Implementation of the Danish return-to-work program: process evaluation of a trial in 21 Danish municipalities
| Autor: | Linnea Ferm, Torill Tverborgvik, Reiner Rugulies, Glen Winzor, Malene Friis Andersen, Gry Grundtvig, Palle Örbaek, Irene Andersen, Otto Melchior Poulsen, Trine Helverskov, Martin Ohmann Claudio Jelle, Birgit Aust, Helle L. Buchardt, Jørgen V Hansen, Maj Britt D. Nielsen, Ute Bültmann, Trine L. Lund, Jakob B. Bjorner |
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| Přispěvatelé: | Public Health Research (PHR) |
| Rok vydání: | 2015 |
| Předmět: |
Program evaluation
REHABILITATION disability management Urban Population DISORDERS media_common.quotation_subject Denmark TEAMWORK Psychological intervention Fidelity RTW Work Capacity Evaluation Context (language use) SICKNESS ABSENCE complex intervention Danish Return to Work return-to-work program Medicine Humans implementation intervention Occupational Health media_common Teamwork Medical education interdisciplinary team evaluation business.industry return-to-work GUIDANCE coordinated approach DISABILITY Public Health Environmental and Occupational Health language.human_language fidelity BACK-PAIN Management system Sick leave language EXPERIENCE EMPLOYEES Public aspects of medicine RA1-1270 Sick Leave business cooperation with workplace INTERVENTIONS Program Evaluation |
| Zdroj: | Scandinavian Journal of Work, Environment & Health, Vol 41, Iss 6, Pp 529-541 (2015) Scandinavian Journal of Work, Environment & Health, 41(6), 529-541. SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH |
| ISSN: | 1795-990X 0355-3140 |
| Popis: | Objectives The aim of this study was to evaluate the implementation of the Danish national return-to-work (RTW) program in 21 Danish municipalities.Methods We conducted a structured process evaluation on (i) reach and recruitment, (ii) fidelity, (iii) dose-delivered, (iv) dose-received, and (v) context by formulating 29 implementation criteria and analyzing qualitative and quantitative data from administrative records, interviews, field notes, and questionnaires.Results All municipalities integrated the basic features of the RTW program into the existing framework of the sickness benefit management system to an acceptable degree, ie, establishment of RTW teams, participation of RTW team members in the training courses, and following the general procedures of the program. However, the level of implementation varied considerably between the municipalities, particularly with respect to fidelity (defined as implementation consistent with the principles of the interdisciplinary RTW process). Five municipalities had high and eight had low fidelity scores. Similar large differences were found with regard to dose-delivered, particularly in the quality of cooperation with beneficiaries, employers, and general practitioners. Only 50% of the first consultations with the RTW coordinator were conducted in time. Among participants who were employed when their sickness absence period started, only 9% had at least one meeting with their workplace.Conclusion It was feasible to implement the basic features of the Danish RTW program, however, large variations existed between municipalities. Establishment of well-functioning interdisciplinary RTW teams might require more time and resources, while ensuring early assessment and more frequent cooperation with employers might need more general adjustments in the Danish sickness benefit system. |
| Databáze: | OpenAIRE |
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