Locking-In Effects Due to Early Interventions?: An Evaluation of a Multidisciplinary Screening Programs for Avoiding Long-Term Sickness
2012 (English)In: Evaluation review, ISSN 0193-841X, E-ISSN 1552-3926, Vol. 36, no 5, 323-345 p.Article in journal (Refereed) Published
Objective: In this article, we estimate the effect of a multidisciplinary collaborationprogram on the length of sickness absence. The intention with the program was to avoid long-term sickness absence by providing an early and holistic evaluation of the sick-listed individuals' conditions. The target group was individuals who were at risk of becoming long-term sick. The eligibility criteria were mainly based on register information that we have access to. Methods: Using this register information, we estimate different Cox regression models and apply a nonparametric matching estimator. We have also conducted a small randomized experiment. Results: The result from the randomized experiment is not statistically significant, but the point estimate provides the same result as was found in the observational study: The program prolongs rather than shortens the sickness absence spell. That is, the average sickness absence spell is prolonged by about 3 months. Conclusions: Our main explanation for this discouraging result is that the team focuses too much on rehabilitation rather than encouraging the sick-listed individual to return to work.
Place, publisher, year, edition, pages
2012. Vol. 36, no 5, 323-345 p.
physiotherapist, psychology, diagnosis, rehabilitation, Cox proportional hazard models, stratified Cox regression
IdentifiersURN: urn:nbn:se:uu:diva-200837DOI: 10.1177/0193841X12466663ISI: 000318351000001OAI: oai:DiVA.org:uu-200837DiVA: diva2:625071