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Is Employer-Based Disability Management Necessary in a Social-Democratic Welfare State like Sweden?

Published online by Cambridge University Press:  04 November 2016

John Selander
John Selander*
Affiliation:
Mid Sweden University, Sweden
*
Address for correspondence: Professor John Selander, Department of Health Science, Mid Sweden University. E-mail: [email protected]
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Abstract

In this article the need for employer-based disability management (DM) in a modern welfare state is discussed. The article is not a traditional research article, but rather a conceptual article with a purpose to discuss and reflect over existing perspectives, and argue for a stronger focus on welfare state issues in DM research. Focus is set on Sweden and it is concluded that much of the thought behind DM is indeed built into the comprehensive welfare system. In addition to the employer's responsibilities regarding ill-health prevention, the Acts and regulations of the governmental social insurance agency's responsibilities regarding return to work are comprehensive. As can be seen, however, this is no guarantee that the established process will work in practice. In too many cases, the system in Sweden is suffering from organisational and case-level related problems. Against this background, it is suggested that current responsibilities put on the social insurance agency can be removed and instead be put on the employer. The answer to the main question stated in this article (i.e., ‘Is employer-based DM necessary in a social-democratic welfare state like Sweden?’) is obviously yes.

Keywords

disability managementwelfare stateSweden
Type
Articles
Information
International Journal of Disability Management , Volume 11 , 2016 , e4
Copyright
Copyright © The Author(s) 2016 

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References

Akabas, S.H., Gates, L.B., & Galvin, D.E. (1992). Disability Management: A complete system to reduce costs, increase productivity, meet employee needs, and ensure legal compliance. New York, NY: American Management Association.Google Scholar
Burström, B., Nylén, L., Clayton, S., Whitehead, M. (2011). How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework. Disability and Rehabilitation, 33 (6), 453–466.Google Scholar
Dubois, M. (2013). Inte full frisk (in Swedish) [Report from the Union's working group on social insurance, 2013].Google Scholar
Esping-Anderson, G. (1990). The three worlds of welfare capitalism. Princeton, NJ: Princeton University Press.Google Scholar
European Working Conditions Survey. (2010). European Foundation for the Improvement of Living and Working Conditions.Google Scholar
Försäkringskassan. (2012). Kvalitetsgranskning av läkarintyget. Socialförsäkringsrapport (in Swedish), [Social Insurance Report 2012:13].Google Scholar
Inspektionen för socialförsäkring (ISF). (2014). Leder utredning av sjukskrivna till ökad återgång i arbete? (in Swedish) — Report 2014:21.Google Scholar
Inspektionen för socialförsäkring (ISF). (2015). (in Swedish) Tidsgränserna i sjukförsäkringen — Report 2015:5.Google Scholar
Kärrholm, J., Ekholm, K., Ekholm, J., Bergroth, A., Ekholm, K.S. (2008). Systematic co-operation between employer, occupational health service and social insurance office: A 6-year follow-up of vocational rehabilitation for people on sick-leave, including economic benefits. Journal of Rehabilitation Medicine, 40 (8), 628–636.Google Scholar
Marklund, S., Lundh, G., Gustafsson, K., Linder, J., Svedberg, P., & Alexandersson, K. (2015). The actions of the social insurance agency regarding long-term sickness absentees before and after a medical assessment – a study of 384 case files. Disability and Rehabilitation, 37 (18), 1683–1691.Google Scholar
Seing, I., MacEachen, E., Ekberg, K., & Stahl, C. (2015). Return to work or job transition? Employer dilemmas in taking social responsibility for return to work in local workplace practice. Disability and Rehabilitation, 37 (19), 1760–1769.Google Scholar
Selander, J., Marnetoft, S.U., Bergroth, A., & Ekholm, J. (1998). The process of vocational rehabilitation for employed and unemployed people on sick-leave: Employed vs. unemployed people in Stockholm compared with circumstances in Rural Jämtland, Sweden. Scandinavian Journal of Rehabilitation Medicine, 30, 55–60.Google Scholar
Selander, J., Tjulin, Å., Mussner, U., & Ekberg, K. (2015). Contact with the workplace during long-term sickness absence and workers’ expectations of return to work. International Journal of Disability Management, 10. doi 10.1017/idm.2015.3 Google Scholar
Wåhlin, C., Ekberg, K., Persson, J., Bernfort, L., & Oberg, B. (2012). Associations between clinical and work-related interventions and return to work for patients with musculoskeletal or mental disorders. Journal of Rehabilitation Medicine, 44 (4), 355–362.CrossRefGoogle ScholarPubMed