Sickness absence in musculoskeletal disorders : patients' experiences of interactions with the Social Insurance Agency and health care. A qualitative study
| Autor: | Jenny Hubertsson, Carina A Thorstensson, Ingemar F Petersson, Barbro Arvidsson |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Social Security Interviews as Topic Patient satisfaction Musculoskeletal disorder Nursing Health care Agency (sociology) Absenteeism Övrig annan medicin och hälsovetenskap Medicine Humans Musculoskeletal Diseases Sweden business.industry lcsh:Public aspects of medicine Public health Public Health Environmental and Occupational Health Public Health Global Health Social Medicine and Epidemiology lcsh:RA1-1270 Middle Aged medicine.disease Other Medical Sciences not elsewhere specified Patient Satisfaction Sick leave Female business Delivery of Health Care Research Article Qualitative research |
| Zdroj: | BMC Public Health, Vol 11, Iss 1, p 107 (2011) BMC Public Health BMC Public Health; 11 (2011) |
| ISSN: | 1471-2458 |
| Popis: | Background Sickness absence has represented a growing public health problem in many Western countries over the last decade. In Sweden disorders of the musculoskeletal system cause approximately one third of all sick leave. The Social Insurance Agency (SIA) and the health care system are important actors in handling the sickness absence process. The objective was to study how patients with personal experience of sickness absence due to musculoskeletal disorders perceived their contact with these actors and what they considered as obstructing or facilitating factors for recovery and return to work in this situation. Methods In-depth interviews using open-ended questions were conducted with fifteen informants (aged 33-63, 11 women), all with experience of sickness absence due to musculoskeletal disorders and purposefully recruited to represent various backgrounds as regards diagnosis, length of sick leave and return to work. The interviews were audio-recorded, transcribed verbatim and analysed using content analysis. Results The informants' perceived the interaction with the SIA and health care as ranging from coherent to fragmented. Being on sick leave was described as going through a process of adjustment in both private and working life. This process of adjustment was interactive and included not only the possibilities to adjust work demands and living conditions but also personal and emotional adjustment. The informants' experiences of fragmented interaction reflected a sense that their entire situation was not being taken into account. Coherent interaction was described as facilitating recovery and return to work, while fragmented interaction was described as obstructing this. The complex division of responsibilities within the Swedish rehabilitation system may hamper sickness absentees' possibilities of taking responsibility for their own rehabilitation. Conclusions This study shows that people on sick leave considered the interaction with the SIA and health care as an important part of the rehabilitation process. The contact with these actors was perceived as affecting recovery and return to work. Working for a more coherent process of rehabilitation and offering professional guidance to patients on sick leave might have an empowering effect. Sickness absence in musculoskeletal disorders - patients' experiences of interactions with the Social Insurance Agency and health care. A qualitative study © 2011 Hubertsson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Databáze: | OpenAIRE |
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