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2388 records – page 1 of 239.

The 2-year costs and effects of a public health nursing case management intervention on mood-disordered single parents on social assistance.

https://arctichealth.org/en/permalink/ahliterature191135
Source
J Eval Clin Pract. 2002 Feb;8(1):45-59
Publication Type
Article
Date
Feb-2002
Author
Maureen Markle-Reid
Gina Browne
Jacqueline Roberts
Amiram Gafni
Carolyn Byrne
Author Affiliation
System-Linked Research Unit on Health and Social Service Utilization, School of Nursing, McMaster University, Room 3N46, 1200 Main Street West, Hamilton, Ontario, L8N 3Z5, Canada. mreid@mcmaster.ca
Source
J Eval Clin Pract. 2002 Feb;8(1):45-59
Date
Feb-2002
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Case Management - economics
Child
Cost-Benefit Analysis
Depressive Disorder - economics - nursing - rehabilitation
Employment
Female
Health Care Costs
Health Services - utilization
Health Services Accessibility
Humans
Male
Ontario
Public Assistance
Public Health Nursing - economics
Single Parent - psychology
Social Adjustment
Abstract
This randomized controlled trial was designed to evaluate the 2-year costs and effects of a proactive, public health nursing case management approach compared with a self-directed approach for 129 single parents (98% were mothers) on social assistance in a Canadian setting. A total of 43% of these parents had a major depressive disorder and 38% had two or three other health conditions at baseline.
Study participants were recruited over a 12 month period and randomized into two groups: one receiving proactive public health nursing and one which did not.
At 2 years, 69 single parents with 123 children receiving proactive public health nursing (compared with 60 parents with 91 children who did not receive public health nursing services) showed a slightly greater reduction in dysthymia and slightly higher social adjustment. There was no difference between the public health and control groups in total per parent annual cost of health and support services. However, costs were averted due to a 12% difference in non-use of social assistance in the previous 12 months for parents in the public health nursing group. This translates into an annual cost saving of 240,000 dollars (Canadian) of costs averted within 1 year for every 100 parents.
In the context of a system of national health and social insurance, this study supports the fact that it is no more costly to proactively service this population of parents on social assistance.
PubMed ID
11882101 View in PubMed
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A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain.

https://arctichealth.org/en/permalink/ahliterature61395
Source
Pain. 2005 Jun;115(3):273-83
Publication Type
Article
Date
Jun-2005
Author
Jensen IB
Bergström G
Ljungquist T
Bodin L
Author Affiliation
Section for Personal Injury Prevention, Karolinska Institutet, Box 127 18, 112 94 Stockholm, Sweden. irene.jensen@cns.ki.se
Source
Pain. 2005 Jun;115(3):273-83
Date
Jun-2005
Language
English
Publication Type
Article
Keywords
Adult
Back Pain - economics - rehabilitation
Cognitive Therapy
Comparative Study
Cost-Benefit Analysis
Delivery of Health Care - utilization
Employment
Female
Follow-Up Studies
Health Care Costs
Humans
Male
Middle Aged
Neck Pain - economics - rehabilitation
Pensions
Physical Therapy (Specialty) - economics - organization & administration
Program Evaluation
Quality of Life
Rehabilitation - economics - organization & administration
Research Support, Non-U.S. Gov't
Sick Leave
Abstract
The aim of the present study was to evaluate the long-term outcome of a behavioural medicine rehabilitation programme and the outcome of its two main components, compared to a 'treatment-as-usual' control group. The study employed a 4 x 5 repeated-measures design with four groups and five assessment periods during a 3-year follow-up. The group studied consisted of blue-collar and service/care workers on sick leave, identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomised to one of the four conditions: behaviour-oriented physiotherapy (PT), cognitive behavioural therapy (CBT), behavioural medicine rehabilitation consisting of PT+CBT (BM) and a 'treatment-as-usual' control group (CG). Outcome variables were sick leave, early retirement and health-related quality of life. A cost-effectiveness analysis, comparing the programmes, was made. The results showed, consistently, the full-time behavioural medicine programme being superior to the three other conditions. The strongest effect was found on females. Regarding sick leave, the mean difference in the per-protocol analysis between the BM programme and the control group was 201 days, thus reducing sick leave by about two-thirds of a working year. Rehabilitating women has a substantial impact on costs for production losses, whereas rehabilitating men seem to be effortless with no significant effect on either health or costs. In conclusion, a full-time behavioural medicine programme is a cost-effective method for improving health and increasing return to work in women working in blue-collar or service/care occupations and suffering from back/neck pain.
PubMed ID
15911154 View in PubMed
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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
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A 6-year follow-up study of 122 patients attending a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain.

https://arctichealth.org/en/permalink/ahliterature78830
Source
Int J Rehabil Res. 2007 Mar;30(1):9-18
Publication Type
Article
Date
Mar-2007
Author
Norrefalk Jan-Rickard
Linder Jürgen
Ekholm Jan
Borg Kristian
Author Affiliation
Department of Public Health Sciences, Division of Rehabilitation Medicine, Karolinska University Hospital, Stockholm, Sweden. norrefalk@hotmail.com
Source
Int J Rehabil Res. 2007 Mar;30(1):9-18
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Age Factors
Analgesics - therapeutic use
Case-Control Studies
Employment - statistics & numerical data
Female
Follow-Up Studies
Humans
Interviews
Male
Middle Aged
Musculoskeletal Diseases - rehabilitation
Pain - rehabilitation
Pain Measurement
Sick Leave
Sweden
Abstract
The aim of the study was to evaluate the outcome 6 years after completing a multiprofessional 8-week rehabilitation programme regarding the following objectives: (1) return to work, (2) level of activity and (3) pain intensity. Of 149 patients attending a rehabilitation programme, 122 were followed up after 6 years, through a structured telephone interview, and their present work situation, level of activity, sleeping habits, their estimated pain intensity and consumption of analgesics were recorded. The questions presented were the same as they had answered before entering the programme. The return-to-work rate was compared to 79 patients in a control group. At the 6-year follow-up, compared to before entering the programme, 52% had returned to work (P
PubMed ID
17293715 View in PubMed
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[7-hour working day should be ensured].

https://arctichealth.org/en/permalink/ahliterature233203
Source
Sygeplejersken. 1988 Apr 13;88(15):16
Publication Type
Article
Date
Apr-13-1988
Author
H. Rosenvold
Source
Sygeplejersken. 1988 Apr 13;88(15):16
Date
Apr-13-1988
Language
Danish
Publication Type
Article
Keywords
Denmark
Employment - standards
Humans
Nursing Service, Hospital - organization & administration
Time
PubMed ID
3394026 View in PubMed
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10-year trends of educational differences in long sickness absence due to mental disorders.

https://arctichealth.org/en/permalink/ahliterature285500
Source
J Occup Health. 2017 Jul 27;59(4):352-355
Publication Type
Article
Date
Jul-27-2017
Author
Hilla Sumanen
Olli Pietiläinen
Eero Lahelma
Ossi Rahkonen
Source
J Occup Health. 2017 Jul 27;59(4):352-355
Date
Jul-27-2017
Language
English
Publication Type
Article
Keywords
Absenteeism
Adolescent
Adult
Age Distribution
Cross-Sectional Studies
Education - classification - statistics & numerical data
Employment - psychology - statistics & numerical data
Female
Finland
Humans
Male
Mental Disorders - psychology
Middle Aged
Regression Analysis
Sex Distribution
Sick Leave - statistics & numerical data
Young Adult
Abstract
Mental disorders are a key cause of sickness absence (SA) and challenge prolonging working careers. Thus, evidence on the development of SA trends is needed. In this study, educational differences in long SAs due to mental disorders were examined in two age groups among employees of the City of Helsinki from 2004 to 2013.
All permanently and temporarily employed staff aged 18-34 and 35-49 were included in the analyses (n=~27800 per year). SA spells of =14 days due to mental disorders were examined annually. Education was classified to higher and lower levels. Joinpoint regression was used to identify major turning points in SA trends.
Joinpoint regression models showed that lower educated groups had more long SAs spells due to mental disorders than those groups with higher education. SA trends decreased during the study period in all studied age and educational groups. Lower educated age groups had similar SA trends. Younger employees with higher education had the fewest SAs.
A clear educational gradient was found in long SAs due to mental disorders during the study period. SA trends decreased from 2004 to 2013.
Notes
Cites: PLoS One. 2014 Jun 25;9(6):e9986924963812
Cites: J Occup Health. 2015;57(5):474-8126228519
Cites: Gesundheitswesen. 2015 Apr;77(4):e70-625756925
Cites: Scand J Work Environ Health. 2014 Jul;40(4):353-6024352164
Cites: Scand J Public Health Suppl. 2004;63:152-8015513656
Cites: BMJ Open. 2016 May 06;6(5):e00855027154473
Cites: Occup Med (Lond). 2012 Jul;62(5):379-8122638644
Cites: PLoS One. 2014 Dec 22;9(12):e11588525531900
Cites: Stat Med. 2000 Feb 15;19(3):335-5110649300
Cites: BJPsych Open. 2016 Jan 13;2(1):18-2427703749
Cites: Acta Psychiatr Scand. 2013 Apr;127(4):287-9722775341
Cites: Eur J Public Health. 2009 Dec;19(6):625-3019581376
Cites: BMC Public Health. 2010 Jul 20;10:42620646271
Cites: Int J Epidemiol. 2013 Jun;42(3):722-3022467288
Cites: Eur J Public Health. 2010 Jun;20(3):276-8019843600
Cites: J Occup Environ Med. 2017 Jan;59(1):114-11928045805
PubMed ID
28496028 View in PubMed
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A 12-year follow-up of subjects initially sicklisted with neck/shoulder or low back diagnoses.

https://arctichealth.org/en/permalink/ahliterature71946
Source
Physiother Res Int. 2001;6(1):52-63
Publication Type
Article
Date
2001
Author
G. Kjellman
B. Oberg
G. Hensing
K. Alexanderson
Author Affiliation
Department of Neuroscience and Locomotion, Linköping University, Sweden.
Source
Physiother Res Int. 2001;6(1):52-63
Date
2001
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Attitude to Health
Chronic Disease
Cohort Studies
Employment
Female
Follow-Up Studies
Health status
Humans
Low Back Pain - physiopathology
Male
Neck Pain - physiopathology
Questionnaires
Recurrence
Research Support, Non-U.S. Gov't
Risk factors
Shoulder Pain - physiopathology
Sick Leave
Abstract
BACKGROUND AND PURPOSE: Neck/shoulder and low back pain are common in the Western world and can cause great personal and economic consequences, but so far there are few long term follow-up studies of the consequences of back pain, especially studies that separate the location of back pain. More knowledge is needed about different patterns of risk factors and prognoses for neck/shoulder and low back pain, respectively, and they should not be treated as similar conditions. The aim of the present study was to investigate possible long-term differences in neck/shoulder and low back symptoms, experienced over a 12-year period, with regard to work status, present health, discomfort and influence on daily activities. METHOD: A retrospective cohort study of individuals sicklisted with neck/shoulder or low back diagnoses 12 years ago was undertaken. Included were all 213 people who, in 1985, lived in the municipality of Linköping, Sweden, were aged 25-34 years and who had taken at least one new period of sickleave lasting > 28 days with a neck/shoulder or low back diagnosis. In 1996, a questionnaire was mailed to the 204 people who were still resident in Sweden (response rate 73%). RESULTS: Those initially absent with neck/shoulder diagnoses rated their present state of discomfort as worse than those sicklisted with low back diagnoses. Only 4% of the neck/shoulder group reported no present discomfort compared with 25% of the low back group. Notably, both groups reported the same duration of low back discomfort during the last year, which may indicate a higher risk for symptoms in more than one location for subjects with neck/shoulder problems. CONCLUSIONS: Individuals with sickness absence of more than 28 days with neck/shoulder or low back diagnoses appear to be at high risk of developing long-standing symptoms significantly more so for those initially having neck/shoulder diagnoses.
PubMed ID
11379256 View in PubMed
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A 15-year series analysis of caries development related to a socioeconomic variable. A study of the year group leaving the organised dental care in Göteborg, Sweden.

https://arctichealth.org/en/permalink/ahliterature75752
Source
Swed Dent J. 2003;27(3):151-8
Publication Type
Article
Date
2003
Author
Yngve Swedberg
Jörgen G Norén
Author Affiliation
Department of Pedodontics, Faculty of Odontology, Göteborg, Sweden. ynsw@home.se
Source
Swed Dent J. 2003;27(3):151-8
Date
2003
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Cohort Studies
DMF Index
Dental Caries - epidemiology
Dental Restoration, Permanent - statistics & numerical data
Employment - statistics & numerical data
Humans
Incidence
Longitudinal Studies
Middle Aged
Prevalence
State Dentistry
Sweden - epidemiology
Tooth Loss - epidemiology
Abstract
In a long-term series analysis the study had the aim of detecting how the used socioeconomic variables were related to the caries status development in the year group leaving the organised dental care. The study included caries epidemiological records of individuals at the Public Dental Service of Göteborg, leaving the organised dental care during 1986-2000. The City of Göteborg was divided into four districts. One incidence and one prevalence caries index was used, each presented in two subgroups: individuals with no caries record and patients with 20% of the highest index values. The socio-economical variable was individuals 18-64 years of age, seeking employment, as a percentage of the corresponding group of all inhabitants. The registered values were divided into three time sections of five years each. In the first, the socio-economic value curves were almost horizontal, in the second they showed a considerable increasing and in the third a declining tendency. The result curves for the caries-free patient groups and for patients with 20% of the highest caries index values compared to the three socioeconomical time sector results, showed an almost horizontal level concerning the incidence index values, and for the prevalence index values an inclined curve structure to the incidence curves. The result curves for the incidence index with respect to the caries-free patient group showed an almost horizontal structure, while the prevalence curves inclined towards the incidence curves during the study period. The linear structure of these curves deviated considerably from the result curves for the socio-economic time series. No correlation existed between the socio-economic data and the studied caries index values. The need for determining the time length concerning caries index observations was discussed. It must be of special interest to maintain the dental health of the studied patient group and the individuals' relation to regular dental care, when as adults they meet the dental care economy.
PubMed ID
14608971 View in PubMed
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20 years follow-up after the first microsurgical lumbar discectomies in Iceland.

https://arctichealth.org/en/permalink/ahliterature165998
Source
Acta Neurochir (Wien). 2007 Jan;149(1):51-8; discussion 57-8
Publication Type
Article
Date
Jan-2007
Author
M. Jensdottir
K. Gudmundsson
B. Hannesson
G. Gudmundsson
Author Affiliation
Department of Neurosurgery, Landspítali University Hospital, Reykjavík, Iceland. margretjens@gmail.com
Source
Acta Neurochir (Wien). 2007 Jan;149(1):51-8; discussion 57-8
Date
Jan-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Diskectomy
Employment
Female
Follow-Up Studies
Humans
Iceland
Intervertebral Disc Displacement - surgery
Lumbar Vertebrae
Male
Microsurgery
Middle Aged
Patient satisfaction
Recurrence
Retrospective Studies
Treatment Outcome
Abstract
Microsurgical discectomies are an established procedure in spinal surgery. This operating technique was first used in the Department of Neurosurgery in Iceland in 1981 and has become standard operative treatment for herniated lumbar discs. There is a great variability in outcome reports regarding recurrence rate and re-operation rate. Few articles are based on follow-up of more than 10 years. This article presents the results of a 20 years follow-up study.
A retrospective study of all patients undergoing microsurgical discectomy for herniated lumbar disc, from June 1, 1981 to December 31, 1984. Outcome, based on recurrence rate, return to work and patient satisfaction was determined by a self-evaluation questionnaire, phone interviews and patient medical records.
Of the 170 patients, 134 (78.8%) were included in the study (M:F, 58:42%). Preoperative symptoms: back pain with sciatica 108 (80.6%), sciatica 20 (14.9%), back pain 2 (1.5%). Mean follow-up time was 20.7 years (19.5-22.8). Recurrence rate was 12.7%. 19 patients (14.2%) underwent a subsequent lumbar operation at a different level or side. A majority of patients 108 (80.6%) returned to previous level of work, 26 (19.4%) lost some or all working capabilities. Patient satisfaction was high, 91.1% reporting excellent (68.7%) or good (22.4%) results. 5.2% of patients rated the outcome fair and 3.7% poor. Women reported worse outcome than men, excellent M:F 74.7:60.7%, and poor 7.1:1.3%. There was no significant difference in patient satisfaction in patients undergoing additional operations or those with recurrence of the herniated disc.
Outcome was very good with 92.0% return to work and 91.1% patient satisfaction. The recurrence rate was 12.7% with a substantial number of cases occurring 10-20 years after operation. To conclude, microsurgical discectomies maintain a high success rate in the long-term.
PubMed ID
17180308 View in PubMed
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2388 records – page 1 of 239.