Health Condition, Health Care Utilisation and Attitude Towards Return to Work in Individuals Receiving Temporary Disability Pension
A total of 15,110 TDP, aged 30-60 years, who received a pension for the first time and independently of labour market, were sent a questionnaire at the end of their first period of approval. Questionnaire-based data were supplemented with routine information from the databases of pension insurances. Descriptive statistics were done separately for the 4 main diagnoses (mental illness, neoplasms, musculoskeletal diseases, diseases of circulatory system). Testing for group differences was performed by ANOVA or chi-square test.
A total of 3,880 participants were included in the analyses. At the end of their first period of approval, these TDP still reported overall impaired health. While receiving pension, 36.8 % of TDP with mental illness received medical rehabilitation. Employment participation benefits were granted more often to pensioners with musculoskeletal diseases (8.1 %). About one-third of the participants would like to RTW. The individual work capacity and possibility of finding a matching job were rated more pessimistically. TDP with neoplasms tended to report better health condition and attitude towards RTW than the other diagnosis groups.
The results show that the goal of restoring earning capacity is insufficiently realized by limiting pension duration. In the context of the complexity of health problems faced by individuals, new concepts in intervention are needed taking into account the different stakeholders involved in the social and health care system.