Effects of Vocational Rehabilitation on the Use of Health Care Services in Finland: A Propensity Score Analysis

Author:

Rinne HannaORCID,Perhoniemi RikuORCID

Abstract

Vocational rehabilitation may affect the frequency of health care use by improving the access or reducing the need for health care. We examined whether participation in rehabilitation effects the healthcare services use. Register-based data was utilized on all individuals aged 15–60 living in the city of Oulu, Finland, who started vocational rehabilitation in 2014–2015 (N = 784). We examined the use of outpatient health care services from 1.5 years before to 1.5 years after the start of rehabilitation and 1.5 years after the end of rehabilitation, and compared it to the propensity score matched controls. Rehabilitees had on average 1.5 visits to outpatient health care services in the 6th quarter before the start of rehabilitation. In the 4th quarter before the start of rehabilitation, that number increased to 1.8. After the rehabilitation period, the quarterly number of visits returned to the same level as at the beginning of the follow-up. The biggest changes were in the use of occupational health services. Compared to the propensity score matched controls, vocational rehabilitation did not appear to affect the use of health care services. Vocational rehabilitation seems to replace need for other services but not to affect the need to receive treatment for the underlying disease.

Funder

Social Insurance Institution of Finland

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference33 articles.

1. EASHW (2016). Rehabilitation and Return to Work: Analysis Report on EU and Member States Policies, Strategies and Programmes.

2. The effectiveness of vocational rehabilitation on work participation: A propensity score matched analysis using nationwide register data;Scand. J. Work Environ. Health,2019

3. Seurantatutkimus nuorten kuntoutusrahasta ja työkyvyttömyyseläkkeelle siirtymisestä;Kuntoutus,2011

4. Karinkanta, S., and Reiterä, T. (2021). Kelan Kuntoutuksen Hyödyn Arviointi 2019, Kela. Kuntoutusta kehittämässä 30.

5. How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework;Disabil. Rehabil.,2011

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3