دورية أكاديمية

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

التفاصيل البيبلوغرافية
العنوان: Exploring Sick Leave in Integrative Care—Retrospective Observations and Future Study Recommendations.
المؤلفون: Sundberg, Tobias, Hussain-Alkhateeb, Laith, Inghilesi Larsson, Annelie, Sibbritt, David, Falkenberg, Torkel
المصدر: Journal of Alternative & Complementary Medicine; Apr2019, Vol. 25 Issue 4, p377-384, 8p, 2 Charts, 4 Graphs
مصطلحات موضوعية: TREATMENT of psychological stress, PAIN management, ALTERNATIVE medicine, CHI-squared test, COMPARATIVE studies, CONFIDENCE intervals, STATISTICAL correlation, FISHER exact test, MEDICAL care, MEDICAL referrals, MEDICINE, SCIENTIFIC observation, PATIENTS, RESEARCH funding, SICK leave, TIME, COMORBIDITY, SOCIOECONOMIC factors, INTEGRATIVE medicine, DISEASE prevalence, CROSS-sectional method, RETROSPECTIVE studies, DATA analysis software, DESCRIPTIVE statistics, ODDS ratio
مستخلص: Objectives: 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. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10755535
DOI:10.1089/acm.2018.0257