title: Associations between socio-demographic factors, encounters with healthcare professionals and perceived ability to return to work in people sick-listed due to heart failure in Sweden: a cross-sectional study.
abstract: OBJECTIVE
  The aim of this study was to investigate associations between socio-demographic factors, experiences of positive/negative encounters with healthcare professionals, and the encounters' impact on the ability to return to work in a population of people on sick leave due to heart failure.
  
  
  METHODS
  This was a cross-sectional study. Data were collected from two official registries in Sweden and from a postal questionnaire. In all, 590 people with heart failure responded to the questionnaire. Associations between variables were calculated with bivariate correlation analyses and logistic regression analyses.
  
  
  RESULTS
  For people on sick leave due to heart failure, positive encounters with healthcare professionals are associated with being Swedish-born, female gender, and high income. People with high income are more likely to be supported back to work by positive encounters with healthcare professionals. To perceive that healthcare professionals believe in person's ability to return to work can be facilitating.
  
  
  CONCLUSIONS
  Women, people who are not foreign-born, and people with high income are more likely to perceive encounters with healthcare professionals as positive. Healthcare professionals who work with rehabilitation for people with heart failure need to be aware of social inequalities and that being on sick leave is a process of change.
  
  
  CONCLUSIONS
  A failing heart limits everyday life implying risk for long-term sick leave. Even though there are rehabilitation programs for people with heart failure, vocational rehabilitation is often over-looked. The knowledge about factors associated with sick leave due to heart failure is scarce. Experiences of positive encounters with healthcare professionals were associated with being Swedish-born, female gender, and high income. People with high income were more likely to be supported back to work by positive encounters with healthcare professionals. Healthcare professionals who work with rehabilitation for people with heart failure can support patients with heart failure by showing them confidence and trust. However, they need to be aware that sick leave implies a process of change.
authors.affiliation: a School of Health, Care and Social Welfare, Mälardalen University , Eskilstuna/Västerås , Sweden .|b Centre for Clinical Research Sörmland/Uppsala University , Uppsala , Sweden , and.|c Department of Public Health and Caring Sciences , Uppsala University , Uppsala , Sweden.
authors.forename: Lena
authors.initials: L
authors.lastname: Nordgren
authors.affiliation: a School of Health, Care and Social Welfare, Mälardalen University , Eskilstuna/Västerås , Sweden .
authors.forename: Anne
authors.initials: A
authors.lastname: Söderlund
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006282:Health Personnel; D006333:Heart Failure / Q000534:rehabilitation*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011369:Professional-Patient Relations; D012050:Rehabilitation, Vocational; D062707:Return to Work / Q000706:statistics & numerical data*; D012649:Self Concept; D018582:Sick Leave; D011795:Surveys and Questionnaires; D013548:Sweden; D055815:Young Adult
keywords: Adults; heart diseases; return to work; sick leave