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Patients with rheumatoid arthritis facing sick leave or work disability meet varying regulations: a study among rheumatologists and patients from 44 European countries.

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Authors
Putrik, Polina
Ramiro, Sofia
Guillemin, Francis
Péntek, Márta
Sivera, Francisca
Sokka, Tuulikki
de Wit, Maarten
Woolf, Anthony D
Zink, Angela
Andersone, Daina
Berghea, Florian
Butrimiene, Irena
Brouwer, Sandra
Cassar, Karen
Charalambous, Paraskevi
Caporali, Roberto
Deseatnicova, Elena
Damjanov, Nemanja S
Finckh, Axel
FitzGerald, Oliver
Gröndal, Gerður
Gobejishjvili, Nino
Gluszko, Piotr
Hirsch, Marco
Jovanovic, Igor
Vencovský, Jiří
Janssens, Xavier
Keszei, Andras P
Kovarova, Maria
Kull, Mart
Cunha Miranda, Luís
Mayer, Miroslav
Misevska-Percinkova, Snezana
Inanc, Nevsun
Nadashkevich, Oleg
Petersson, Ingemar F
Puolakka, Kari
Rojkovich, Bernadette
Radner, Helga
Szabados, Fruzsina
Slobodin, Gleb
Shirinsky, Ivan
Soroka, Nikolay
Sidiropoulos, Prodromos
Shumnalieva, Russka
Sokolovic, Sekib
Shukurova, Surayo
Tafaj, Argjend
Tomšič, Matija
Uhlig, Till
Verstappen, Suzanne M M
Boonen, Annelies
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Issue Date
2019-11

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Putrik P, Ramiro S, Guillemin F, Péntek M, Sivera F, Sokka T, De Wit M, Woolf AD, Zink A, Andersone D, Berghea F. Patients with rheumatoid arthritis facing sick leave or work disability meet varying regulations: a study among rheumatologists and patients from 44 European countries. Annals of the rheumatic diseases. 2019 Nov 1;78(11):1472-9.
Abstract
OBJECTIVES: To describe and explore differences in formal regulations around sick leave and work disability (WD) for patients with rheumatoid arthritis (RA), as well as perceptions by rheumatologists and patients on the system's performance, across European countries. METHODS: We conducted three cross-sectional surveys in 50 European countries: one on work (re-)integration and social security (SS) system arrangements in case of sick leave and long-term WD due to RA (one rheumatologist per country), and two among approximately 15 rheumatologists and 15 patients per country on perceptions regarding SS arrangements on work participation. Differences in regulations and perceptions were compared across categories defined by gross domestic product (GDP), type of social welfare regime, European Union (EU) membership and country RA WD rates. RESULTS: Forty-four (88%) countries provided data on regulations, 33 (75%) on perceptions of rheumatologists (n=539) and 34 (77%) on perceptions of patients (n=719). While large variation was observed across all regulations across countries, no relationship was found between most of regulations or income compensation and GDP, type of SS system or rates of WD. Regarding perceptions, rheumatologists in high GDP and EU-member countries felt less confident in their role in the decision process towards WD (β=-0.5 (95% CI -0.9 to -0.2) and β=-0.5 (95% CI -1.0 to -0.1), respectively). The Scandinavian and Bismarckian system scored best on patients' and rheumatologists' perceptions of regulations and system performance. CONCLUSIONS: There is large heterogeneity in rules and regulations of SS systems across Europe in relation to WD of patients with RA, and it cannot be explained by existing welfare regimes, EU membership or country's wealth.
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Additional Links
https://ard.bmj.com/content/78/11/1472
ae974a485f413a2113503eed53cd6c53
10.1136/annrheumdis-2019-215294
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English Journal Articles (Peer Reviewed)

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