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sickness absence and disability management in sweden

Brisbane 10 October 2006. Sickness absence in Sweden. 9 million inhabitants5.3 million are working age200 000 on long-term sickness absence550 000 on disability pensionA significant problem!. . Brisbane 10 October 2006. On Swedish sickness insurance. Everyone aged 16-65 years is covered by a compulsory social sickness insurance.Income related benefit (80%).Any type of illness/injury.Medical certificate after 7 daysTaxable as an income.Unlimited in time. .

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sickness absence and disability management in sweden

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    1. Brisbane 10 October 2006 Sickness absence and Disability Management in Sweden John Selander, PhD Centre for Studies on Rehabilitation Mid-Sweden University stersund, Sweden

    2. Brisbane 10 October 2006 Sickness absence in Sweden 9 million inhabitants 5.3 million are working age 200 000 on long-term sickness absence 550 000 on disability pension A significant problem!

    3. Brisbane 10 October 2006 On Swedish sickness insurance Everyone aged 16-65 years is covered by a compulsory social sickness insurance. Income related benefit (80%). Any type of illness/injury. Medical certificate after 7 days Taxable as an income. Unlimited in time.

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    9. Brisbane 10 October 2006 Disability Management in Sweden A comprehensive social insurance system! Social insurance office responsible authority Co-ordination and supervision Significant employer responsibilities! The workplace is viewed as the optimal environment for ill-health prevention and rehabilitation!

    10. Brisbane 10 October 2006 Employer responsibilities: Rigorous laws! safe working environment ill-health prevention Employer primarily responsible for RTW process. The employer shall: investigate potential rehabilitation needs conduct a rehabilitation investigation initiate (and pay for) RTW programmes/ activities

    11. Brisbane 10 October 2006 Other important stakeholders in DM: The individual Early and co-ordinated rehabilitation for clients in need Both rights and obligations The physician Sickness certificate for clients unable to work due to illness/injury Provide appropriate treatment

    12. Brisbane 10 October 2006 Identified problems in Swedish DM: The social insurance office More a passive administrator, than an active co-ordinator. Substantial work load! The employer Often fairly passive. Rehabilitation investigations seldom conducted. Often late and of questionable quality. Often unwilling to pay for RTW programmes/activities.

    13. Brisbane 10 October 2006 The individual Only few receive RTW activities. Early rehabilitation is rare. The physician Sickness certificates of questionable quality. Clients wishes, rather than health status. Limited knowledge of work place.

    14. Brisbane 10 October 2006 How can DM be improved? Jobs needed! A more flexible labour market 1.2 millon Swedes not in work Danish flexicurity Legal rights to receive RTW activities Economic incentives For employers For individuals Education For employers For physicians For social insurance officers

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