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Communication characteristics between clients and stakeholders within the Swedish sickness insurance system [Elektronisk resurs] a document analysis of granted and withdrawn sickness benefit claims

Karlsson, Elin, 1985- (författare)
Seing, Ida, 1982- (författare)
Sandqvist, Jan, 1968- (författare)
Ståhl, Christian, 1980- (författare)
Linköpings universitet Institutionen för medicin och hälsa (utgivare)
Linköpings universitet Medicinska fakulteten (utgivare)
Linköpings universitet Institutionen för beteendevetenskap och lärande (utgivare)
Linköpings universitet Filosofiska fakulteten (utgivare)
Linköpings universitet Institutionen för samhälls- och välfärdsstudier (utgivare)
Publicerad: Taylor & Francis, 2019
Engelska.
Ingår i: Disability and Rehabilitation. - 0963-8288.
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  • E-artikel/E-kapitel
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  • Purpose:  The purpose of this study was to investigate how communication within the Swedish sickness insurance system differs between cases of sick leave and how this may affect clients’ cases. Materials and methods:  This was a document study using 30 client files from the Swedish Social Insurance Agency (SIA). The clients included had been on a work ability evaluation during their sick leave spell and were aged 32–64 years. The material was analyzed using qualitative document analysis. Results:  The results show different approaches to communication, characterized by emotional argumentation, matter-of-fact driven argumentation and information exchange, which have diverse success in affecting official decisions. Arguments characterized by emotions such as frustration or desperation are to a larger extent neglected by the authorities compared to those characterized by a matter-of-fact driven approach and referring to regulations and medical certificates. Conclusion:  There are differences regarding how clients and stakeholders communicate the clients’ needs and pre-requisites, and how this affects official decisions. Further research must be carried out in order to establish social insurance literacy, initially for individuals on sick leave within the sickness insurance system, and whether there are differences between diverse groups that could lead to injustices. Implications for rehabilitation Within a social insurance context, professionals need to provide clients with adequate and individually adapted information in order for procedures to be perceived as comprehensible and manageable by the clients. The support from stakeholders such as the treating physician and/or employer can affect clients’ sick-leave process. Clients’ treating medical professionals can contribute to ensuring that clients rights are met by communicating the clients’ needs to other stakeholders in a formal way. 

Ämnesord

Medical and Health Sciences  (hsv)
Health Sciences  (hsv)
Public Health, Global Health, Social Medicine and Epidemiology  (hsv)
Medicin och hälsovetenskap  (hsv)
Hälsovetenskaper  (hsv)
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi  (hsv)

Genre

government publication  (marcgt)

Indexterm och SAB-rubrik

Sick leave; work ability; social insurance agency; vocational rehabilitation; social insurance system
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