Influence of Efforts of Employer and Employee on Return-to-Work Process and OutcomesReport as inadecuate

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Journal of Occupational Rehabilitation

, Volume 21, Issue 4, pp 513–519

First Online: 17 February 2011


Background Research on disability and RTW outcome has led to significant advances in understanding these outcomes, however, limited studies focus on measuring the RTW process. After a prolonged period of sickness absence, the assessment of the RTW process by investigating RTW Effort Sufficiency RTW-ES is essential. However, little is known about factors influencing RTW-ES. Also, the correspondence in factors determining RTW-ES and RTW is unknown. The purpose of this study was to investigate 1 the strength and relevance of factors related to RTW-ES and RTW no-partial RTW, and 2 the comparability of factors associated with RTW-ES and with RTW. Methods During 4 months, all assessments of RTW-ES and RTW no-partial RTW among employees applying for disability benefits after 2 years of sickness absence, performed by labor experts at 3 Dutch Social Insurance Institute locations, were investigated by means of a questionnaire. Results Questionnaires concerning 415 cases were available. Using multiple logistic regression analysis, the only factor related to RTW-ES is a good employer-employee relationship. Factors related to RTW no-partial RTW were found to be high education, no previous periods of complete disability and a good employer-employee relationship. Conclusions Different factors are relevant to RTW-ES and RTW, but the employer-employee relationship is relevant for both. Considering the importance of the assessment of RTW-ES after a prolonged period of sickness absence among employees who are not fully disabled, this knowledge is essential for the assessment of RTW-ES and the RTW process itself.

KeywordsReturn-to-work Vocational Rehabilitation Disability Insurance Outcome measures Employer effort  Download fulltext PDF

Author: A. Muijzer - J. W. Groothoff - J. H. B. Geertzen - S. Brouwer


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