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Sökning: onr:"swepub:oai:DiVA.org:liu-112400" > Activating the Sick...

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FältnamnIndikatorerMetadata
00007639nam a2200589 4500
001oai:DiVA.org:liu-112400
003SwePub
008141125s2014 | |||||||||||000 ||eng|
020 a 9789175192321q print
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1124002 URI
024a https://doi.org/10.3384/diss.diva-1124002 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a vet2 swepub-contenttype
072 7a dok2 swepub-publicationtype
100a Seing, Ida,d 1982-u Linköpings universitet,Avdelningen för samhällsmedicin,Hälsouniversitetet4 aut0 (Swepub:liu)idase01
2451 0a Activating the Sick-Listed :b Policy and Practice of Return to Work in Swedish Sickness Insurance and Working Life
264 1a Linköping :b Linköping University Electronic Press,c 2014
300 a 71 s.
338 a electronic2 rdacarrier
490a Linköping University Medical Dissertations,x 0345-0082 ;v 1421
520 a A critical task of social policy in most Western welfare states during recent decades has consisted of reducing the economic burden on society due to sick leave, by stimulating participation in the labour market. Many jurisdictions have introduced activation policies, based on the premise that work “per se” has a therapeutic effect on sick-listed workers. People are expected to be “active”, rather than “passive”, recipients of financial benefits. However, there is limited knowledge of how activation policies focusing on return to work (RTW) are carried out in local practice. Against this background, the overall aim of this thesis is to study the local practice of activation policies by analysing how they are received, implemented and experienced by welfare state organizations, employers and sick-listed workers. The analysis has been influenced by theories concerning organization fields, individualization, street-level bureaucracy and organizational governance.In this thesis, the overall aim is investigated in four interrelated papers. In Paper I, the aim is to analyse the perspectives of stakeholders (i.e. welfare state actors and employers) on work ability by studying multistakeholder meetings. Paper II sheds light on activation policy, focusing on early RTW in the context of modern working conditions; the aim is to analyse RTW practice in local workplace contexts, in relation to Swedish early-RTW policy. The third paper focuses on employers, with the aim of analysing their role and activities regarding RTW, in local workplace practice. In Paper IV, the aim is to analyse sick-listed workers’ experiences of the sickness insurance system in their contact with the Swedish Social Insurance Agency (SSIA) and their front-line staff.The empirical material comprises two empirical studies: 1) audio-recorded multi-stakeholder meetings from regular practice (n=9) and 2) semi-structured interviews with sick-listed workers and their supervisors in 18 workplaces (n=36). The analyses of the material have been performed in accordance with the principles of qualitative content analysis.Main findings of the papers reflect strong organizational boundaries in the implementation process of activation policies. Welfare state actors and employers appear to be governed by their own organizational logics and interests, so the actors involved fail to take a holistic view of sick-listed workers and do not share a common social responsibility for individuals’ RTW. This thesis illustrates how current activation policies focusing on RTW are based on a rather idealized image of the standard workplace. There is an explicit or implicit assumption that employers and work organizations are able to welcome sick-listed workers back to work in a healthy way. However, the intensity of modern working life leaves limited room for accommodating people with reduced work ability, who are not considered to have a business value to the workplace. In several cases, findings indicate that the SSIA’s focus on activation and early RTW clashes with the financially oriented perspective of employers. Economic considerations regarding their business take precedence over legal and ethical considerations, and employers have difficulty taking social responsibility for RTW. Sick-listed workers are encouraged to adjust to new workplace settings and environments to meet the demands of the workplace, and, if RTW is not possible, to the demands of the labour market. The findings also show that sick-listed workers experience that contacts with the SSIA are ‘standardized’; i.e., they perceive that the officials are loyal  to demands in their organizations rather than being involved actors who support workers’ individual needs. Sick-listed workers clearly experience that measures in Swedish activation policies have a strong focus on demanding aspects (financial work incentives) and less on enabling aspects (investments in skills).Overall, this thesis illustrates an emerging social climate where sick-listed workers are positioned as active agents who must take responsibility for their sick leave and their RTW process. In a Swedish context, RTW is a matter of activating the sick-listed rather than activating the workplace.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsterapi0 (SwePub)303062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Therapy0 (SwePub)303062 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a SAMHÄLLSVETENSKAPx Statsvetenskap0 (SwePub)5062 hsv//swe
650 7a SOCIAL SCIENCESx Political Science0 (SwePub)5062 hsv//eng
650 7a SAMHÄLLSVETENSKAPx Sociologi0 (SwePub)5042 hsv//swe
650 7a SOCIAL SCIENCESx Sociology0 (SwePub)5042 hsv//eng
650 7a SAMHÄLLSVETENSKAPx Annan samhällsvetenskapx Arbetslivsstudier0 (SwePub)509032 hsv//swe
650 7a SOCIAL SCIENCESx Other Social Sciencesx Work Sciences0 (SwePub)509032 hsv//eng
653 a Activation policies
653 a return to work
653 a social policy
653 a sickness insurance
653 a working life
653 a employers
653 a street-level bureaucracy
653 a individualization
700a Ekberg, Kerstin,c Professoru Linköpings universitet,Avdelningen för samhällsmedicin,Hälsouniversitetet4 ths0 (Swepub:liu)kerek51
700a Ståhl, Christian,c Dr.u Linköpings universitet,Avdelningen för samhällsmedicin,Hälsouniversitetet4 ths0 (Swepub:liu)chrst85
700a MacEachen, Ellen,c Associate Professoru School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Canada4 ths
700a Dellve, Lotta,c Professoru Kungliga Tekniska Högskolan, Stockholm4 opn
710a Linköpings universitetb Avdelningen för samhällsmedicin4 org
856u https://liu.diva-portal.org/smash/get/diva2:765944/FULLTEXT01.pdfx primaryx Raw objecty fulltext
856u https://liu.diva-portal.org/smash/get/diva2:765944/COVER01.pdfy cover
856u https://liu.diva-portal.org/smash/get/diva2:765944/PREVIEW01.jpgx Previewy preview image
856u http://liu.diva-portal.org/smash/get/diva2:765944/FULLTEXT01
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-112400
8564 8u https://doi.org/10.3384/diss.diva-112400

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