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[Problematic sickness absence: a quantitative and qualitative analysis].

P J van der Wees1, N Stadhouders, J B Staal

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Summary
This summary is machine-generated.

Many employees with problematic sickness absence are not adequately treated, missing return to work opportunities. A second opinion system can improve treatment and facilitate return to work for most staff.

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Area of Science:

  • Occupational Health
  • Public Health
  • Health Services Research

Background:

  • The role of occupational physicians in managing sickness absence and return to work (RTW) in the Netherlands can be hindered by uncertainty regarding RTW options.
  • Specialized second opinion organizations may enhance the RTW process for employees with complex absence profiles.

Purpose of the Study:

  • To assess the potential deployment, RTW rates, and healthcare costs associated with a second opinion advisory system for employees experiencing problematic sickness absence.
  • To identify factors influencing the effectiveness of second opinions in facilitating return to work.

Main Methods:

  • Analysis of pseudo-anonymized data from a second opinion advisory system (2011-2014).
  • Inclusion of data from various sources: second opinion provider clients (n=2595), employee questionnaires (n=1800), referrer questionnaires (n=400), case management data (n=564), and health insurance claims (n=725).

Main Results:

  • Musculoskeletal problems (49%) and mental health issues (23%) were common among problematic absentees.
  • In 51% of cases, current treatment was deemed inadequate by second opinion physicians.
  • Second opinions led to treatment changes in 53% of cases, but 31% of employees felt the system did not aid their RTW.
  • Average annual healthcare costs for problematic absentees were significantly higher (€7800) compared to pre-absence costs (€2600).

Conclusions:

  • A significant proportion of employees with problematic sickness absence receive inadequate treatment, with missed opportunities for return to work and insufficient focus on functional recovery.
  • The second opinion system indicated potential for treatment improvement and a positive impact on return to work.
  • (Partial) return to work is considered feasible for the majority of individuals with problematic sickness absence.