handens vårdcentral 1 haninge 20 km south-east of stockholm municipelity facts: 76 000 inhabitants...

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Handens vårdcentral Haninge20 km south-east of Stockholm

Municipelity facts:

•76 000 inhabitants

•78 % at the age of 16–64

•Population centre / sparesly-populated area;archipelago municipelity

Stockholm

Haninge

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Handens vårdcentral

• The number of sick listed were among the highest in Europe during the nineties.

• The government initiated several steps in order to decrease the sick leaves– structural changes– guidance instruments– education

BACKGROUND

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Handens vårdcentral

Multi disciplinary team• Different professionals measure the patient's symptoms

based upon their profession:

- GP

- occupational therapist

- physiotherapist- social worker

• Using standardized instruments for measurements

• The patients get their situation viewed from different

perspectives, giving a general picture of the problem

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Handens vårdcentral

Health Centerthe process of sick leaves

GPSickness >30 days•Diagnoses

•Psychical unhealth•Mental unhealth•Symptom diagnoses (pain)

GPSickness >30 days•Diagnoses

•Psychical unhealth•Mental unhealth•Symptom diagnoses (pain)

Team meeting 1

weekly

Analysis

Patient examined by the team during two weeks

Team meeting 2

Summary of the team’s estimation

Meeting

Settling of an action plan

•Guidance officer

•Insurancworker

•patient

Activities

•Treatment•Working life rehabilita- tion•Workactivities

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Handens vårdcentral

• Sick listed have decreased

• Much easier to take the right actions from the very beginning

• Everyone, regardless of gender, get the same screening

• Patients are very pleased with the meeting and / or to be analysed by the team

• Good basis for estimation of sick listed, for the doctor as well as for the Social Insurance agency

• Shorter administrative time before decisions are made with regard to sick listed

Conclusions

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Handens vårdcentral

Thank you!

Cecilia Brage cecilia.brage@sll.se

Åsa Ahlbom asa.ahlbom@sll.se

Ruth de Lira ruth.delira@sll.se

Åsa Halvarssonasa.halvarsson@haninge.se Team Handen: Cecilia, Åsa, Ruth & Elisabeth