Effectiveness of integration and re-integration into work strategies for persons with chronic conditions: A systematic review of European strategies

Carla Sabariego, Michaela Coenen, Elizabeth Ito, Klemens Fheodoroff, Chiara Scaratti, Matilde Leonardi, Anastasia Vlachou, Panayiota Stavroussi, Valentina Brecelj, Dare S. Kovačič, Eva Esteban

Research output: Contribution to journalReview article

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.

Original languageEnglish
Article number552
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number3
DOIs
Publication statusPublished - Mar 19 2018

Keywords

  • Chronic disease
  • Disability
  • Effectiveness
  • Employment
  • Europe
  • Musculoskeletal diseases
  • Return to work
  • Review
  • Sick leave

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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