclear regarding the assessment of functional capacity, and 22% required additional information on both those aspects. Sickness certificates issued by GPs and physicians under specialist training, as compared with other categories of physicians, more often provided essential data, for example concerning the patient's occupational tasks and type of employment.

    CONCLUSIONS:

    Physicians often fail to contribute required information concerning functional capacity and other important aspects when issuing sickness certificates. This limits the use of these documents as a basis for decisions regarding sickness insurance benefits. The practical consequences of incomplete certificates might be delayed payment of benefits and delayed initiation of return to work measures.

  • 15.
    Söderberg, Elsy
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Alexanderson, Kristina
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Sickness certification practices of physicians: a review of the literature2003Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 31, nr 6, s. 460-474Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: In most Western countries the responsibilities of physicians include assessing work ability and issuing certificates for sickness absence and disability pension. These tasks often have a substantial impact on the lives of patients and constitute a financial burden on employers, insurance companies, and communities.

    AIM: The aim was to review scientific studies on sickness certification practices of physicians published in English, Danish, Norwegian, or Swedish.

    METHOD: Analyses were carried out of studies searched for through literature databases, reference lists, and personal contacts.

    RESULTS: Twenty-six publications fulfilled the inclusion criteria. Most of these were published in the last decade. The studies focused on physicians, and occasionally on physicians and patients, but never on interaction between them. Data had generally been collected using questionnaires, some including case vignettes. There was a large variation in how long different physicians sickness-certified similar patients. Three comprehensive categories of studies were identified dealing with the following: (1). how physicians certify sickness; (2). factors that might affect the certification process; (i.e. elements related to the patient, to the physician, or to restrictions in insurance legislation); and (3). studies concerning attitudes. No studies were found that took into account the work conditions of the hospital or health-care organization in which the physician works.

    CONCLUSIONS: The research problems were seldom medical in nature but were instead carried out within the realm of behavioural science and should preferably be conducted using theories from behavioural, social, and public health scientific theories. Furthermore, factors such as gender, ethnicity, and power should be taken into consideration in studies on this complex phenomenon.

  • 16.
    Söderberg, Elsy
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Thomsson, Heléne
    Transferens AB.
    Att ta tillvara förmåga trots begränsning: - intervention med case management metodik2009Ingår i: Försäkringsmedicin: i gränssnittet mellan medicin och försäkring / [ed] Bo J A Haglund och Elsy Söderberg (temaredaktör), Stockholm: Socialmedicinsk tidskrift , 2009, 86, s. 548-555Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Detta temanummer syftar till att förmedla olika perspektiv på området försäkringsmedicin, visavi de förändringar som skett under de senaste åren i den svenska sjukförsäkringen och i administrationen av densamma. De förändringar som genomförts, såväl i lagstiftning som i praxis, engagerar många. Temanumret innehåller artiklar som är skriva av praktiker i myndigheter och forskare inom området.Försäkringsmedicinsk forskning omfattar studier av aspekter på olika strukturell nivå i samhället, som påverkar hur försäkringarna utnyttjas, konsekvenser av att de utnyttjas eller inte utnyttjas samt hur båda dessa faktorer och konsekvenserna kan påverkas. Förhoppningen är att temanumret kan inspirera till fortsatt dialog, till utveckling av vetenskaplig kunskap i försäkringsmedicin liksom av beprövad erfarenhet inom området.

  • 17.
    Söderberg, Elsy
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Vimarlund, Vivian
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Alexanderson, Kristina
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Experiences of professionals participating in inter-organisational cooperation aimed at promoting clients' return to workManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Background: Over the past decade, sickness absence has increased in Sweden and other Western European countries, with regard to both the number of people claiming sickness benefits and the length of the sick-leave spells. In Sweden, the activities initiated to promote RTW are performed in parallel by four different public organisations: the health services, the social services, the employment and the social insurance authorities. The present study focused on cooperation between professionals affiliated to the employment and social insurance authorities.

    Aim: To gain deeper understanding on the experiences of professionals involved in cooperative projects aimed at promoting RTW among unemployed sickness benefit recipients.

    Method: Qualitative analyses were performed of transcribed data from interviews of professionals participating in cooperative projects.

    Result: The analyses identified four impmtant areas of the experiences of such cooperation. First, the daily collaboration on the same cases enabled development of good relationships and cooperative competence, which improved the contact with clients. Second, the cooperative projects made it possible to include only clients perceived motivated for RTW measures. Third, the closer and more frequent interaction with clients proved to be constmctive in that it facilitated recognition and mobilisation of the strengths and abilities of the clients in the RTW process. Fotnih, the differences in rules and regulations between the social insurance and the unemployment insurance standards was often mentioned, and were perceived to induce problems, for example, on how to assess the work capacity of clients.

    Conclusion: The direct cooperation between the professionals from two different authorities was found to improve the application of RTW measures. The assessments of work capacity represent both important and complex tasks that professionals must perfonn without having access to either scientific knowledge or consensus agreement on which to base their decisions. Finally, it is important to gain further knowledge on how to create, develop, and maintain the 'cooperative competence' developed in the projects.

  • 18.
    Söderberg, Elsy
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Vimarlund, Vivian
    Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces. Linköpings universitet, Tekniska högskolan.
    Alexanderson, Kristina
    Karolinska Institute.
    Experiences of professionals participating in inter-organisational cooperation aimed at promoting clients return to work2010Ingår i: WORK-A JOURNAL OF PREVENTION ASSESSMENT and REHABILITATION, ISSN 1051-9815, Vol. 35, nr 2, s. 143-151Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In Sweden, the activities initiated to promote return to work (RTW) are performed in parallel by four different public organisations: the health services, the social services, the employment and the social insurance authorities. The aim was to gain deeper understanding on the experiences of professionals involved in cooperative projects aimed at promoting RTW among unemployed sickness benefit recipients. Qualitative analyses were performed of transcribed data from interviews of professionals participating in cooperative projects. First, the analysis identified that the daily collaboration on the same cases enabled development of good relationships and cooperative competence, which improved the contact with clients. Second, the cooperative projects made it possible to include only clients perceived motivated for RTW measures. Third, the closer and more frequent interaction with clients proved to be constructive in that it facilitated recognition and mobilisation of strengths and abilities. Fourth, the differences in rules and regulations between the social insurance and the unemployment insurance standards were often perceived to induce problems, for example, on how to assess the work capacity of clients. The assessments of work capacity represent important and complex tasks that professionals must perform without having access to either scientific knowledge or consensus agreement on which to base their decisions.

  • 19.
    Vimarlund, Vivian
    et al.
    Linköpings universitet, Institutionen för datavetenskap, EISLAB - Economic Information Systems. Linköpings universitet, Tekniska högskolan.
    Söderberg, Elsy
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Alexanderson, Kristina
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Stöd för uppföljning av kontakter mellan handläggare på Försäkringskassan och läkare på vårdcentral i sjukskrivningsårenden2002Övrigt (Övrigt vetenskapligt)
1 - 19 av 19
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf