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Open AccessReview

Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies

1
Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany
2
Neurorehabilitation KABEG-Gailtal-Klinik, 9620 Hermagor, Austria
3
Neurology, Public Health and Disability Unit; Neurological Institute C. Besta IRCCS Foundation, 20133 Milan, Italy
4
Department of Special Education, University of Thessaly, 38221 Volos, Greece
5
Development Centre for Vocational Rehabilitation, University Rehabilitation Institute Republic of Slovenia, 1000 Ljubljana, Slovenia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(3), 552; https://doi.org/10.3390/ijerph15030552
Received: 28 February 2018 / Revised: 13 March 2018 / Accepted: 16 March 2018 / Published: 19 March 2018
Due to low employment rates associated to chronic conditions in Europe, it is essential to foster effective integration and re-integration into work strategies. The objective of this systematic review is to summarize the evidence on the effectiveness of strategies for integration and re-integration to work for persons with chronic diseases or with musculoskeletal disorders, implemented in Europe in the past five years. A systematic search was conducted in MedLine, PsycINFO, CDR-HTA, CDR-DARE and Cochrane Systematic Reviews. Overall, 32 relevant publications were identified. Of these, 21 were considered eligible after a methodological assessment and included. Positive changes in employment status, return to work and sick leave outcomes were achieved with graded sickness-absence certificates, part-time sick leave, early ergonomic interventions for back pain, disability evaluation followed by information and advice, and with multidisciplinary, coordinated and tailored return to work interventions. Additionally, a positive association between the co-existence of active labour market policies to promote employment and passive support measures (e.g., pensions or benefits) and the probability of finding a job was observed. Research on the evaluation of the effectiveness of strategies targeting integration and re-integration into work for persons with chronic health conditions needs, however, to be improved and strengthened. View Full-Text
Keywords: review; effectiveness; chronic disease; musculoskeletal diseases; disability; employment; return to work; sick leave; Europe review; effectiveness; chronic disease; musculoskeletal diseases; disability; employment; return to work; sick leave; Europe
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Sabariego, C.; Coenen, M.; Ito, E.; Fheodoroff, K.; Scaratti, C.; Leonardi, M.; Vlachou, A.; Stavroussi, P.; Brecelj, V.; Kovačič, D.S.; Esteban, E. Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies. Int. J. Environ. Res. Public Health 2018, 15, 552.

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