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Haninge 20 km south-east of Stockholm. Municipelity facts: 76 000 inhabitants 78 % at the age of 16–64 Population centre / sparesly-populated area; archipelago municipelity. Stockholm Haninge. BACKGROUND. The number of sick listed were among the highest in Europe during the nineties .
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Haninge20 km south-east of Stockholm • Municipelity facts: • 76 000 inhabitants • 78 % at the age of 16–64 • Population centre / sparesly-populated area;archipelago municipelity Stockholm Haninge
BACKGROUND • The number of sick listed were among the highest in Europe during the nineties. • The government initiated several steps in order to decrease the sick leaves • structural changes • guidance instruments • education
Multi disciplinary team • Different professionals measure the patient's symptoms based upon their profession: - GP - occupational therapist - physiotherapist- social worker • Using standardized instruments for measurements • The patients get their situation viewed from different perspectives, giving a general picture of the problem
GP • Sickness >30 days • Diagnoses • Psychical unhealth • Mental unhealth • Symptom diagnoses (pain) Team meeting 2 Summary of the team’s estimation Analysis Patient examined by the team during two weeks Health Centerthe process of sick leaves Team meeting 1 weekly • Meeting • Settling of an action plan • Guidance officer • Insurancworker • patient • Activities • Treatment • Working life rehabilita- tion • Workactivities
Conclusions • Sick listed have decreased • Much easier to take the right actions from the very beginning • Everyone, regardless of gender, get the same screening • Patients are very pleased with the meeting and / or to be analysed by the team • Good basis for estimation of sick listed, for the doctor as well as for the Social Insurance agency • Shorter administrative time before decisions are made with regard to sick listed
Thank you! Cecilia Brage cecilia.brage@sll.se Åsa Ahlbom asa.ahlbom@sll.se Ruth de Lira ruth.delira@sll.seÅsa Halvarsson asa.halvarsson@haninge.se Team Handen: Cecilia, Åsa, Ruth & Elisabeth