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01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Rehabilitation time before disability pension

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Morten Støver, Kristine Pape, Roar Johnsen, Nils Fleten, Erik R Sund, Bjørgulf Claussen, Solveig Osborg Ose, Johan Håkon Bjørngaard
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-375) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

MS carried out the data processing, the epidemiological modeling and statistical analysis and wrote the manuscript. KP, RJ and JHB contributed to the epidemiological modeling, statistical analysis, data interpretation and drafting of the manuscript. NF, ES, SOS and BC participated in the design of the study and helped to write the manuscript. All authors read and approved the final manuscript.

Abstract

Background

The decision to grant a disability pension is usually the end of a long process of medical examinations, treatment and rehabilitation attempts. This study investigates to what extent the time spent on rehabilitation time prior to disability pension is associated with characteristics of the individual or the local employment and welfare office, measured as municipality variance.

Methods

A study of 2,533 40 to 42 year olds who received disability pension over a period of 18 years. The logarithm of the rehabilitation time before granting a disability pension was analysed with multilevel regression.

Results

The rehabilitation time before a disability pension was granted ranged from 30 to 5,508 days. Baseline health characteristics were only moderately associated with rehabilitation time. Younger people and people with unemployment periods had longer rehabilitation time before a disability pension was granted. There were only minor differences in rehabilitation time between men and women and between different levels of education. Approximately 2% of the total variance in rehabilitation time could be attributed to the municipality of residence.

Conclusions

There is a higher threshold for granting a disability pension to younger persons and those who are expecting periods of unemployment, which is reflected in the extended rehabilitation requirements for these groups. The longer rehabilitation period for persons with psychiatric disorders might reflect a lack of common knowledge on the working capacity of and the fitted rehabilitation programs for people with psychiatric disorders.
Zusatzmaterial
Additional file 1: Appendix: Table 6 . Multilevel linear regression of the logarithm of days (95% confidence intervals) in rehabilitation time prior to disability pension award. Complete case. (DOC 44 kb) (DOC 44 KB)
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Authors’ original file for figure 1
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Authors’ original file for figure 2
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