Skip header and navigation

Refine By

1939 records – page 1 of 194.

A 5-year prospective study of predictors for disability pension among patients with major depressive disorder.

https://arctichealth.org/en/permalink/ahliterature129883
Source
Acta Psychiatr Scand. 2012 Apr;125(4):325-34
Publication Type
Article
Date
Apr-2012
Author
I A K Holma
K M Holma
T K Melartin
H J Rytsälä
E T Isometsä
Author Affiliation
Mood, Depression, and Suicidal Behaviour Unit, National Institute for Health and Welfare, Helsinki, Finland.
Source
Acta Psychiatr Scand. 2012 Apr;125(4):325-34
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Comorbidity
Depressive Disorder, Major - physiopathology - psychology
Disabled Persons - psychology - statistics & numerical data
Employment - psychology - statistics & numerical data
Female
Finland
Follow-Up Studies
Humans
Longitudinal Studies
Male
Middle Aged
Pensions - statistics & numerical data
Prospective Studies
Abstract
There is a scarcity of prospective long-term studies on work disability caused by depression. We investigated predictors for disability pension among psychiatric patients with MDD.
The Vantaa Depression Study followed up prospectively 269 psychiatric in- and out-patients with DSM-IV MDD for 5 years with a life chart, including 230 (91.3%) patients belonging to labour force. Information on disability pensions was obtained from interviews, patient records and registers.
Within 5 years, 20% of the patients belonging to labour force at baseline were granted a disability pension. In multivariate analyses, the significant baseline predictors for granted disability pension were age =50 years (HR = 3.91, P
PubMed ID
22054701 View in PubMed
Less detail

A 10 year asthma programme in Finland: major change for the better.

https://arctichealth.org/en/permalink/ahliterature168103
Source
Thorax. 2006 Aug;61(8):663-70
Publication Type
Article
Date
Aug-2006
Author
T. Haahtela
L E Tuomisto
A. Pietinalho
T. Klaukka
M. Erhola
M. Kaila
M M Nieminen
E. Kontula
L A Laitinen
Author Affiliation
Skin and Allergy Hospital, Helsinki University Central Hospital, P O Box 160, FIN-00029 HUS, Finland. tari.haahtela@hus.fi
Source
Thorax. 2006 Aug;61(8):663-70
Date
Aug-2006
Language
English
Publication Type
Article
Keywords
Adult
Anti-Asthmatic Agents - therapeutic use
Asthma - economics - epidemiology - therapy
Child
Communication
Cost of Illness
Disabled Persons
Emergency Treatment - statistics & numerical data
Finland - epidemiology
Health Promotion - economics - organization & administration - trends
Hospitalization - statistics & numerical data
Humans
Incidence
Insurance, Disability - economics
Interprofessional Relations
National Health Programs - economics - trends
Pharmaceutical Services - standards
Primary Health Care
Program Evaluation
Smoking - epidemiology
Abstract
A National Asthma Programme was undertaken in Finland from 1994 to 2004 to improve asthma care and prevent an increase in costs. The main goal was to lessen the burden of asthma to individuals and society.
The action programme focused on implementation of new knowledge, especially for primary care. The main premise underpinning the campaign was that asthma is an inflammatory disease and requires anti-inflammatory treatment from the outset. The key for implementation was an effective network of asthma-responsible professionals and development of a post hoc evaluation strategy. In 1997 Finnish pharmacies were included in the Pharmacy Programme and in 2002 a Childhood Asthma mini-Programme was launched.
The incidence of asthma is still increasing, but the burden of asthma has decreased considerably. The number of hospital days has fallen by 54% from 110 000 in 1993 to 51 000 in 2003, 69% in relation to the number of asthmatics (n = 135 363 and 207 757, respectively), with the trend still downwards. In 1993, 7212 patients of working age (9% of 80 133 asthmatics) received a disability pension from the Social Insurance Institution compared with 1741 in 2003 (1.5% of 116 067 asthmatics). The absolute decrease was 76%, and 83% in relation to the number of asthmatics. The increase in the cost of asthma (compensation for disability, drugs, hospital care, and outpatient doctor visits) ended: in 1993 the costs were 218 million euro which had fallen to 213.5 million euro in 2003. Costs per patient per year have decreased 36% (from 1611 euro to 1031 euro).
It is possible to reduce the morbidity of asthma and its impact on individuals as well as on society. Improvements would have taken place without the programme, but not of this magnitude.
Notes
Cites: Eur Respir J. 1999 Aug;14(2):288-9410515403
Cites: BMJ. 1996 Mar 23;312(7033):762-68605467
Cites: Allergy. 2005 Mar;60(3):283-9215679712
Cites: N Engl J Med. 2005 Apr 14;352(15):1519-2815829533
Cites: BMJ. 2005 May 21;330(7501):1186-715849204
Cites: Thorax. 2005 Jul;60(7):545-815994260
Cites: Eur Respir J. 2000 Feb;15(2):235-710706483
Cites: Respir Med. 2000 Apr;94(4):299-32710845429
Cites: CMAJ. 1999 Nov 30;161(11 Suppl):S1-6110906907
Cites: Pediatr Allergy Immunol. 2000 Nov;11(4):236-4011110578
Cites: Eur Respir J. 2000 Nov;16(5):802-711153575
Cites: Am J Respir Crit Care Med. 2001 Aug 15;164(4):565-811520716
Cites: Thorax. 2001 Oct;56(10):806-1411562522
Cites: J Allergy Clin Immunol. 2001 Nov;108(5 Suppl):S147-33411707753
Cites: Eur Respir J. 2002 Aug;20(2):397-40212212973
Cites: Thorax. 2003 Feb;58 Suppl 1:i1-9412653493
Cites: Int J Tuberc Lung Dis. 2003 Jun;7(6):592-812797704
Cites: J Allergy Clin Immunol. 2004 Jul;114(1):40-715241342
Cites: Scand J Public Health. 2004;32(4):310-615370772
Cites: Am Rev Respir Dis. 1985 Apr;131(4):599-6063994155
Cites: N Engl J Med. 1991 Aug 8;325(6):388-922062329
Cites: N Engl J Med. 1994 Sep 15;331(11):700-58058076
Cites: Qual Health Care. 1994 Mar;3(1):45-5210136260
Cites: BMJ. 1996 Mar 23;312(7033):748-528605463
Cites: Eur Respir J. 2004 Nov;24(5):734-915516665
PubMed ID
16877690 View in PubMed
Less detail

A 10-year follow-up of a population-based study of people with multiple sclerosis in Stockholm, Sweden: changes in disability and the value of different factors in predicting disability and mortality.

https://arctichealth.org/en/permalink/ahliterature108382
Source
J Neurol Sci. 2013 Sep 15;332(1-2):121-7
Publication Type
Article
Date
Sep-15-2013
Author
Charlotte Chruzander
Sverker Johansson
Kristina Gottberg
Ulrika Einarsson
Sten Fredrikson
Lotta Widén Holmqvist
Charlotte Ytterberg
Author Affiliation
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Huddinge, Sweden. charlotte.chruzander@ki.se
Source
J Neurol Sci. 2013 Sep 15;332(1-2):121-7
Date
Sep-15-2013
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Community Health Planning
Disability Evaluation
Disabled Persons
Female
Humans
Longitudinal Studies
Male
Middle Aged
Multiple Sclerosis - epidemiology - mortality - physiopathology
Predictive value of tests
Sweden - epidemiology
Walking - physiology
Abstract
Most people with multiple sclerosis (PwMS) experience progressively worsening disability over a period of decades, thus further knowledge about the long-term changes in different areas of disability is essential.
The aims of this study were to evaluate changes in disability over ten years in PwMS, and to explore the value of personal and disease-specific factors and depressive symptoms in predicting disability. A further aim was to explore the value of these factors as predictors of mortality.
This study was based on a 10-year follow-up of a population-based study in Stockholm (n=166). Home visits were used to collect data on personal and disease-specific factors, walking ability, manual dexterity, cognitive function, mood, activities of daily living (ADL) and social/lifestyle activities.
The proportion of the study population who had disability in cognition, mood and social/lifestyle activities remained stable, while the proportion with disability in walking, manual dexterity and ADL increased. Disease severity predicted an increase in all studied variables of disability except in depressive symptoms. Older age and depressive symptoms were associated with mortality.
This study illustrates the importance of tailored interventions for PwMS and highlights the need for health-care professionals to consider the psychological aspects of the disease. Furthermore, our results indicate that the Expanded Disability Status Scale was a useful tool for predicting future disability.
PubMed ID
23896259 View in PubMed
Less detail

A 10-year population-based study of people with multiple sclerosis in Stockholm, Sweden: use of and satisfaction with care and the value of different factors in predicting use of care.

https://arctichealth.org/en/permalink/ahliterature275585
Source
BMC Health Serv Res. 2015;15:480
Publication Type
Article
Date
2015
Author
Charlotte Chruzander
Sverker Johansson
Kristina Gottberg
Ulrika Einarsson
Jan Hillert
Lotta Widén Holmqvist
Charlotte Ytterberg
Source
BMC Health Serv Res. 2015;15:480
Date
2015
Language
English
Publication Type
Article
Keywords
Ambulatory Care - utilization
Disabled Persons - psychology - statistics & numerical data
Epidemiologic Methods
Female
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Multiple Sclerosis - epidemiology - psychology - therapy
Patient Acceptance of Health Care - psychology
Patient Satisfaction - statistics & numerical data
Primary Health Care - utilization
Sweden - epidemiology
Abstract
The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, disease-specific factors and functioning on the use of care and to explore patient satisfaction with care in a 10-year perspective.
Information regarding personal factors, disease-specific factors, functioning and satisfaction with care was collected by home-visits; use of care was collected from the Stockholm County Council computerised register.
Data from 121 people with MS (PwMS) was collected. Primary care accounted for the majority of all care. Neurology and Rehabilitation Departments together accounted for two-thirds of all hospital outpatient care. Rehabilitation Departments accounted for one-third of the total number of inpatient days. Lower coping capacity, impaired manual dexterity and activity of daily living dependency at baseline, together with progress in MS disability predicted a higher use of care. Overall, patient satisfaction with care was stable over time.
The extensive use of care offers challenges to care coordination. Implementation of person-centred care could be a strategy to increase efficacy/outcome of care.
Notes
Cites: J Neurol Sci. 2014 Apr 15;339(1-2):57-6324492009
Cites: Arch Phys Med Rehabil. 2000 Aug;81(8):1034-810943751
Cites: Scand J Rehabil Med. 2000 Dec;32(4):173-911201624
Cites: Med Care. 1978 Apr;16(4):327-36651398
Cites: Neurology. 1983 Nov;33(11):1444-526685237
Cites: Int Rehabil Med. 1985;7(4):176-814093249
Cites: J Neurol Neurosurg Psychiatry. 1987 Jun;50(6):714-93612152
Cites: Scand J Rehabil Med. 1991;23(4):193-2021785028
Cites: Soc Sci Med. 1993 Mar;36(6):725-338480217
Cites: Scand J Caring Sci. 1993;7(1):3-108502852
Cites: Neurology. 1996 Apr;46(4):907-118780061
Cites: J Pers Assess. 1996 Dec;67(3):588-978991972
Cites: Neurology. 1998 Jun;50(6):1594-6009633699
Cites: Md State Med J. 1965 Feb;14:61-514258950
Cites: Mult Scler. 2005 Jun;11(3):328-3715957516
Cites: Cochrane Database Syst Rev. 2006;(1):CD00443116437487
Cites: Mult Scler. 2006 Jun;12(3):340-5316764349
Cites: J Rehabil Med. 2006 Jul;38(4):230-616801205
Cites: Eur J Health Econ. 2006 Sep;7 Suppl 2:S75-8517310342
Cites: J Adv Nurs. 2007 Apr;58(1):11-2217394612
Cites: BMC Neurol. 2008;8:3618823543
Cites: Pharmacoeconomics. 2008;26(10):847-6018793032
Cites: Can J Neurol Sci. 2007 May;34(2):167-7417598593
Cites: J Neurol. 2008 Sep;255(9):1354-6018677639
Cites: Mult Scler. 2009 Jan;15(1):88-9518701570
Cites: Brain. 2009 May;132(Pt 5):1175-8919339255
Cites: J Manag Care Pharm. 2010 Nov-Dec;16(9):703-1221067256
Cites: J Neurol Sci. 2013 Sep 15;332(1-2):121-723896259
Cites: BMC Health Serv Res. 2013;13:36524074396
Cites: J Neurol Sci. 2013 Dec 15;335(1-2):42-724183855
Cites: J Med Philos. 2008 Jun;33(3):241-6118567905
Cites: Mult Scler. 2008 Aug;14(7):962-7118573818
PubMed ID
26499940 View in PubMed
Less detail

A 15-year prospective study of shift work and disability pension.

https://arctichealth.org/en/permalink/ahliterature93753
Source
Occup Environ Med. 2008 Apr;65(4):283-5
Publication Type
Article
Date
Apr-2008
Author
Tüchsen F.
Christensen K B
Lund T.
Feveile H.
Author Affiliation
National Research Centre for the Working Environment, Lersø Parkallé 105, DK-2100 Copenhagen Ø, Denmark. ftu@nrcwe.dk
Source
Occup Environ Med. 2008 Apr;65(4):283-5
Date
Apr-2008
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Denmark - epidemiology
Disabled persons - statistics & numerical data
Female
Humans
Male
Middle Aged
Occupational Diseases - epidemiology - etiology
Occupational Health - statistics & numerical data
Pensions - statistics & numerical data
Prospective Studies
Retirement
Risk Assessment - methods
Sex Factors
Work Schedule Tolerance
Abstract
OBJECTIVE: To estimate the hazard ratio for disability pension associated with shift work. METHODS: Cohorts of shift and day workers were identified in three waves of the Danish Work Environment Cohort Study and followed up for incidence of disability pension in a national register of social transfer payment. A total of 3980 female and 4025 male employees were included in the cohorts. Information about shift work status, age, smoking habits, body mass index and ergonomic work environment were updated according to responses in subsequent waves of the survey when possible. Respondents reporting shift work were classified as shift workers in the following waves as well. Respondents were followed in the register from the time of first interview and were censored at the time of their 60th birthday, emigration, death or end of follow-up (18 June 2006). The authors used the Cox proportional hazards model to estimate hazard ratios for incidence of disability pension and 95% confidence intervals. RESULTS: The authors observed 253 new disability pensions among women and 173 among men during 56 903 and 57 886 person-years at risk respectively, Among women, shift work predicted disability after adjustment for age, general health and socioeconomic status HR 1.39 (95% CI 1.07 to 1.82). After further adjustment for body mass index, smoking habits, socioeconomic status and ergonomic exposures the association remained statistically significant HR 1.34 (95% CI 1.02 to 1.75). Shift work was not associated with disability among men. CONCLUSION: Shift work might be moderately associated with disability pension among women; however, more powerful studies are needed to establish the possible association.
PubMed ID
18198201 View in PubMed
Less detail

1981: International Year of Disabled Persons.

https://arctichealth.org/en/permalink/ahliterature245130
Source
Can Med Assoc J. 1981 Jan 1;124(1):7
Publication Type
Article
Date
Jan-1-1981
Author
G. Gingras
Source
Can Med Assoc J. 1981 Jan 1;124(1):7
Date
Jan-1-1981
Language
English
Publication Type
Article
Keywords
Canada
Disabled Persons
Humans
National Health Programs
Rehabilitation
Societies, Medical
Notes
Cites: Union Med Can. 1979 Feb;108(2):176-80158247
Cites: Vie Med Can Fr. 1972 Apr;1(4):387-94640682
Cites: Can Med Assoc J. 1965 Oct 9;93(15):797-8005826625
PubMed ID
6450634 View in PubMed
Less detail

Ability-based notions of health and disease in the Norwegian social security system.

https://arctichealth.org/en/permalink/ahliterature133644
Source
Tidsskr Nor Laegeforen. 2011 Jun 3;131(11):1097-100
Publication Type
Article
Date
Jun-3-2011
Author
Hans Magnus Solli
Author Affiliation
Research Unit, Vestfold Mental Health Care Trust, Norway. hmsolli@online.no
Source
Tidsskr Nor Laegeforen. 2011 Jun 3;131(11):1097-100
Date
Jun-3-2011
Language
English
Norwegian
Publication Type
Article
Keywords
Diagnosis
Disability Evaluation
Disabled Persons
Goals
Health status
Humans
Insurance, Health
Norway
Philosophy, Medical
Social Environment
Social Security
Work Capacity Evaluation
PubMed ID
21681241 View in PubMed
Less detail

Ability OnLine: children in hospital now in touch with the world.

https://arctichealth.org/en/permalink/ahliterature214112
Source
Leadersh Health Serv. 1995 Nov-Dec;4(6):26-9, 43
Publication Type
Article
Author
A. Lefebvre
M. McClure
Author Affiliation
Hospital for Sick Children, Toronto, Ontario, Canada.
Source
Leadersh Health Serv. 1995 Nov-Dec;4(6):26-9, 43
Language
English
Publication Type
Article
Keywords
Canada
Child
Child, Hospitalized - psychology
Chronic Disease - psychology
Communication Aids for Disabled
Computer Communication Networks - utilization
Disabled Persons - psychology
Humans
Organizational Innovation
Peer Group
Self Concept
Social Facilitation
Social Support
Abstract
Health prevention seeks to avoid the onset of disease or symptoms by eliminating or at least minimizing environmental factors that increase the risk of illness. This article describes Ability OnLine, an innovative program designed to reduce the isolation young people can experience in a healthcare facility or when confined to their home. The electronic bulletin board is a friendly platform for disabled and chronically ill children to easily communicate with their peers and adult and teen mentors.
PubMed ID
10172531 View in PubMed
Less detail

The 'ability' paradigm in vocational rehabilitation: challenges in an Ontario injured worker retraining program.

https://arctichealth.org/en/permalink/ahliterature131610
Source
J Occup Rehabil. 2012 Mar;22(1):105-17
Publication Type
Article
Date
Mar-2012
Author
E. MacEachen
A. Kosny
S. Ferrier
K. Lippel
C. Neilson
R L Franche
D. Pugliese
Author Affiliation
Institute for Work & Health, Toronto, ON, Canada. emaceachen@iwh.on.ca
Source
J Occup Rehabil. 2012 Mar;22(1):105-17
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Accidents, Occupational
Disabled Persons - rehabilitation
Employment
Female
Focus Groups
Humans
Interviews as Topic
Male
Ontario
Professional-Patient Relations
Qualitative Research
Rehabilitation, Vocational - economics - methods
Workers' Compensation - organization & administration
Abstract
In recent years, a focus on workers' ability, rather than impairment, has guided disability management services. However, a challenge with the notion of 'ability' is identification of the border between ability and inability. This article considers this gray zone of disability management in the case of a workers' compensation vocational retraining program for injured workers in Ontario.
In-depth interviews and focus groups were conducted with a purposive sample of 71 participants who were directly involved with the vocational retraining process. Workers in the program had on average incurred injury 3 years earlier. Procedural and legal documents were also analyzed. Principles of grounded theory and discourse analysis guided the data gathering and analysis.
A program focus on worker abilities did not allow for consideration of unresolved medical problems. Concepts such as maximum medical rehabilitation distracted attention from workers' ongoing chronic and unstable health situations, and incentive levers to employers directed some of the least capable workers into the program. As well, communication pathways for discussing health problems were limited by rules and provider reluctance to reveal problems. Therefore, workers completing the program were deemed 'employable', while ongoing and problematic health conditions preventing employment remained relatively uncharted and invisible.
This study reinforces how the shift in disability management paradigm to a focus on ability and return to work requires consideration of environmental conditions, including policies and programs and implementation. A focus on the environment in which worker ability can be enacted might be as important as a focus on improving individual worker characteristics.
PubMed ID
21894535 View in PubMed
Less detail

1939 records – page 1 of 194.