Exploring Sick Leave in Integrative Care - Retrospective Observations and Future Study Recommendations

Sundberg, T; Hussain-Alkhateeb, L; Inghilesi Larsson, A; Sibbritt, D; Falkenberg, T

Exploring Sick Leave in Integrative Care - Retrospective Observations and Future Study Recommendations

Sundberg, T Hussain-Alkhateeb, L Inghilesi Larsson, A Sibbritt, D

Falkenberg, T

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Publication Type:: Journal Article
Citation:: Journal of Alternative and Complementary Medicine, 2019, 25 (4), pp. 377 - 384
Issue Date:: 2019-04-01

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Field	Value	Language
dc.contributor.author	Sundberg, T	en_US
dc.contributor.author	Hussain-Alkhateeb, L	en_US
dc.contributor.author	Inghilesi Larsson, A	en_US
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447	en_US
dc.contributor.author	Falkenberg, T	en_US
dc.date.issued	2019-04-01	en_US
dc.identifier.citation	Journal of Alternative and Complementary Medicine, 2019, 25 (4), pp. 377 - 384	en_US
dc.identifier.issn	1075-5535	en_US
dc.identifier.uri	http://hdl.handle.net/10453/137848
dc.description.abstract	© 2019, Mary Ann Liebert, Inc., publishers 2019. To describe and contrast the prevalence and trends of sick leave in patients with pain or stress disorders referred to inpatient care that integrates conventional and complementary therapies, that is, integrative care (IC). Methods: County council and social insurance data were used to retrospectively observe cross-sectional sick leave prevalence at four time points: 1 year before the first registered inpatient visit with the target diagnosis, after referral at index, and at 1 and 2 years after index. To contrast the IC findings, observations of patients with similar background characteristics referred to conventional care (CC) were used. Results: The sick leave prevalence of IC pain patients and IC stress patients increased from the preceding year to peak at index, where after it decreased back toward preindex levels over 2 years. Overall sick leave prevalence was higher in IC than in CC, where analogous but lower prevalence trends of sick leave changes were observed. Conclusions: Observed sick leave prevalences, which were higher in IC than in CC, gradually decreased over time following IC or CC referral. While natural recovery or other reasons for change of sick leave cannot be excluded, future prospective and randomized clinical trials are recommended.	en_US
dc.relation.ispartof	Journal of Alternative and Complementary Medicine	en_US
dc.relation.isbasedon	10.1089/acm.2018.0257	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Complementary & Alternative Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pain	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Sick Leave	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Integrative Medicine	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Pain Management	en_US
dc.title	Exploring Sick Leave in Integrative Care - Retrospective Observations and Future Study Recommendations	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	25	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

© 2019, Mary Ann Liebert, Inc., publishers 2019. To describe and contrast the prevalence and trends of sick leave in patients with pain or stress disorders referred to inpatient care that integrates conventional and complementary therapies, that is, integrative care (IC). Methods: County council and social insurance data were used to retrospectively observe cross-sectional sick leave prevalence at four time points: 1 year before the first registered inpatient visit with the target diagnosis, after referral at index, and at 1 and 2 years after index. To contrast the IC findings, observations of patients with similar background characteristics referred to conventional care (CC) were used. Results: The sick leave prevalence of IC pain patients and IC stress patients increased from the preceding year to peak at index, where after it decreased back toward preindex levels over 2 years. Overall sick leave prevalence was higher in IC than in CC, where analogous but lower prevalence trends of sick leave changes were observed. Conclusions: Observed sick leave prevalences, which were higher in IC than in CC, gradually decreased over time following IC or CC referral. While natural recovery or other reasons for change of sick leave cannot be excluded, future prospective and randomized clinical trials are recommended.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/137848