Eksperters synspunkter på tilbudet til sykmeldte i Norge. Förste runde av en delphi-studie
Sammanfattning
Background: Return-to-work (RTW) programmes have undergone
large changes in recent years. The aim of this study was to identify
problems and needed changes in RTW programmes for sick-listed
employees in Norway.
Material and methods: The study was designed as a Delphi study,
where 32 experts on RTW interventions participated in a group interview,
with both written and oral data collection. The data was analysed
by qualitative and quantitative content analysis.
Results: 218 identified meaning units were condensed into 23
unique problems and 34 suggested changes. Every third unit involved
the overall organization of RTW programmes. The experts expressed
an experienced overlap between interventions offered by the public
welfare service (NAV) and by the health services, and suggested that
the services should be better coordinated. Furthermore, they argued
that there is an insufficient focus on the employees’ workplace, that
it takes too long before sick-listed employees are referred to a RTW
service, and that the employees are often misdiagnosed, pathologized,
and medicalized. Additionally, they experienced that access to research
is lacking, and that there is a need for more available documentation
on the effectiveness of RTW interventions.
Conclusion: According to experts in this study, interventions offered
to sick-listed employees have core issues that should be addressed.
The overall organization of the programmes seems to be the greatest
concern.