SynthesisAnnals of family medicine2018
Employment Interventions in Health Settings: A Systematic Review and Synthesis.
Synthesis in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Work as a social risk factor in pregnancy: A systematic review of screening practices related to working conditions and family leave among pregnant adults.Birth (Berkeley, Calif.) · 2023Pooled it
- Shared Components of Worldwide Successful Sexuality Education Interventions for Adolescents: A Systematic Review of Randomized Trials.International journal of environmental research and public health · 2023Pooled it
- Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation.American journal of preventive medicine · 2022Pooled it
- Integrated mental health treatment and employment services for refugees with PTSD: randomised controlled trial.BJPsych open · 2026Article
- Article
- Mapping community pathways to employment for youth with disabilities-a realist review.Frontiers in public health · 2026Review
- Unmet need for healthcare services among unemployed people - findings from a national survey in Finland.BMC health services research · 2025Article
- Association between Access to Alternatives to Daytime In-Center Hemodialysis and Employment among Patients with Kidney Failure.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Patterns of health literacy among vulnerable unemployed citizens: a cross-sectional study in a Danish municipality.BMC public health · 2025Article
- Does change in area-level deprivation, change health outcomes? A latent class growth analysis of population data.SSM - population health · 2025Article
- Associations Between Sociodemographic Variables, Social Determinants of Health, and Diabetes: Findings From a Congregational Health Needs Assessment.American journal of health promotion : AJHP · 2024Article
- Screening tools for employment in clinical healthcare delivery systems: a content analysis.BMC health services research · 2024Article
- Individual placement and support: History, current status, and future directions.PCN reports : psychiatry and clinical neurosciences · 2023Review
- Healthcare system action on employment as a social determinant of health in people living with HIV: A qualitative study.PloS one · 2023Article
- Implementing social interventions in primary care in Canada: A qualitative exploration of lessons learned from leaders in the field.PloS one · 2023Article
- Access to family resources by families living with schizophrenia: a qualitative study of primary care workers in urban Beijing, China.BMJ open · 2022Article
- The relationship between employment and health for people from refugee and asylum-seeking backgrounds: A systematic review of quantitative studies.SSM - population health · 2022Review
- Selected Research Issues of Urban Public Health.International journal of environmental research and public health · 2022Review
- Employment status, unemployment duration, and health-related metrics among US adults of prime working age: Behavioral Risk Factor Surveillance System, 2018-2019.American journal of industrial medicine · 2022Article
- Implementing social interventions in primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEmployment is a key social determinant of health. People who are unemployed typically have worse health than those employed. Illness and disability can result in unemployment and be a barrier to regaining employment. We combined a systematic review and knowledge synthesis to identify both studies of employment interventions in health care settings and common characteristics of successful interventions.
methodsWe searched the peer-reviewed literature (1995-2017), and titles and abstracts were screened for inclusion and exclusion criteria by 2 independent reviewers. We extracted data on the study setting, participants, intervention, methods, and findings. We also conducted a narrative synthesis and iteratively developed a conceptual model to inform future primary care interventions.
resultsOf 6,729 unique citations, 88 articles met our criteria. Most articles (89%) focused on people with mental illness. The majority of articles (74%) tested interventions that succeeded in helping participants gain employment. We identified 5 key features of successful interventions: (1) a multidisciplinary team that communicates regularly and collaborates, (2) a comprehensive package of services, (3) one-on-one and tailored components, (4) a holistic view of health and social needs, and (5) prospective engagement with employers.
conclusionsOur findings can inform new interventions that focus on employment as a social determinant of health. Although hiring a dedicated employment specialist may not be feasible for most primary care organizations, pathways using existing resources with links to external agencies can be created. As precarious work becomes more common, helping patients engage in safe and productive employment could improve health, access to health care, and well-being.
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Registered trials
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.