scholarly journals Social validity of work ability evaluations and official decisions within the sickness insurance system: A client perspective

Work ◽  
2021 ◽  
pp. 1-16
Author(s):  
Elin A. Karlsson ◽  
Jan L. Sandqvist ◽  
Ida Seing ◽  
Christian Ståhl

BACKGROUND: Studies of the social validity of work ability evaluations are rare, although the concept can provide valuable information about the acceptability, comprehensibility and importance of procedures. OBJECTIVE: The aim of this study was to explore clients’ perceptions of social validity of work ability evaluations and the following official decisions concerning sickness benefits within the Swedish sickness insurance system. METHODS: This was a longitudinal qualitative study based on interviews with 30 clients on sick leave, analyzed through deductive content analysis. RESULTS: Clients’ understanding of the evaluation was dependent on whether the specific tests were perceived as clearly related to the clients’ situation and what information they received. For a fair description of their work ability, clients state that the strict structure in the evaluation is not relevant to everyone. CONCLUSION: The work ability evaluations indicate low acceptability due to lack of individual adaptation, the comprehensibility varied depending on the applicability of the evaluation and information provided, while the dimension ‘importance’ indicated as higher degree of social validity. The official decision about sickness benefits however was considered unrelated to the evaluation results, lacking solid arguments and sometimes contradictory to other stakeholders’ recommendations indicating poor social validity.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Karlsson ◽  
J Sandqvist ◽  
C Ståhl

Abstract Background Professionals need to be able to express what is at stake during the decision-making process and the discrepancy between formal rules and practical rationality need to be bridgeable and transparent for outsiders. Investigations of social validity for work ability assessments are rare. However, the concept can provide valuable information upon the acceptability and comprehensibility of procedures and how professionals can increase clients’ participation. The purpose of this study was to investigate social validity for work ability evaluations within the sickness insurance system and the official decisions they lead to. Methods This was a longitudinal qualitative study using telephone interviews and files from the Swedish Social Insurance Agency. Clients (n = 30) were interviewed after their participation in a work ability evaluation as well as after receiving an official decision upon eligibility for sickness benefits. Data was analyzed using a deductive content analysis. Results Preliminary findings show that clients’ comprehensibility of the different tests and their composition were depending on whether the specific tests were perceived as clearly related to the clients’ difficulties and what information they had received. In order to receive a fair description of the client’s work ability, clients state that the work ability evaluation needs to be individually adapted and that the standardized structure is not relevant for all. What is acceptable and fair to one client could be unacceptable to another, depending on what arguments and information case-managers and evaluation professionals provided. Conclusions Authorities need to express and motivate the reasons for a diverse range of steps during clients sick-leave process, not only regarding official decisions. Social validity for work ability evaluations is depending on the provided information and the applicability to the clients’ situation. Key messages Social validity is depending on the provided information and the applicability to the clients’ situation. Authorities need to communicate clearly with clients through the whole sick-leave process.


2011 ◽  
Vol 33 (15-16) ◽  
pp. 1373-1382 ◽  
Author(s):  
Christian Ståhl ◽  
Tommy Svensson ◽  
Gunilla Petersson ◽  
Kerstin Ekberg

Author(s):  
Elin A. Karlsson ◽  
Jan L. Sandqvist ◽  
Ida Seing ◽  
Christian Ståhl

AbstractPurpose Activation policies and efforts to reduce sick leave rates has influenced sickness insurance systems in Western countries, which has led to social security being more connected with work and attempts to expose malingering among the sickness absent. The aim of this study was to explore how power and trust are expressed by clients and stakeholders within the Swedish sickness insurance system. Methods This was a longitudinal qualitative study based on semi structured interviews and case files from 31 clients on sick leave in Sweden. Data was analyzed using a thematic analysis. Results The main theme ‘Acts of power and distrust’ illustrates how stakeholders’ express suspicions towards each other, and how clients need to demonstrate desire and efforts to return to work which other stakeholders verified. Conclusions The clients desire to prove themselves able to contribute to society was prominent in this study and power relations need to be acknowledged, in particular between client and the SIA. Further, to preserve citizens trust in the system, the system needs to demonstrate trust also in the clients.


2004 ◽  
Vol 22 (1) ◽  
pp. 87-113 ◽  
Author(s):  
Magnus Henrekson ◽  
Mats Persson

2019 ◽  
Vol 63 (12) ◽  
pp. 2103-2137 ◽  
Author(s):  
Tina Maschi ◽  
Dhweeja Dasarathy

To fill a current gap in the literature on aging, mental health, and the criminal justice system, a content analysis of international peer-reviewed research studies was conducted. A comprehensive literature search was conducted to identify English language research studies published in 2018-19. Forty-four articles were located using keyword search terms, such as aging, mental health, and criminal justice. The methods and major findings were analyzed using deductive and inductive approaches. It was found that the majority of the research studies were conducted in the United States and England. The results of the inductive analyses revealed major themes related to mental health detection and access to services, comorbid conditions, and the relationship of age, mental health, criminal behavior, and the social determinants of mental health. Findings from this review have significant implications for advancing epidemiological research, practice, and policy, especially as it relates to the influence of the social determinants of health of aging on life course mental health and criminal justice involvement. Research findings about the correlates and consequences of the social determinants of health, especially as it relates to aging, mental health, and criminal justice involvement, can be used to inform prevention and intervention efforts that target the social determinants of life course health and criminal justice involvement. It also provides a comprehensive assessment of the m methods used in prior studies to help improve future studies in this important area of investigation.


2019 ◽  
Vol 12 (2) ◽  
pp. 53-80
Author(s):  
Sari Hanafi

This study investigates the preachers and their Friday sermons in Lebanon, raising the following questions: What are the profiles of preachers in Lebanon and their academic qualifications? What are the topics evoked in their sermons? In instances where they diagnosis and analyze the political and the social, what kind of arguments are used to persuade their audiences? What kind of contact do they have with the social sciences? It draws on forty-two semi-structured interviews with preachers and content analysis of 210 preachers’ Friday sermons, all conducted between 2012 and 2015 among Sunni and Shia mosques. Drawing from Max Weber’s typology, the analysis of Friday sermons shows that most of the preachers represent both the saint and the traditional, but rarely the scholar. While they are dealing extensively with political and social phenomena, rarely do they have knowledge of social science


Author(s):  
Achmad Zamroni ◽  
Nurlaili Nurlaili ◽  
Cornelia Mirwantini Witomo

Tantangan pengembangan ekonomi biru di Lombok adalah menurunnya habitat terutama rumput laut, terumbu karang dan bakau, karena tingginya tekanan ekonomi yang menyebabkan orang terlibat dalam eksploitasi sumber daya  perikanan. Tujuan riset adalah mereview penerapan konsep “Ekonomi Biru” pada usaha perikanan budidaya  di Kabupaten Lombok Timur. Data dan informasi dikumpulkan melalui penelusuran dokumen, laporan riset dan publikasi ilmiah terkait topik kajian. Dokumen-dokumen tersebut dianalisis secara konten (content analysis) dan direview dari aspek sosial dan ekonomi yang dijelaskan secara kualitatif. Hasil review menunjukkan bahwa 6 (enam) usaha perikanan dapat memberikan efek berganda yaitu budidaya  lobster, budi daya  rumput laut, pengolahan kepiting, pengolahan limbah kepala ikan, dan tambak garam mempunyai peluang menciptakan efek berganda, artinya keenam usaha tersebut dapat menciptakan alternatif mata pencaharian yang bisa berdampak pada peningkatan ekonomi rumah tangga. Title: Prospects of the Implementation of Blue Economy Concept on An opportunity Fisheries Bussiness in East Lombok DistrictThe challenge of developing a blue economy in Lombok is the decline of habitats, especially seaweed, coral reefs and mangroves, due to the high economic pressure that causes people to be involved in exploitation of fisheries resources. The aim of the research is to review the application of the concept of “Blue Economy” in aquaculture businesses in East Lombok District. Data and information were collected through documents investigation, research reports and scientific publications related to the topic of the study. These documents were analyzed using content analysis and reviewed from the social and economic aspects qualitatively described. The result shows that the review indicates that 6 (six) fisheries businesses can provide multiple effects namely lobster aquaculture, seaweed farming, crab processing, fish head waste treatment, and salt farming have the opportunity to create multiple effects, meaning that the six businesses can create alternative livelihoods that can has an impact on improving the household economy. 


2019 ◽  
Vol 32 (1) ◽  
Author(s):  
Leonardo Martins Barbosa ◽  
Sheila Giardini Murta

AbstractThe literature shows that retirement can bring both positive and negative effects. However, there are few tested interventions for preparing workers for this transition and avoiding or minimizing its negative impacts. This paper presents a study with multiple groups that examined the social validity of an intervention for retirement education grounded in contextual behavioral science and acceptance and commitment therapy. Twenty-seven workers aged 29 to 65 divided into three intervention groups participated (group 1, N = 15; group 2, N = 9; group 3, N = 3). According to the participants’ evaluations, the intervention provided socially valid goals, socially acceptable procedures, and socially important effects. However, some improvements are still needed, such as the use of more dynamic methods, better formatted printed material, and increased fidelity between the content’s implementation and the prescribed activities. The positive results indicate that contextual behavioral science may bolster the development of interventions whose components possess evidence for their social validity. The further evaluation of the intervention via a clinical trial study will offer more robust evidence for its effectiveness. It is hoped that by increasing the availability of theory-based interventions in this area, the present study will promote valid strategies to facilitate better adjustment to retirement.


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