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Table 1 Similarities and differences between RtW coordination interventions in the Cochrane review and in Finland

From: Evidence-informed decision about (de-)implementing return-to-work coordination to reduce sick leave: a case study

Categories

Summary

Judgement

Names

Mostly use of keywords that suggest coordination, only some studies in the review used keywords that did not suggest coordination (such as case management and consultation)

Identical

Setting

Interventions are mostly situated in European welfare states and can start after a long-term sick leave of the worker

In the Cochrane review all workers were at least 4 weeks on sick leave, but almost half of the Finnish workers had less than 4 weeks accumulated sick leave and may not have been on sick leave at the time of the RtW meeting

Similar

Year(s) studied

Data from different but overlapping time spansa, most studies were recent and conducted after the year 2000

Similar

Participants

The worker, the employer or a workplace representative, and a physician (most often occupational physician) participate in the intervention. Possibility to participate in the intervention for other healthcare providers (such as occupational health nurse or physiotherapist) and stakeholders (such as occupational safety representative, social worker)

Identical

Content

No differences:

Interventions include:

  At least one face-to-face meeting between worker and coordinator, which is often but not always joined by the employer

  A workers’ needs assessment that includes a focus on employee's work ability

  A collaboratively developed RtW plan which consists of dates, goals and actions for RtW

  One person responsible for the implementation of the RtW plan (evaluating the progress and making changes to the RtW plan if appropriate)

In practice, the RtW coordination intervention might not always be fully implemented as recommended

Identical

Durationb

In the review, interventions lasted 3 months until more than 1 year. Information about the duration of the intervention in Finland was missing

Unclear

  1. aReview data: 18 years (1995–2016). Finland data: 5 years (2014 and 2018)
  2. bDefined as from first meeting until last follow-up