Background: The Social Insurance is part of the Swedish welfare system that is intended to create economic security for citizens in the event of unemployment, sickness, functional disability, and old age. The Swedish sickness‐benefit insurance is based on the standard insurance principle meaning that sickness benefits are related to level of lost income. The increasing number of sick listed people and people with disability pension (DPs) in Sweden may lead to marginalisation of individuals as they are not part of the labour market. The government has decided that the number of sick‐listed people should be halved by 2008, which means a tougher judgment of the applications for sick leave compensation. To be qualified for sickness benefit the disease has to impair the work ability in relation to the specific demands of the work of that person. The evaluation of the work ability in a percentage is an important element with regard to the policy on disability. The social insurance officers (SIOs) who are assessing the work ability are dependent on judgments from the physicians as expertise, and the guidelines in the social insurance act. The eligibility criteria for DP and the process of dealing with applications for DP is scarcely studied. Objectives: The overall aim of the thesis was to explore demographic and health differences between those, who were granted and those, who were not granted disability pension. The second aim was to study how the process from applications to decisions on disability pensions were executed and perceived by the social insurance offices and to elucidate their working conditions during the decision process. Material and methods: The first two studies explored differences between those granted DP and those not granted DP. Study I was a register‐based retrospective case‐control study carried out in the area of a county in Sweden. The cases were all individuals rejected a full disability pension 1999‐2000, in all 99 cases. Controls were every tenth person who was granted a full DP during the same period, 198 controls. Determinants were recorded from the Social Insurance (SI). In study II demographic data and medical diagnoses were obtained from the SI records. Data concerning self‐reported health, HRQoL, social networks and use of health care were collected by a postal questionnaire. The study objects were the same as in study I. In study III and IV indepth interviews were carried through to study the social insurance officers’ perspective on the process from application to decision on disabilitypensions as well as their experiences of prerequisites and hindrances in their work with DP applications. The transcribed data were analysed by an inductive content analysis. Results: Unemployment, living in the main municipality and age below 50 years were determinants for rejection of DP. Medical status as described in the Social Insurance records had less association with the outcome. There are variations in praxis of rejection of applicants between social insurance boards in different geographical areas due to other reasons than medical. The nDP group had more often multiple diagnoses, and lower self‐reported health and HRQoL compared to those granted DP. Those not granted DP also had significantly smaller social networks. The SIOs perceived that they had to make rapid decisions within a limited time frame, based on limited information, mainly on the basis of incomplete medical certificates, and with no firm criteria for the regulations on the individual case level. Communication among the various authorities as employment offices and social services suffered from lack of common goaldirected strategy. In study IV the SIOs described their working conditions when executing the applications for DP. The SIOs perceived recurrent changes in rules and regulations as frustrating as they at the same time had to face the client. The large number of clients prevented them from being able to offer clients activities and support them in the way they were supposed to do. The SIOs powerful position and how their discretion was implemented made them feel responsible for performing their work well. SIOs are to be considered as typical street‐level bureaucrats as they have to perform their work between the policy, rules and clients. Conclusions: The individuals had an increased risk to be rejected DP if they were younger than 50 years, unemployed, and lived in the main city. No evident differences in medical diagnoses were found between the groups. The results indicate that there may be other reasons than medical in praxis. Contrary to expectations, those not granted DP do not seem to have better health, but rather to suffer from more sickness than those, who were granted DP. Unemployment leads to inability to qualify for compensation and benefits that are associated with participation on the labour market. The group not granted disability pension appears to be a disadvantaged group in need for a co‐ordination between different parts of the social welfare system. The different perspectives were perceived as obvious obstacles in the communication between professionals in the welfare system as they had other goals and demands. Clients, that have comprehensive problems and are in need of coordinated measures from many authorities to get entrance to the labour market still suffer from lack of coordination. One question is how the different public officers use their discretion when handling clients and how the cooperation can be improved. / The electronic version of the printed dissertation is a corrected version.

Background: The high levels of sickness absence and disability pensioning experienced during the 1990's and 2000's have become both socially as well as financially burdensome for society. Sickness absence implies a costly loss of production for society and large groups of individuals are risking to become marginalised on the labour market. Sickness absence is both a public health and an economic problem. Thus from both a human approach as well as from an economic perspective it is urgent to increase knowledge about what influences individual behaviour when it comes to sickness absence and return to work. Objectives: The overall aim of the thesis is to elucidate the decisive factors for explaining sickness absence. Three different aspects of sickness absence were considered, i.e. factors leading to sickness absence, factors preventing sickness absence and factors leading back to work ability and work when being sickness absent. This is done using a frame of reference involving broadly defined areas of work, health and social insurance related factors. Material and methods: Study I analyzes the outcome of unemployed sick-listed individuals. A total of 280 individuals from the county of Värmland were followed through register data between the years 2000 to 2001. Linear and logistic regression models were used to analyze the occurrence of short and long term economic incentives. Study II has a longitudinal design and explores determinants of return to work. Sick-listed individuals with a stress-related psychiatric diagnosis from the county of Värmland were analyzed over a period of three years (2000-2003) using logistic regression. The data comprised 911 individuals. Study III is a cross-sectional study using questionnaire data from the county of Värmland from year 2004. A total of 3123 persons either working or being self employed were analyzed on determinants of work presence through logistic regression. Study IV had a cross-sectional design and used questionnaire data from five counties in central Sweden. The data, from 2004, comprised 10536 individuals being employed, i.e. not self-employed, and with self reported physical and mental medical conditions. Logistic regression was mainly used in the analysis and the focus was on risk factors for long term sickness absence. Study V comprises cross-sectional data retrieved at three separate occasions between 1991 and 1994. It includes 8839 individuals from five counties in western Sweden with sickness absence spells over 60 days. The data was analysed through bi-variate probit regression with a focus on effects of vocational rehabilitation on return to work. Results: The results from study I were interpreted as that both short and long term economic incentives matter for the outcome of sickness absence through the interaction of different insurance systems. The principal findings from study II was that age, gender and factors implying less favourable health characteristics and thereby lower work capacity, reduce probabilities of returning to work after long term sickness absence. Considering study III determinants of work presence were found to vary between sexes and whether the determinants were counteracting long or short term sickness absence. Factors interpreted as job control counteracted short term absence. Sense of coherence was found to be an important determinant of work presence for women. In study IV long term sickness absence was found to be related to the level of ill-health. Moreover it was concluded that work environment factors as job strain, job satisfaction, physical work environment were important factors for explaining sickness absence in a population with impaired health. The results from study V indicated that vocational rehabilitation is a potentially effective instrument for improving the individual's work ability and chances of return to work. That no signs of prioritizing selection of rehabilitation participants to those likely to return to work with or without rehabilitation measures, i.e. "managerial creaming", were found was also considered as important results. Conclusions: This thesis shows that we need different models and approaches to improve knowledge about the various aspects of sickness absence as entry into absence, return to work or into disability retirement. It also has the implications that sickness absence behaviour can be influenced. Largely depending on what long term path is chosen for welfare policy at the political level it should be acknowledged that other means, improving working conditions and promoting rehabilitation rather than reducing benefit levels and narrowing the eligibility criteria for the insurance benefits are at hand.

Made available in DSpace on 2015-05-08T14:53:40Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 767214 bytes, checksum: 35fd7bdf641e061fc79cec5e4e2752b7 (MD5) Previous issue date: 2009-11-17 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / On analysis performed at experimental ergonomics, still is rare the use of Ordinal and Nominal Multinomial Logistic Regression, having been employed their simplification, Binary Logistic Regression, even on cases where Dependent Variable (DV) have more of two categories. To make the DV becomes binary leads to damages at data analysis, caused due lose of information by category agglutination and ordination disrespect. An analysis using Ordinal Multinomial Logistic Regression was performed on a data set containing a categorical DV, the Work Ability Index (WAI) of Nurses working on João Pessoa city Public Hospital Intensive Care Unit (ICU), and as Independent Variable (ID) thermal comfort variables, environmental variables, personal variables, and work organization variables. Through this analysis, was found out risk factors that lead to increase the probability of the WAI falls on an inferior category. The DV and used data set features allows to conclude that the Ordinal Multinomial Logistic Regression use made possible a more accurate result and analysis. / Nas análises realizadas em ergonomia experimental, ainda é raro o uso da regressão logística multinomial nominal e ordinal, tendo sido empregada frequentemente a simplificação dessas ferramentas, a regressão logística binária, mesmo onde a Variável Dependente possui mais de duas categorias. A binarização da Variável Dependente leva a prejuízos na análise de dados, pela perda de informação por aglutinação de categorias e desconsideração de ordenação entre as mesmas. Uma análise de dados usando a regressão logística multinomial ordinal foi realizada em um conjunto de dados contendo uma variável categórica, o Índice de Capacidade para o Trabalho (ICT) de enfermeiros de Unidade de Terapia Intensiva (UTI s) de hospitais públicos na cidade de João Pessoa PB como variável dependente e variáveis termo-ambientais pessoais, e de organização do trabalho como variáveis independentes. Através desta análise, chegou a fatores de risco que levam ao aumento da probabilidade de queda do ICT dos profissionais envolvidos na pesquisa. Características inerentes a VD bem como ao conjunto de dados utilizado levam a conclusão que o uso da Regressão Logística Multinomial Ordinal tornou possível uma análise mais precisa com resultados mais acurados.

Orientador: Maria Ines Monteiro / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-14T03:16:28Z (GMT). No. of bitstreams: 1 Masson_ValeriaAparecida.pdf: 3547335 bytes, checksum: 69627d45089c4e0a77df04efab349124 (MD5) Previous issue date: 2009 / Resumo: Este estudo trata da capacidade para o trabalho relacionada a fatores que compõem o estilo de vida, as condições de trabalho, fadiga e os aspectos de saúde de motoristas de caminhão e visa em sentido mais amplo, a promoção da saúde no trabalho. A pesquisa consiste de um estudo epidemiológico transversalde caráter quanti-qualitativo, com aplicação de questionários para uma amostra de 105 motoristas de caminhão que transportavam carga para o Entreposto Hortifrutigranjeiro e Mercado de Flores de Campinas (CEASA). O objetivo foi avaliar a fadiga e caracterizar o perfil sociodemográfico, estilo de vida e condições de saúde, relacionados com a capacidade para o trabalho. Foram utilizados os seguintes instrumentos: Questionário com Dados Sociodemográficos, Estilo de Vida e Aspectos de Saúde e Trabalho; Índice de Capacidade para o Trabalho; Questionário Nórdico de Sintomas Osteomusculares; Escala de Sonolência de Epworth e Questionário para Avaliação da Fadiga. A amostra analisada era constituída apenas por pessoas do sexo masculino, com média de idade de 37,5 anos e baixa escolaridade. A maioria dos sujeitos apresentou ótima capacidade para o trabalho. A percepção de fadiga manifestou-se com mais intensidade no item "dificuldade de concentração e atenção". Constatou-se correlação entre o índice de capacidade para o trabalho e a fadiga, indicando diminuição do primeiro com o aumento da segunda, além de que a média da fadiga era maior entre os sujeitos que faziam uso de drogas estimulantes. Entre as variáveis sociodemográficas e de estilo de vida somente a ausência de prática de atividades de lazer estava associada com a diminuição da capacidade para o trabalho. As características de saúde que influenciaram na diminuição da capacidade para o trabalho foram: fadiga, sonolência, saúde comparada com outras pessoas da mesma idade, dor no último ano, dor nos últimos sete dias, problemas de saúde autorreferidos e prejuízos do trabalho à saúde na opinião dos sujeitos. Os fatores relacionados com o trabalho que se associaram com a diminuição da capacidade para o trabalho foram: satisfação com o trabalho, interferência do trabalho com a vida pessoal e prejuízos do trabalho em relação à saúde. Estes resultados indicam a necessidade de promoção da saúde e implantação de políticas de prevenção de doenças e entre motoristas de caminhão / Abstract: This study aim to evaluate work ability considering factors related to life style, work conditions and health aspects of truck drivers; it also has the purpose of promoting health in work. The research consists of a cross sectional descriptive study which was conducted with 105 truck drivers from the supply center of Campinas (fruit, vegetable, product whole market). The data collection was based on the following questionnaires: Work Ability Index, Epworth Sleepiness Scale, Fatigue Questionnaire, the Nordic Musculoskeletal Questionnaire and Social-demographic Characteristics Questionnaire. The sample was constituted by men, mean age of 37,5 years old and low level of schooling. The major part of the sample presented an excellent level of work ability. The most pronounced degree of fatigue was observed in the "difficulty in concentration and attention" item. It was also observed a significant correlation between the work ability index and fatigue, indicating a decrease of the first with the increase of fatigue and, in addition, the data sample shown a higher level o fatigue for those truck drivers who used to consume stimulant drugs compared to those who did not. Among the social-demographic and lifestyle variables only the practice of leisure activities was associated with reduced capacity for work. The characteristics of health that affect the capacity for work were: fatigue, sleepiness, health compared with others of the same age, pain in the last year, pain in the last week, self-referred health problems and perceived health symptoms due to work. Factors related to work that is associated with reduced capacity for work were satisfaction with work, work interference with personal life and perceived health symptoms due to work. These results indicate the needs of settling public policies for health promotion and disease prevention for truck drivers / Universidade Estadual de Campi / Enfermagem e Trabalho / Mestre em Enfermagem

A gestão da força de trabalho em saúde representa um novo desafio aos gestores de diversos países que têm sido levados a se envolver com as questões de recursos humanos. Busca-se o equilíbrio entre o que está disponível em termos de trabalhadores e o que realmente é necessário para a realização das atividades. Este estudo de abordagem quantitativa, de corte transversal e descritivo, teve por objetivo avaliar o índice de capacidade para o trabalho e a taxa de absenteísmo de enfermeiros, técnicos e auxiliares de enfermagem dos Centros de Terapia Intensiva (CTI) de um hospital de grande porte do município de Ribeirão Preto, São Paulo. Os dados coletados foram referentes ao ano de 2013, e utilizaram-se três instrumentos: questionário de caracterização sociodemográfica e ocupacional, o índice de capacidade para o trabalho (ICT) e o formulário com dados das ausências da equipe. Os resultados evidenciaram uma população composta por 102 sujeitos, sendo 76,5% do sexo feminino, com média de idade de 37,58 anos (dp= 9,16), e 48% apresentaram nível superior de escolaridade. Em relação aos dados ocupacionais, 54,9% possuem menos de 10 anos de atuação na enfermagem, 59,8% desempenham a função atual por período inferior a 10 anos e 31 (30,4%), por período inferior a 5 anos. O tempo de trabalho no CTI em 51% dos sujeitos investigados é inferior a 5 anos. Com relação à jornada de trabalho, 73 (71,6%) participantes cumprem 30 horas semanais. A média do ICT foi de 39,62 pontos (dp= 6,11), com variação entre 11 pontos e 49. Em relação aos valores obtidos, 72,6% dos profissionais foram avaliados com boa e ótima capacidade para o trabalho; 25,5%, com moderada e 2%, com baixa. Entre os trabalhadores considerados com ICT ótimo e bom, 17 estavam entre os mais jovens e 23 entre aqueles que possuíam idade superior a 40 anos. Com relação à taxa de absenteísmo, obtiveram-se valores de 4,14 para os enfermeiros e 14,69 para o nível técnico, demonstrando ser inferior na comparação com outros estudos em realidades semelhantes e maior prevalência de ausências por doença. O monitoramento do índice de capacidade para o trabalho e da taxa de absenteísmo, além de fornecer subsídios para o processo de tomada de decisão em relação ao gerenciamento de recursos humanos de enfermagem, permite comparações com outras instituições hospitalares similares, favorecendo o estabelecimento de padrões aceitáveis e constitui-se em um instrumento gerencial de importância fundamental para os gestores em saúde, à medida que possibilita o conhecimento da realidade institucional quanto ao perfil dos trabalhadores de enfermagem que nela atuam / The health workforce management is a new challenge to manager of several countries, and for this reasons they have been taken to engage with the human resources issues. Manangers aim the balance between the real number of workers available and the real need to perform the activities. This quantitative and descriptive study aimed to evaluate the work ability and the absenteism índex of nurses, technicians and nursing assistants from the Intensive Care Unit of a large hospital in Ribeirão Preto, São Paulo. Data were collected for year 2013 by using three instruments: socio-demographic and occupational questionnnaire, Work Ability Index (WAI) questionnaire and staff absences data form. Results showed a population comprised 102 people, with 76.5% female, with mean age of 37.58 years (SD 9.16), and 48% presented a higher education. Regarding occupational data, 54.9% have less than 10 years of experience in nursing, 59.8% perform their actual function for less than 10 years and 31 (30.4%) less than 5 years. Working time in the ICU in 51% of population estudied is less than 5 years. Regarding working Journey, 73 (71.6%) participants work 30 hours per week. The mean WAI was 39.62 points (SD 6.11), ranging between 11 and 49 points. Regarding the values obtained, 72.6% were professionals with good reviews and great capacity for work; 25.5% as moderate and 2% low. Among workers considered with great and good WAI, 17 were among the younger and 23 among those who were older than 40 years. Regarding absenteeism rate, values were 4.14 for nurses and 14.69 for technical level, proving to be lower in comparison to other studies in similar situations, and higher prevalence of sickness absence. Monitoring Work Ability Capacity and absenteeism, provide support for decision making process regarding the management of nursing human resources and permit comparisons beteween similar hospitals as well, favoring the establishment of acceptable Standards, moreover, consists in a fundamental management tool for health managers because provide the knowledge of institutional reality as the profile of nursing staff working in it

Objetivo. Este estudo pretende colaborar com a análise das relações entre a saúde bucal do trabalhador com o estado de saúde geral e com a capacidade para o trabalho em trabalhadores do setor administrativo de uma empresa privada de São Paulo. Método. Realizou-se um estudo transversal com os trabalhadores da empresa, onde foi aplicado a cada funcionário três questionários, o índice OHIP 14, que mede a qualidade de vida em saúde bucal auto-percebida, o questionário SF36, para medir o estado de saúde geral auto-percebido e o questionário que mede a auto percepção da capacidade para o trabalho (ICT) dos trabalhadores do setor administrativo de uma empresa privada de São Paulo. Resultados. A taxa de resposta dos trabalhadores da empresa ao questionário correspondeu a 75,20%. O escore OHIP 14 foi significativamente associado, dependente de outras variáveis, ao sexo, ao cargo e ao estado de saúde, nas dimensões de capacidade funcional, estado geral de saúde e saúde mental, e foi estatisticamente associado e independente de outras variáveis, à capacidade para o trabalho (ICT) e ao nível de escolaridade, avaliado através da análise de regressão múltipla. Conclusões. As melhores condições de saúde bucal auto-percebidas através do questionário OHIP 14 foram significativamente associadas, e de maneira independente de características demográficas ou funcionais, às melhores condições da capacidade do indivíduo para o trabalho (ICT) e aos maiores níveis de escolaridade, denotando a importância de ações preventivas em saúde bucal nas empresas, como por exemplo, ações em saúde bucal no programa de controle médico em saúde ocupacional (PCMSO), através da realização de exames odontológicos admissionais, periódicos e demissionais nos trabalhadores. / Objective: In this research, we intended to collaborate with the relationships of oral health with work ability and general health in a private company of São Paulo, Brazil. Method: For this, we applied self administered questionnaires to access oral health, (OHIP 14) questionnaire, general health, (SF36) questionnaire, work ability index (WAI) and demographic and occupational characteristics. Associations between variables were measured using Mann-Whitney and Kruskall-Wallis tests. A multiple regression analyses were realized by stepwise forward. Results: Oral health were significantly associated with work ability index of workers (p=0,02) and level education (p=0,01) and independent of social and demographic conditions, like demonstrated by multiple regression analysis. Conclusions: Independently of other characteristics, the better conditions of oral health were significantly associated with better conditions of work ability index. This provides evidence of the importance of considering oral health in periodically exams in companies, to maintain work ability of office workers.

The diploma thesis focuses on the age management 50 plus in the Czech Republic. The aim of the thesis is to analyze the market situation and companies approach to this topic. The practical part is consist of qualitative research that contains interviews with employees from three different companies. Moreover the thesis analyzing other available data from selected companies. This research submits demographic aging of the population and the issue of the age management 50 plus in the Czech Republic that is not handle enough. Meanwhile companies declare they support older employees mainly by additional healthcare services but this benefits are provided for everyone. The analysis did not find out any specific benefits for older employees. In some cases the issue of lack young employees is being solved by supporting and motivating students to work for concrete company. Because of unfavorable demographic evolution it is needed to solve this problem currently and more deeply in the Czech Republic.

The aim of the master's thesis is the analysis of unemployment of 50 and over years old population of the Czech Republic and the tools of Age Management which are used to improve conditions for groups that are defined on the basis of their age. The structure of the population is in detail described in terms of demography and economy in the thesis. To achieve all marked out objectives is made a graphic analysis of the unemployment rate of three specified age groups of the population in 2005 to 2014 up to the region level, which are divided into four groups according to economic prosperity and lagging regions. It is becoming more and more likely that we can expect increased numbers of employees 50+, and therefore government policy should pay sufficient attention to this group. We can assume that unemployment rate will continue to decline slightly, which also show forecasts of unemployment in the Czech Republic up to 2020.

AWP-FK är en specifik tillämpning av bedömningsinstrumentet Assessment of Work Performance (AWP) och består av aktiviteterna: montering av hyllor, sortering av post samt administrativ aktivitet. Utveckling av instrumentet med fler aktiviteter har efterfrågats i tidigare studier. Syftet med studien är att undersöka hur arbetsterapeuter beskriver att nuvarande aktiviteter i AWP-FK fungerar och kan utvecklas. Metoden e-Delphi användes och två webbaserade rundor utfördes. Studien bestod av elva arbetsterapeuter som använder AWP-FK i försäkringsmedicinska utredningar. Det kvalitativa materialet analyserades genom kvalitativ innehållsanalys och det kvantitativa materialet sammanställdes i en tabell. Resultatet visar att nuvarande aktiviteter i AWP-FK till viss del utformas olika i verksamheter. Experterna ger förslag på nya aktiviteter och utformning av aktiviteter. Mer likvärdiga bedömningar önskas i AWP-FK. Kommunikations- och interaktionsfärdigheter är svårbedömda i nuvarande aktiviteter och möjligheten till bedömning av motoriska färdigheter varierar mellan aktiviteterna. En mer omfattande studie bestående av fler arbetsterapeuter kan genomföras för att vidare undersöka om och hur experternas förslag på nya aktiviteter och utformning av aktiviteter kan användas för att utveckla AWP-FK. / AWP-FK is a specific application of the instrument Assessment of Work Performance (AWP) and consists of the following activities: assembly of shelves, sorting of mail, and administrative activity. A development of the instrument including more activities has been requested in previous studies. The aim of this study is to investigate how occupational therapists describe how the activities in AWP-FK work and can be developed. An e-Delphi method was used and two web-based rounds were conducted. The study subjects consisted of eleven occupational therapists that were using AWP-FK in insurance medical investigations. Qualitative material was analysed using qualitative content analysis and quantitative material was compiled in a table. The results show that the current activities in AWP-FK are to some extent arranged differently at different workplaces. Experts provide suggestions for new activities and how to construct activities. More equivalent assessments are desired in AWPFK. Communication and interaction skills are difficult to assess in current activities, and the ability to assess motor skills varies between activities. A more comprehensive study involving more occupational therapists could be conducted to further investigate whether and how the experts’ suggestions for new activities and the construction of activities could be used to develop AWP-FK.

Bakgrund: För att bättre kunna tillgodose behoven av stöd hos sjukskrivna personer, korta ner tiden som sjukskriven och minska antalet personer som får avslag på sjukpenning behövs mer forskning inom rehabiliteringsstöd och återgång till arbete.  Det är inte fullt utrett huruvida self-efficacy, socialt stöd och socioekonomi har effekt på hälsa och arbetsförmåga över tid för en person i slutet av sin sjukskrivning. Syfte: Syftet med studien var att undersöka om self-efficacy, socialt stöd och socioekonomi predicerar hälsa, välbefinnande och arbetsförmåga för personer som är i slutet av en sjukskrivningsperiod. Metod: Studien baserades på en kvantitativ longitudinell  studie. Datamaterialet användes som en kohortstudie med två mätpunkter där 193 respondenter ingick. De predicerande variablerna self-efficacy, socialt stöd och socioekonomi mättes vid baslinjen och utfallsvariablerna självskattad hälsa, psykiskt välbefinnande och arbetsförmåga mättes vid uppföljningen.  Datamaterialet analyserades med korrelationsanalyser och logistiska regressionsanalyser i  statistikprogrammet SPSS. Resultat: En högre self-efficacy predicerade en högre självskattad hälsa (justerad OR 3,05; 95 % CI 1,30 till 7,16), ett högre psykiskt välbefinnande (justerad OR 3,00; 95% CI 1,01 till 8,91) och en högre arbetsförmåga (justerad OR; 3,63; 95% CI 1,50 till 8,80). Emotionellt socialt stöd predicerade psykiskt välbefinnande (justerad OR; 4,76; 95% CI 1,12 till 20,22). Slutsats: En högre self-efficacy predicerade en högre självskattad hälsa, psykiskt välbefinnande och arbetsförmåga hos målgruppen och emotionellt socialt stöd predicerade ett högre psykiskt välbefinnande. För framtida forskning anses att interventionsstudier och effektutvärderingar vid återgång till arbete samt faktorer som påverkar self-efficacy vid sjukskrivning studeras. / Introduction: To increase the support for those on sick leave, shorten the time of sick leave and reduce the number of people who have been refused social insurance despite reduced work ability,  more research on support of rehabilitation and return to work is required. It is not fully explored whether self-efficacy, social support and socioeconomics have an effect on health and work ability, it is therefore appropriate to study the health factors of those who have been on sick leave for a long period of time. Aim: The aim of this study was to investigate whether self-efficacy, social support, and socioeconomics predict health, wellbeing, and work ability for people who are at the end of a period of sick leave. Method: The study were based on quantitative longitudinal study. The data material was used as a cohort with two measuring points (N = 193). The predictive variables self-efficacy, social support and socioeconomics as well as the outcome variables self-rated health, mental wellbeing and work ability was analyzed with correlation analysis and logistic regression analysis, in the statistical program SPSS. Result: Higher self-efficacy predicted higher self-rated health (adjusted OR 3,05; 95% CI 1,30 to 7,16), higher mental wellbeing (adjusted OR 3,00; 95% CI 1,01 to 8,91) and higher work ability (adjusted OR; 3,63; 95% CI 1,50 to 8,80). Emotional social support predicted higher mental wellbeing (adjusted OR; 4,76; 95% CI 1,12 to 20,22).    Conclusion: Higher self-efficacy predicted higher self-rated health, mental wellbeing and work ability in the target group, and emotional social support predicted higher mental wellbeing. For future research, intervention studies and effect evaluations of returning to work and factors that affect self-efficacy on sick leave need to be studied.