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Effect of financial compensation on vocational rehabilitation
Anne Pernille Lysgaard1, Kirsten Fonager, Claus V Nielsen
1Unit of Social Medicine, Dept. of Public Health, Aarhus County, Valdemarsgade 19 V, DK-8000 Aarhus C, Denmark. ply@mbc.aaa.dk
Objective:
To examine how financial compensation affects the outcome of vocational rehabilitation.
Design:
A registry-based follow-up study.
Subjects:
A total of 1397 rehabilitees discharged from the 5 local rehabilitation agencies in Aarhus County, Denmark from 1 July 2000 to 31 December 2001.
Methods:
At submission demographic data was obtained as well as data on financial compensation, i.e. compensation for industrial injury, indemnity for off-duty injury and application for disability pension. Rehabilitation outcomes were recorded at discharge. Renouncing further attempts at rehabilitation was defined as a negative outcome; education, further rehabilitation or return-to-work on normal or less demanding terms were defined as a positive outcome. Rehabilitees with and without financial compensation were compared.
Results:
Rehabilitees with involvement of financial compensation had an increased risk of a negative outcome compared with those without involvement of financial compensation. Adjustment for potential confounders did not change the association between financial compensation and negative outcome. The risk of a negative outcome rose with increasing age, with less than 1 year of labour market experience and with rented housing. Previous occupation as a skilled worker reduced the risk.
Conclusion:
Financial compensation was associated with an increased risk of a negative vocational rehabilitation outcome.
