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Macro-organizational factors, the incidence of work disability, and work ability among the total workforce of home care workers in Sweden.

Artikel i vetenskaplig tidskrift
Författare Lotta Dellve
Catarina Karlberg
Peter Allebeck
Birgitta Herloff
Mats Hagberg
Publicerad i Scandinavian journal of public health
Volym 34
Nummer/häfte 1
Sidor 17-25
ISSN 1403-4948
Publiceringsår 2006
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Sidor 17-25
Språk en
Länkar dx.doi.org/10.1080/1403494051003219...
Ämnesord Adult, Cohort Studies, Disability Evaluation, Female, Home Care Services, organization & administration, Home Health Aides, Humans, Incidence, Male, Occupational Diseases, epidemiology, etiology, rehabilitation, Organizational Culture, Rehabilitation, Vocational, Retirement, statistics & numerical data, Sick Leave, statistics & numerical data, Social Environment, Social Security, statistics & numerical data, Socioeconomic Factors, Sweden, epidemiology, Work Capacity Evaluation
Ämneskategorier Medicin och Hälsovetenskap

Sammanfattning

AIMS: To investigate the importance of macro-organizational factors, i.e. organizational sociodemographic and socioeconomic preconditions, of the municipal incidence of long-term sick leave, disability pension, and prevalence of workers with long-term work ability among home care workers. METHODS: In an ecological study design, data from national databases were combined by record linkage. Descriptive and analytical statistics were used to estimate and interpret macro-organizational factors (economic resources, region, unemployment, employment, occupational rehabilitation, return to work, age structures of inhabitants and home care workers). RESULTS: The incidence of long-term sick leave among female home care workers was twice as high as that of male home care workers, and incidence of disability pension was about four times as high for the women. A great variation in municipal incidence of long-term sick leave, disability pension, and long-term work ability (101-264, 0.6-19.6, and 913-1,279 per 1,000 full-time equivalent workers and year) was also found. The strongest single factor for long-term work ability was a high proportion of part-time or hourly paid employees, which explained 35% of the municipal variation. Macro-organizational factors explained long-term work ability (47-62% explained variance) better than long-term sick leave (33% explained variance). There was a low rehabilitation activity; only 2% received occupational rehabilitation and 5% of those on sick leave longer than 2 weeks returned to work within 30 days. CONCLUSIONS: The differences in the municipal proportion of work ability incidence indicate a preventive potential, especially related to employment and return to work after sick leave.

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