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How can social insurers promote return to work in occupational rehabilitation? A quantitative, cross-sectional study
BMC Public Health ( IF 3.5 ) Pub Date : 2021-09-16 , DOI: 10.1186/s12889-021-11758-w
Jarna Pasanen 1 , Arto Luoma 1
Affiliation  

Earlier studies indicate a correlation between disability claims experience and return to work outcomes. Thus, the insurer’s role and actions may affect the self-rated health of the disabled worker and the outcomes of occupational rehabilitation. This study diversifies the existing empirical evidence on the role of the insurer in the rehabilitation process and reveals the critical actions that best promote success. Explorative factor analysis (EFA) and confirmatory factor analysis (CFA), followed by binary regression, were used to analyse survey data of disabled workers (n = 661) who had undergone an occupational rehabilitation within an earnings-related pension insurance system in Finland. The claimant’s perceptions of the insurer’s (1) high-quality informing and guidance, (2) customer orientation, (3) smooth process flow and (4) positive service attitude had substantial and statistically significant effects on the success of occupational rehabilitation after adjusting for all likely confounding variables. The insurer’s actions are significant predictors of the outcome of occupational rehabilitation. The insurer can promote the health of rehabilitees most effectively by ensuring a smooth process flow and adopting a customer-oriented approach.

中文翻译:

社保如何促进职业康复复工?一项定量的横断面研究

早期的研究表明,残疾索赔经历与重返工作成果之间存在相关性。因此,保险公司的角色和行动可能会影响残疾工人的自评健康状况和职业康复的结果。本研究丰富了关于保险公司在康复过程中的作用的现有经验证据,并揭示了最能促进成功的关键行动。探索性因素分析 (EFA) 和验证性因素分析 (CFA) 以及随后的二元回归被用于分析在芬兰与收入相关的养老保险体系内进行职业康复的残疾工人 (n = 661) 的调查数据。索赔人对保险公司 (1) 高质量信息和指导的看法,(2) 以客户为导向,(3) 流畅的流程和 (4) 积极的服务态度在调整了所有可能的混杂变量后对职业康复的成功有实质性和统计上显着的影响。保险公司的行为是职业康复结果的重要预测因素。保险公司可以通过确保顺畅的流程和采用以客户为导向的方法来最有效地促进康复者的健康。
更新日期:2021-09-16
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