 Locking-In Effects Due to Early Interventions? An Evaluation of a Multidisciplinary Screening Programs for Avoiding Long-Term SicknessPer Johansson and Erica Lindahl Evaluation Review, 2012, vol. 36, issue 5, 323-345 Abstract: Objective: In this article, we estimate the effect of a multidisciplinary collaborationprogram on the length of sickness absence. The intention with the programwas to avoid long-term sickness absence by providing an early and holistic evaluation of the sick-listed individuals' conditions. The target group was individuals who were at risk of becoming long-term sick. The eligibility criteria were mainly based on register information that we have access to. Methods: Using this register information, we estimate different Cox regression models and apply a nonparametric matching estimator. We have also conducted a small randomized experiment. Results: The result from the randomized experiment is not statistically significant, but the point estimate provides the same result as was found in the observational study: The program prolongs rather than shortens the sickness absence spell. That is, the average sickness absence spell is prolonged by about 3 months. Conclusions: Our main explanation for this discouraging result is that the team focuses too much on rehabilitation rather than encouraging the sick-listed individual to return to work. Keywords: physiotherapist; psychology; diagnosis; rehabilitation; Cox proportional hazard models; stratified Cox regression (search for similar items in EconPapers) Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:sae:evarev:v:36:y:2012:i:5:p:323-345 Access Statistics for this article More articles in Evaluation Review |
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