title: Effects on work resumption of a co-operation project in vocational rehabilitation. Systematic, multi-professional, client-centred and solution-oriented co-operation.
abstract: OBJECTIVE
  The present aim was to evaluate the effect of systematic multi-professional co-ordinated rehabilitation (the Stockholm Co-operation Project) on the number of days' sick leave during the first and second half-years after the rehabilitation co-ordination period, compared to the year before. Another aim was to evaluate the economic effects at national level.
  
  
  METHODS
  A matched-pairs design was used. The study group was based on 64 rehabilitees employed by a public employer in Stockholm, who took part in a systematic multi-professional co-operation project. To obtain pairs, the 64 individuals were individually matched with 64 people who received conventionally organised rehabilitation. Thus, there were 128 subjects altogether.
  
  
  RESULTS
  The study group had substantially less sick leave days per month than the comparison group during the second half-year after the rehabilitation co-ordination period. The effect was even greater in a subgroup with more previous sick leave. During the first half-year after the intervention the comparison group had relatively more sick leave. No effect was found for a subgroup with less previous sick leave. The economic benefit of the intervention was estimated to 1,278 euros per month and person based on the whole group, and to 2,405 euros per month and person based on those with more sick leave.
  
  
  CONCLUSIONS
  People who undergo co-ordinated rehabilitation have more working days after the intervention period than those with conventional rehabilitation. This way for rehabilitation actors to co-operate gives better outcomes for rehabilitation cases with long previous sick leave, but not for cases with less previous sick leave. It also generates economic gains at several levels.
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. Jenny.Karrholm@ki.se
authors.forename: Jenny
authors.initials: J
authors.lastname: Kärrholm
authors.forename: Karolina
authors.initials: K
authors.lastname: Ekholm
authors.forename: Björn
authors.initials: B
authors.lastname: Jakobsson
authors.forename: Jan
authors.initials: J
authors.lastname: Ekholm
authors.forename: Alf
authors.initials: A
authors.lastname: Bergroth
authors.forename: Kristina
authors.initials: K
authors.lastname: Schüldt
mesh_terms: D016022:Case-Control Studies; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012050:Rehabilitation, Vocational / Q000191:economics; D012648:Self Care; D018582:Sick Leave / Q000191:economics* / Q000706:statistics & numerical data*; D013548:Sweden