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Use of Health Services and Rehabilitation before and after the Beginning of Long-Term Sickness Absence—Comparing the Use by Employment and Disability Pension Transition after the Sickness Absence in Finland

Author

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  • Riku Perhoniemi

    (The Social Insurance Institution of Finland, 00250 Helsinki, Finland)

  • Jenni Blomgren

    (The Social Insurance Institution of Finland, 00250 Helsinki, Finland)

Abstract

The objective of the study was to follow the health care and rehabilitation use before, during and after long-term sickness absence (LTSA), and to compare the use by post-LTSA labour market situation in terms of disability pension and employment. Individuals aged 18–58 with a ≥30-day LTSA spell in 2015 ( N = 2427) were included from the total population of the city of Oulu, Finland. Register data included LTSA spells, outpatient health care visits, inpatient care spells and rehabilitation spells, disability pensions (DP), employment dates, and demographic, socioeconomic and disability-related covariates. The study population was followed for one year before, and three years after the start of LTSA. Negative binomial regression models were utilized to examine covariate-adjusted use of the three service types and group differences. The use of outpatient health care peaked at the start of the LTSA spell, and adjusted for covariates, the height of the peak was similar regardless of post-LTSA labour market situation. Adjusted for covariates, those who transferred to permanent DP after an LTSA used more outpatient (predicted mean 4.87 for attendance days quarterly, 95% CI 4.36–5.38) and inpatient (predicted mean 84 days quarterly, 95% CI 0.62–1.06) health care than others during three years after the start of LTSA. Individuals not employed after an LTSA showed the highest and increasing level of rehabilitation use. The results indicate that Individuals returning to employment after an LTSA are provided with relatively high amount of early outpatient care, possibly aiding the return. For individuals not employed after an LTSA, rehabilitation is used quite frequently but rather late in the disability process. The frequent use of health care among future disability pensioners is consistent with their increasing health problems leading to retirement.

Suggested Citation

  • Riku Perhoniemi & Jenni Blomgren, 2022. "Use of Health Services and Rehabilitation before and after the Beginning of Long-Term Sickness Absence—Comparing the Use by Employment and Disability Pension Transition after the Sickness Absence in F," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:4990-:d:797671
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    References listed on IDEAS

    as
    1. Jenni Blomgren & Sauli Jäppinen, 2021. "Incidence and Length of Sickness Absence among Hierarchical Occupational Classes and Non-Wage-Earners: A Register Study of 1.6 Million Finns," IJERPH, MDPI, vol. 18(2), pages 1-16, January.
    2. Jaakko Harkko & Hilla Sumanen & Olli Pietiläinen & Kustaa Piha & Minna Mänty & Tea Lallukka & Ossi Rahkonen & Anne Kouvonen, 2020. "Socioeconomic Differences in Occupational Health Service Utilization and Sickness Absence Due to Mental Disorders: A Register-Based Retrospective Cohort Study," IJERPH, MDPI, vol. 17(6), pages 1-11, March.
    3. A. Colin Cameron & Pravin K. Trivedi, 2010. "Microeconometrics Using Stata, Revised Edition," Stata Press books, StataCorp LP, number musr, March.
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