Förer systematisk vurdering av Sykmelding II-erklaeringer til lavere trygdeforbruk?
Engelsk titel: Does systematic evaluation of sickness certification II lead to less use of health insurance?
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Författare:
Ringdal PR
;
Haug K
;
Maeland JG
Email: peder.ringdal@isf.uib.no
Språk: Nor
Antal referenser: 15
Dokumenttyp:
RCT
UI-nummer: 02021812
Sammanfattning
INTERPRETATION : We conclude that local NIS offices are unable to use the information in the eight-week sick notes to effectively influence future utilisation of health insurance. The reason may be that NIS offices lack the skills necessary for early intervention in long-term sick-listing.
RESULTS : After three years, no significant differences were observed between the two groups in health insurance utilisation.
MATERIAL AND METHODS : In 1994 a randomised study using a paired design of the NIS local offices in the county of Hordaland was undertaken. All eight-week medical certificates in the intervention group (N = 2,237) were systematically reviewed, whereas standard routines were used for the control group (N = 1,764).
BACKGROUND : The increasing prevalence of disability pensioning in Norway has led to several attempts at strengthening the proactive role of the National Insurance System (NIS) in cases of long-term sick-listing. Since 1988, a special medical certificate is required after eight weeks of sick-leave. The aim of this study was to examine whether systematic evaluation of this medical certificate by NIS officers and NIS medical consultants could reduce future health insurance expenditure.