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Disability, sickness, and unemployment benefits among long-term sickness absentees five years before, during, and after a multidisciplinary medical assessment.

Gustafsson K, Lundh G, Svedberg P, Linder J, Alexanderson K, Marklund S - J Multidiscip Healthc (2011)

Bottom Line: After the assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days.The study shows that after a multidisciplinary medical assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits.The results indicate that for a large number of persons, a Social Insurance Office referral to an assessment does not improve their chances of returning to work, but rather seems to justify disability pension.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden;

ABSTRACT

Aim: The aim was to describe how a multidisciplinary medical assessment changed the distribution of long-term sickness absentees between three different forms of social security support during a period of eleven years.

Methods: The study group (n = 1002) consisted of persons on long-term sickness absence who were referred to a multidisciplinary medical assessment by the Social Insurance Office in Stockholm, Sweden between 1998 and 2007. Register data from the years 1993-2008 were linked to the study group. A calculation was provided for the number of days per person and year on unemployment benefits, sickness benefits, and disability pension, five years before, during, and five years after the assessment. Also, differences in the average number of days per person and year were calculated with one-way analysis of variance.

Results: The number of days on sickness benefits increased up to the time of multidisciplinary medical assessment, from 69 to 218 days on average. After the assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days. Before the assessment the number of days on disability pension was 21, but this increased after the assessment from 104 days to an average of 272 days five years after the assessment. There were age differences regarding number of compensated days, and these were particularly pronounced for disability days after the assessment. Further, there were significant differences between types of diagnosis in relation to average days on disability pension after the assessment.

Conclusion: The study shows that after a multidisciplinary medical assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits. The results indicate that for a large number of persons, a Social Insurance Office referral to an assessment does not improve their chances of returning to work, but rather seems to justify disability pension.

No MeSH data available.


Related in: MedlinePlus

Number of benefit days based on the average value per person and year on unemployment benefit, sickness benefit, disability pension, 5 to 1 years before multidisciplinary medical assessment (MMA) (t-5 to t-1), and after MMA (t1 to t5) for individuals diagnosed in the period 1998–2007.
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f2-jmdh-4-025: Number of benefit days based on the average value per person and year on unemployment benefit, sickness benefit, disability pension, 5 to 1 years before multidisciplinary medical assessment (MMA) (t-5 to t-1), and after MMA (t1 to t5) for individuals diagnosed in the period 1998–2007.

Mentions: Figure 2 shows the results of a cumulative description of how the average number of days on different kinds of social security benefits had developed during the period of eleven years. Five years before the MMA, about 208 days in a year were not compensated through SA, DP, or unemployment benefits. Five years after the MMA, the group had on average only 64 days without compensation. The average number of days on unemployment benefits decreased from 66 to 16 days per person and year until the time of the MAA, but after the MMA there was no change. The number of days on sickness benefits increased until the time of MMA from 69 to 218 days on average. After the MMA there was a rapid decrease in the number of days on sickness benefits, from 218 to 16 days on average. Before the MMA, the average number of days on DP was 21. Only one individual had a permanent DP before the MMA, but a few individuals had different forms of temporary DP. The average number of days on DP increased gradually after the MMA, from an average of 104 days in the first year, to an average of 272 days five years after the MMA. There is a general shift from high numbers of days on sickness compensation in the years before the MMA, to high numbers of days on DP after the MMA. Five years after the MMA, about 20% had returned to work. Fewer elderly persons, persons not born in Sweden, and persons with both somatic and psychiatric diagnoses returned to work compared to other groups.


Disability, sickness, and unemployment benefits among long-term sickness absentees five years before, during, and after a multidisciplinary medical assessment.

Gustafsson K, Lundh G, Svedberg P, Linder J, Alexanderson K, Marklund S - J Multidiscip Healthc (2011)

Number of benefit days based on the average value per person and year on unemployment benefit, sickness benefit, disability pension, 5 to 1 years before multidisciplinary medical assessment (MMA) (t-5 to t-1), and after MMA (t1 to t5) for individuals diagnosed in the period 1998–2007.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3065563&req=5

f2-jmdh-4-025: Number of benefit days based on the average value per person and year on unemployment benefit, sickness benefit, disability pension, 5 to 1 years before multidisciplinary medical assessment (MMA) (t-5 to t-1), and after MMA (t1 to t5) for individuals diagnosed in the period 1998–2007.
Mentions: Figure 2 shows the results of a cumulative description of how the average number of days on different kinds of social security benefits had developed during the period of eleven years. Five years before the MMA, about 208 days in a year were not compensated through SA, DP, or unemployment benefits. Five years after the MMA, the group had on average only 64 days without compensation. The average number of days on unemployment benefits decreased from 66 to 16 days per person and year until the time of the MAA, but after the MMA there was no change. The number of days on sickness benefits increased until the time of MMA from 69 to 218 days on average. After the MMA there was a rapid decrease in the number of days on sickness benefits, from 218 to 16 days on average. Before the MMA, the average number of days on DP was 21. Only one individual had a permanent DP before the MMA, but a few individuals had different forms of temporary DP. The average number of days on DP increased gradually after the MMA, from an average of 104 days in the first year, to an average of 272 days five years after the MMA. There is a general shift from high numbers of days on sickness compensation in the years before the MMA, to high numbers of days on DP after the MMA. Five years after the MMA, about 20% had returned to work. Fewer elderly persons, persons not born in Sweden, and persons with both somatic and psychiatric diagnoses returned to work compared to other groups.

Bottom Line: After the assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days.The study shows that after a multidisciplinary medical assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits.The results indicate that for a large number of persons, a Social Insurance Office referral to an assessment does not improve their chances of returning to work, but rather seems to justify disability pension.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden;

ABSTRACT

Aim: The aim was to describe how a multidisciplinary medical assessment changed the distribution of long-term sickness absentees between three different forms of social security support during a period of eleven years.

Methods: The study group (n = 1002) consisted of persons on long-term sickness absence who were referred to a multidisciplinary medical assessment by the Social Insurance Office in Stockholm, Sweden between 1998 and 2007. Register data from the years 1993-2008 were linked to the study group. A calculation was provided for the number of days per person and year on unemployment benefits, sickness benefits, and disability pension, five years before, during, and five years after the assessment. Also, differences in the average number of days per person and year were calculated with one-way analysis of variance.

Results: The number of days on sickness benefits increased up to the time of multidisciplinary medical assessment, from 69 to 218 days on average. After the assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days. Before the assessment the number of days on disability pension was 21, but this increased after the assessment from 104 days to an average of 272 days five years after the assessment. There were age differences regarding number of compensated days, and these were particularly pronounced for disability days after the assessment. Further, there were significant differences between types of diagnosis in relation to average days on disability pension after the assessment.

Conclusion: The study shows that after a multidisciplinary medical assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits. The results indicate that for a large number of persons, a Social Insurance Office referral to an assessment does not improve their chances of returning to work, but rather seems to justify disability pension.

No MeSH data available.


Related in: MedlinePlus