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Trends in the Cumulative Incidence of Vocational Rehabilitation Indicators in Brazil, 2007–2016

Author

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  • Cristiano Barreto de Miranda

    (Graduate Public Health Program, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil)

  • João Silvestre Silva-Junior

    (Department of Medicine, São Camilo University Center, Av. Nazaré, 1501, Ipiranga, São Paulo 04263-200, Brazil)

  • Gisele Aparecida Fernandes

    (Group of Epidemiology and Statistics on Cancer, AC Camargo Cancer Center, Rua Tagua, 440, São Paulo 01508-010, Brazil)

  • Frida Marina Fischer

    (Department of Environmental Health, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil)

Abstract

Vocational rehabilitation (VR) aims at improving work ability to facilitate workers’ return to work. VR is provided in Brazil by the public social security system. The aim of the present study was to analyze trends in VR indicators for Brazil from 2007 to 2016. Based on open-access, secondary aggregate data, we calculated the cumulative incidence of VR indicators. We fitted Prais-Winsten generalized linear regression models to estimate trends and calculated annual percent variation with the corresponding 95% confidence interval (95% CI). The mean cumulative incidence of referrals to VR services was 37.16/1000 temporary disability benefits granted and exhibited a decreasing trend of −6.92% (95% CI: −8.38; −5.43). The mean cumulative incidence of admissions to VR services was 57.34/100 referrals and exhibited an increasing trend of 3.31% (95% CI: 1.13; 5.53). The mean cumulative incidence of rehabilitation was 57.43/100 admissions and remained stable along the analyzed period, −2.84 (95% CI: −5.87; 0.29). Our findings evidence a reduction in the number of workers referred for VR, an increase of admissions, and stability in the cumulative incidence of rehabilitated workers.

Suggested Citation

  • Cristiano Barreto de Miranda & João Silvestre Silva-Junior & Gisele Aparecida Fernandes & Frida Marina Fischer, 2020. "Trends in the Cumulative Incidence of Vocational Rehabilitation Indicators in Brazil, 2007–2016," IJERPH, MDPI, vol. 17(11), pages 1-8, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3952-:d:366650
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    References listed on IDEAS

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    1. Oskar Mittag & Toomas Kotkas & Christina Reese & Hanna Kampling & Henning Groskreutz & Wouter Boer & Felix Welti, 2018. "Intervention policies and social security in case of reduced working capacity in the Netherlands, Finland and Germany: a comparative analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(9), pages 1081-1088, December.
    2. Erik Berglund & Ingrid Anderzén & Åsa Andersén & Lars Carlsson & Catharina Gustavsson & Thorne Wallman & Per Lytsy, 2018. "Multidisciplinary Intervention and Acceptance and Commitment Therapy for Return-to-Work and Increased Employability among Patients with Mental Illness and/or Chronic Pain: A Randomized Controlled Tria," IJERPH, MDPI, vol. 15(11), pages 1-12, October.
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