Evidence map›Paper›PMID 26183381›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016

Long-term sick leave and the impact of a graded return-to-work program: evidence from Germany.

Udo Schneider, Roland Linder, Frank Verheyen

Abstract read
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In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The Current Practice of Gradual Return to Work in Germany: A Qualitative Study Protocol.International journal of environmental research and public health · 2022
    Article
  5. Article
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  7. Article
  8. The excess economic burden of mental disorders: findings from a cross-sectional prevalence survey in Austria.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  9. A psychosocial theory of sick leave put to the test in the European Working Conditions Survey 2010-2015.International archives of occupational and environmental health · 2020
    Article
  10. Article
  11. Work ability and work functioning: measuring change in individuals recently returned to work.International archives of occupational and environmental health · 2019
    Article
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Udo SchneiderWINEG | Scientific Institute of TK for Benefit and Efficiency in Health Care, Bramfelder Straße 140, 22035, Hamburg, Germany. dr.udo.schneider@wineg.de.
Roland LinderWINEG | Scientific Institute of TK for Benefit and Efficiency in Health Care, Bramfelder Straße 140, 22035, Hamburg, Germany.
Frank VerheyenWINEG | Scientific Institute of TK for Benefit and Efficiency in Health Care, Bramfelder Straße 140, 22035, Hamburg, Germany.
Institute for Quality and Efficiency in Health Care · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The implementation of a graded return-to-work (RTW) program to reintegrate the long-term sick started in Germany in 1971 and has been manifested in the Social Code Book V since 1989. Based on a return plan by the physician and the insured, participants increase their working hours slowly over a specified period of time. As participants are still classified as incapable of working they still receive sick leave benefits. Using claims data from the Techniker Krankenkasse, the largest German sickness fund, the study aims at identifying participants and analyzing the full return-to-work and the impact of the RTW program. Thereby, we account for socio-economic factors, insurance-based characteristics, and medical and health-related information. We consider a possible selection bias by using individual weights to analyze determinants of length of the sickness absence by applying models for survival analysis (Cox proportional hazard model). As a main result - depending on the central assumption of unconfoundedness - sickness absence is positively related to participation in the RTW program for those with sickness absence longer than 120 days. For mental disorders, our results indicate an even stronger effect. The study results emphasize the need further promotion of this instrument among those insured, physicians and employers, as occupational health management is one key for a successful return-to-work.

Indexed as

Health StatusModels, EconometricAdultFemaleGermanyHospitalizationHumansInsurance Claim ReviewMaleMiddle AgedProportional Hazards ModelsReturn to WorkSick LeaveSocioeconomic FactorsHealth insuranceLong-term sicknessReturn to workSurvival analysis

Identifiers

PMID26183381
OpenAlexW900768955

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.