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Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent
OBJECTIVES: Work disability management is a problem globally. This study was designed to find out whether the initiation, process and outcome of health check-ups (HCUs) follow the national legislation and whether supervisors and occupational healthcare (OHC) units act according to the legislation-ba...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985728/ https://www.ncbi.nlm.nih.gov/pubmed/36697227 http://dx.doi.org/10.1136/oemed-2022-108613 |
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author | Kuronen, Jarmo Winell, Klas Kopra, Juho Räsänen, Kimmo |
author_facet | Kuronen, Jarmo Winell, Klas Kopra, Juho Räsänen, Kimmo |
author_sort | Kuronen, Jarmo |
collection | PubMed |
description | OBJECTIVES: Work disability management is a problem globally. This study was designed to find out whether the initiation, process and outcome of health check-ups (HCUs) follow the national legislation and whether supervisors and occupational healthcare (OHC) units act according to the legislation-based recommendations. METHODS: Data of 1092 employees with reduced work ability were collected during 2013–2018 in 15 OHC units across Finland. Nine reasons for HCUs, eight process activities and three recommendations were analysed. Cross-tabulation and multinomial logistic regression analysis were used in the analyses. RESULTS: Employees themselves initiated an HCU for early support more often (OR with 95% CI 2.37; 1.04 to 5.40) compared with supervisors. Personnel in OHC units initiated an HCU in musculoskeletal disorders more often (OR 1.58; 95% CI 1.05 to 2.37) and in mental disorders less often (OR 0.52; 95% CI 0.35 to 0.76) compared with supervisors. These findings were reflected in the recommendations after the HCU, where rehabilitation was recommended for employees with musculoskeletal disorders more often than for employees with mental disorders (ORs 5.48; 95% CI 1.91 to 15.67 and 1.59; 95% CI 0.74 to 3.43, respectively). CONCLUSION: Supervisors and OHC units followed the recommendations for management of work disability to a great extent. Employees were active in looking for help early when they had problems with work ability. This positive finding should be promoted even more. OHC units did not initiate HCUs or recommend rehabilitation in mental disorders as actively as they did in musculoskeletal disorders. Support of employees with mental disorders should be improved and studied more. Registration of the study The study protocol was approved and registered on 22 September 2017 by the Doctoral Program of Health Sciences, Faculty of Medicine, University of Eastern Finland, registration no. 189067. |
format | Online Article Text |
id | pubmed-9985728 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-99857282023-03-06 Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent Kuronen, Jarmo Winell, Klas Kopra, Juho Räsänen, Kimmo Occup Environ Med Practice OBJECTIVES: Work disability management is a problem globally. This study was designed to find out whether the initiation, process and outcome of health check-ups (HCUs) follow the national legislation and whether supervisors and occupational healthcare (OHC) units act according to the legislation-based recommendations. METHODS: Data of 1092 employees with reduced work ability were collected during 2013–2018 in 15 OHC units across Finland. Nine reasons for HCUs, eight process activities and three recommendations were analysed. Cross-tabulation and multinomial logistic regression analysis were used in the analyses. RESULTS: Employees themselves initiated an HCU for early support more often (OR with 95% CI 2.37; 1.04 to 5.40) compared with supervisors. Personnel in OHC units initiated an HCU in musculoskeletal disorders more often (OR 1.58; 95% CI 1.05 to 2.37) and in mental disorders less often (OR 0.52; 95% CI 0.35 to 0.76) compared with supervisors. These findings were reflected in the recommendations after the HCU, where rehabilitation was recommended for employees with musculoskeletal disorders more often than for employees with mental disorders (ORs 5.48; 95% CI 1.91 to 15.67 and 1.59; 95% CI 0.74 to 3.43, respectively). CONCLUSION: Supervisors and OHC units followed the recommendations for management of work disability to a great extent. Employees were active in looking for help early when they had problems with work ability. This positive finding should be promoted even more. OHC units did not initiate HCUs or recommend rehabilitation in mental disorders as actively as they did in musculoskeletal disorders. Support of employees with mental disorders should be improved and studied more. Registration of the study The study protocol was approved and registered on 22 September 2017 by the Doctoral Program of Health Sciences, Faculty of Medicine, University of Eastern Finland, registration no. 189067. BMJ Publishing Group 2023-03 2023-01-25 /pmc/articles/PMC9985728/ /pubmed/36697227 http://dx.doi.org/10.1136/oemed-2022-108613 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Practice Kuronen, Jarmo Winell, Klas Kopra, Juho Räsänen, Kimmo Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
title | Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
title_full | Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
title_fullStr | Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
title_full_unstemmed | Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
title_short | Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
title_sort | health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985728/ https://www.ncbi.nlm.nih.gov/pubmed/36697227 http://dx.doi.org/10.1136/oemed-2022-108613 |
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