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Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies

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Listed:
  • Carla Sabariego

    (Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany)

  • Michaela Coenen

    (Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany)

  • Elizabeth Ito

    (Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany)

  • Klemens Fheodoroff

    (Neurorehabilitation KABEG-Gailtal-Klinik, 9620 Hermagor, Austria)

  • Chiara Scaratti

    (Neurology, Public Health and Disability Unit; Neurological Institute C. Besta IRCCS Foundation, 20133 Milan, Italy)

  • Matilde Leonardi

    (Neurology, Public Health and Disability Unit; Neurological Institute C. Besta IRCCS Foundation, 20133 Milan, Italy)

  • Anastasia Vlachou

    (Department of Special Education, University of Thessaly, 38221 Volos, Greece)

  • Panayiota Stavroussi

    (Department of Special Education, University of Thessaly, 38221 Volos, Greece)

  • Valentina Brecelj

    (Development Centre for Vocational Rehabilitation, University Rehabilitation Institute Republic of Slovenia, 1000 Ljubljana, Slovenia)

  • Dare S. Kovačič

    (Development Centre for Vocational Rehabilitation, University Rehabilitation Institute Republic of Slovenia, 1000 Ljubljana, Slovenia)

  • Eva Esteban

    (Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany)

Abstract

Due to low employment rates associated to chronic conditions in Europe, it is essential to foster effective integration and re-integration into work strategies. The objective of this systematic review is to summarize the evidence on the effectiveness of strategies for integration and re-integration to work for persons with chronic diseases or with musculoskeletal disorders, implemented in Europe in the past five years. A systematic search was conducted in MedLine, PsycINFO, CDR-HTA, CDR-DARE and Cochrane Systematic Reviews. Overall, 32 relevant publications were identified. Of these, 21 were considered eligible after a methodological assessment and included. Positive changes in employment status, return to work and sick leave outcomes were achieved with graded sickness-absence certificates, part-time sick leave, early ergonomic interventions for back pain, disability evaluation followed by information and advice, and with multidisciplinary, coordinated and tailored return to work interventions. Additionally, a positive association between the co-existence of active labour market policies to promote employment and passive support measures (e.g., pensions or benefits) and the probability of finding a job was observed. Research on the evaluation of the effectiveness of strategies targeting integration and re-integration into work for persons with chronic health conditions needs, however, to be improved and strengthened.

Suggested Citation

  • Carla Sabariego & Michaela Coenen & Elizabeth Ito & Klemens Fheodoroff & Chiara Scaratti & Matilde Leonardi & Anastasia Vlachou & Panayiota Stavroussi & Valentina Brecelj & Dare S. Kovačič & Eva Esteb, 2018. "Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies," IJERPH, MDPI, vol. 15(3), pages 1-34, March.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:552-:d:137006
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    References listed on IDEAS

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    1. Høgelund, Jan & Holm, Anders & McIntosh, James, 2010. "Does graded return-to-work improve sick-listed workers' chance of returning to regular working hours?," Journal of Health Economics, Elsevier, vol. 29(1), pages 158-169, January.
    2. Chiara Scaratti & Matilde Leonardi & Fabiola Silvaggi & Carolina C. Ávila & Amalia Muñoz-Murillo & Panayiota Stavroussi & Olga Roka & Helena Burger & Klemens Fheodoroff & Beata Tobiasz-Adamczyk & Carl, 2018. "Mapping European Welfare Models: State of the Art of Strategies for Professional Integration and Reintegration of Persons with Chronic Diseases," IJERPH, MDPI, vol. 15(4), pages 1-20, April.
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    4. Anastasia Vlachou & Panayiota Stavroussi & Olga Roka & Evdokia Vasilou & Dimitra Papadimitriou & Chiara Scaratti & Asel Kadyrbaeva & Klemens Fheodoroff & Valentina Brecelj & Olga Svestkova & Beata Tob, 2018. "Policy Guidelines for Effective Inclusion and Reintegration of People with Chronic Diseases in the Workplace: National and European Perspectives," IJERPH, MDPI, vol. 15(3), pages 1-19, March.
    5. Eva Esteban & Michaela Coenen & Elizabeth Ito & Sonja Gruber & Chiara Scaratti & Matilde Leonardi & Olga Roka & Evdokia Vasilou & Amalia Muñoz-Murillo & Carolina C. Ávila & Dare S. Kovačič & Ivana Iva, 2018. "Views and Experiences of Persons with Chronic Diseases about Strategies that Aim to Integrate and Re-Integrate Them into Work: A Systematic Review of Qualitative Studies," IJERPH, MDPI, vol. 15(5), pages 1-28, May.
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    8. Nicole Foitzek & Carolina C. Ávila & Ivana Ivandic & Črtomir Bitenc & Maria Cabello & Sonja Gruber & Matilde Leonardi & Amalia Muñoz-Murillo & Chiara Scaratti & Beata Tobiasz-Adamczyk & Anastasia Vlac, 2018. "What Persons with Chronic Health Conditions Need to Maintain or Return to Work—Results of an Online-Survey in Seven European Countries," IJERPH, MDPI, vol. 15(4), pages 1-17, March.
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    1. Chiara Scaratti & Matilde Leonardi & Fabiola Silvaggi & Carolina C. Ávila & Amalia Muñoz-Murillo & Panayiota Stavroussi & Olga Roka & Helena Burger & Klemens Fheodoroff & Beata Tobiasz-Adamczyk & Carl, 2018. "Mapping European Welfare Models: State of the Art of Strategies for Professional Integration and Reintegration of Persons with Chronic Diseases," IJERPH, MDPI, vol. 15(4), pages 1-20, April.
    2. Eva Esteban & Michaela Coenen & Elizabeth Ito & Sonja Gruber & Chiara Scaratti & Matilde Leonardi & Olga Roka & Evdokia Vasilou & Amalia Muñoz-Murillo & Carolina C. Ávila & Dare S. Kovačič & Ivana Iva, 2018. "Views and Experiences of Persons with Chronic Diseases about Strategies that Aim to Integrate and Re-Integrate Them into Work: A Systematic Review of Qualitative Studies," IJERPH, MDPI, vol. 15(5), pages 1-28, May.
    3. Li Huang & Xue Zhang & Mi Zhou & Brendan Nuse & Liuyin Tong, 2019. "Depressive Symptoms and Migrant Worker Wages: Estimation Based on a Nationally-Representative Panel Dataset," IJERPH, MDPI, vol. 16(6), pages 1-13, March.
    4. Fabiola Silvaggi & Matilde Leonardi & Erika Guastafierro & Rui Quintas & Claudia Toppo & Jerome Foucaud & Kristopher Lamore & Ulrike Rothe & Chiara Scaratti, 2019. "Chronic Diseases & Employment: An Overview of Existing Training Tools for Employers," IJERPH, MDPI, vol. 16(5), pages 1-13, February.
    5. Soja Nazarov & Ulf Manuwald & Matilde Leonardi & Fabiola Silvaggi & Jérôme Foucaud & Kristopher Lamore & Erika Guastafierro & Chiara Scaratti & Jaana Lindström & Ulrike Rothe, 2019. "Chronic Diseases and Employment: Which Interventions Support the Maintenance of Work and Return to Work among Workers with Chronic Illnesses? A Systematic Review," IJERPH, MDPI, vol. 16(10), pages 1-14, May.
    6. Amalia Muñoz-Murillo & Eva Esteban & Carolina C. Ávila & Klemens Fheodoroff & Josep Maria Haro & Matilde Leonardi & Beatriz Olaya, 2018. "Furthering the Evidence of the Effectiveness of Employment Strategies for People with Mental Disorders in Europe: A Systematic Review," IJERPH, MDPI, vol. 15(5), pages 1-19, April.
    7. Matilde Leonardi & Chiara Scaratti, 2018. "Employment and People with Non Communicable Chronic Diseases: PATHWAYS Recommendations and Suggested Actions for Implementing an Inclusive Labour Market for All and Health in All Sectors," IJERPH, MDPI, vol. 15(8), pages 1-6, August.
    8. Fabiola Silvaggi & Michela Eigenmann & Chiara Scaratti & Erika Guastafierro & Claudia Toppo & Jaana Lindstrom & Eeva Rantala & Iñaki Imaz-Iglesia & Andrew Barnfield & Alison Maassen & Matilde Leonardi, 2020. "Employment and Chronic Diseases: Suggested Actions for The Implementation of Inclusive Policies for The Participation of People with Chronic Diseases in the Labour Market," IJERPH, MDPI, vol. 17(3), pages 1-9, January.
    9. José-María Figueredo & Cristina García-Ael & Andrea Gragnano & Gabriela Topa, 2020. "Well-Being at Work after Return to Work (RTW): A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-27, October.

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