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Work adjustments among the chronically ill.

A N Baanders1, F Andries, P M Rijken

  • 1Netherlands Institute for Health Services Research, Utrecht, The Netherlands.

International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation
|April 17, 2001
PubMed
Summary

Workplace adjustments aid chronically ill workers. Physical disabilities, concentration issues, and transportation problems significantly influence the need for adjustments. Higher age and lower education correlate with immaterial adjustments, while pain and job demands predict material ones.

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Area of Science:

  • Occupational Health
  • Rehabilitation Medicine
  • Chronic Disease Management

Background:

  • Workplace adjustments are crucial for maintaining the work capacity of individuals with chronic diseases.
  • Understanding the factors influencing the adoption of these adjustments is vital for effective return-to-work strategies.

Purpose of the Study:

  • To quantify the prevalence of workplace adjustments among chronically ill workers in the Netherlands.
  • To examine the relationship between workplace adjustments and work-interfering problems, disease characteristics, and work characteristics.

Main Methods:

  • Utilized data from the Dutch Panel of Patients with Chronic Diseases, collected in 1999.
  • Analyzed a representative sample of 556 working individuals with various chronic somatic diseases.

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  • Investigated associations between work-interfering problems, disease/work characteristics, and the presence of material or immaterial adjustments.
  • Main Results:

    • Physical disabilities, concentration/memory deficits, and transportation issues were key factors associated with both material and immaterial workplace adjustments.
    • Higher age and lower educational attainment predicted a greater likelihood of immaterial adjustments.
    • Pain, attack frequency, and physical job demands were significant predictors of material adjustments.

    Conclusions:

    • Specific work-interfering problems, demographic factors, and job demands are strongly linked to the type of workplace adjustments utilized by chronically ill workers.
    • These findings can inform targeted interventions to support sustained employment for this population.