Intervention policies and social security in case of reduced working capacity in the Netherlands, Finland and Germany: a comparative analysis

Oskar Mittag (), Toomas Kotkas, Christina Reese, Hanna Kampling, Henning Groskreutz, Wouter Boer and Felix Welti
Additional contact information
Oskar Mittag: Medical Center University of Freiburg, University of Freiburg
Toomas Kotkas: University of Eastern Finland
Christina Reese: Medical Center University of Freiburg, University of Freiburg
Hanna Kampling: Medical Center University of Freiburg, University of Freiburg
Henning Groskreutz: Trade Union of the Metal Industry (Industriegewerkschaft Metall)
Wouter Boer: Universitätsspital Basel
Felix Welti: University of Kassel

International Journal of Public Health, 2018, vol. 63, issue 9, No 11, 1088 pages

Abstract: Abstract Objectives Working age disability is a major challenge for policymakers in European countries. This pertains to both occupational reintegration and social benefits for work incapacity. In many states reforms have been initiated aimed at reducing disability scheme inflow and fostering return to work. Our study was motivated by the question as to which aspects of these reforms seem to have been effective. Methods Three different approaches were utilized: case vignettes, interviews and expert workshops in the respective countries (Netherlands and Germany in 2012; Finland in 2015), and a systematic search for relevant studies on occupational reintegration was performed. Results We found considerable differences as to the assessment of work incapacity and resulting monetary benefits in the three countries. Also, organisation and practices of occupational reintegration vary from one country to another. Major differences concern (1) the timing of interventions, (2) employer responsibility and workplace involvement, (3) incentives and sanctions and (4) organisational and procedural issues. Conclusions Our results may partly explain why some reform strategies have been more successful than others, and thus contribute to the further development of social and labour policies in Europe.

Keywords: Long-term ill or disabled; Social security; Return to work efforts; Policies and practices in the Netherlands; Finland; Germany (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-018-1133-3

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