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Exploring Sick Leave in Integrative Care-Retrospective Observations and Future Study Recommendations
Tobias Sundberg1,2, Laith Hussain-Alkhateeb3, Annelie Inghilesi Larsson4
11 Unit for Studies of Integrative Health Care, Division of Nursing, Department of Neurobiology Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Journal of Alternative and Complementary Medicine (New York, N.Y.)
|February 27, 2019
Summary
Sick leave prevalence increased initially for integrative care (IC) patients with pain or stress disorders but decreased over two years. Overall sick leave was higher in IC than conventional care (CC) but followed similar trends.
Area of Science:
- Health Services Research
- Pain Management
- Mental Health Services
Background:
- Sick leave is a significant issue for patients with pain and stress disorders.
- Integrative care (IC) combines conventional and complementary therapies, but its impact on sick leave is not well-understood.
- Understanding sick leave trends is crucial for evaluating healthcare interventions.
Purpose of the Study:
- To compare sick leave prevalence and trends in patients receiving integrative care (IC) versus conventional care (CC).
- To analyze sick leave patterns in patients with pain or stress disorders referred for inpatient treatment.
Main Methods:
- Retrospective analysis of county council and social insurance data.
- Observation of sick leave prevalence at four time points: pre-referral, at referral (index), and 1-2 years post-referral.
- Comparison between patients in IC and conventionally matched patients in conventional care (CC).
Main Results:
- Sick leave prevalence peaked at referral for IC patients with pain and stress disorders, then decreased over two years.
- Overall sick leave prevalence was higher in the IC group compared to the CC group.
- Both IC and CC groups showed similar, albeit less pronounced, trends in sick leave changes over time.
Conclusions:
- Sick leave prevalence, while higher in IC, decreased over time for both IC and CC patients post-referral.
- The observed decrease in sick leave may be influenced by natural recovery or other factors.
- Further prospective and randomized clinical trials are recommended to confirm these findings.
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