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Published in: BMC Health Services Research 1/2011

Open Access 01-12-2011 | Research article

Facilitating job retention for chronically ill employees: perspectives of line managers and human resource managers

Authors: Joke A Haafkens, Helen Kopnina, Martha GM Meerman, Frank JH van Dijk

Published in: BMC Health Services Research | Issue 1/2011

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Abstract

Background

Chronic diseases are a leading contributor to work disability and job loss in Europe. Recent EU policies aim to improve job retention among chronically ill employees. Disability and occupational health researchers argue that this requires a coordinated and pro-active approach at the workplace by occupational health professionals, line managers (LMs) and human resource managers (HRM). Little is known about the perspectives of LMs an HRM on what is needed to facilitate job retention among chronically ill employees. The aim of this qualitative study was to explore and compare the perspectives of Dutch LMs and HRM on this issue.

Methods

Concept mapping methodology was used to elicit and map statements (ideas) from 10 LMs and 17 HRM about what is needed to ensure continued employment for chronically ill employees. Study participants were recruited through a higher education and an occupational health services organization.

Results

Participants generated 35 statements. Each group (LMs and HRM) sorted these statements into six thematic clusters. LMs and HRM identified four similar clusters: LMs and HRM must be knowledgeable about the impact of chronic disease on the employee; employees must accept responsibility for work retention; work adaptations must be implemented; and clear company policy. Thematic clusters identified only by LMs were: good manager/employee cooperation and knowledge transfer within the company. Unique clusters identified by HRM were: company culture and organizational support.

Conclusions

There were both similarities and differences between the views of LMs and HRM on what may facilitate job retention for chronically ill employees. LMs perceived manager/employee cooperation as the most important mechanism for enabling continued employment for these employees. HRM perceived organizational policy and culture as the most important mechanism. The findings provide information about topics that occupational health researchers and planners should address in developing job retention programs for chronically ill workers.
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Literature
1.
go back to reference Busse R, Blümel M, Scheller-Kreinsen D, Zentner A: Tackling chronic disease in Europe. 2010, Copenhagen: WHO regional Office for Europe on behalf of the European Observatory of Health Systems and Policies Busse R, Blümel M, Scheller-Kreinsen D, Zentner A: Tackling chronic disease in Europe. 2010, Copenhagen: WHO regional Office for Europe on behalf of the European Observatory of Health Systems and Policies
2.
go back to reference OECD: Sickness, disability and work: breaking the barriers: a synthesis of findings across OECD countries. 2010, Paris: OECD Publishing OECD: Sickness, disability and work: breaking the barriers: a synthesis of findings across OECD countries. 2010, Paris: OECD Publishing
4.
go back to reference Applica, CESEP, Alphametrics: Men and women with disabilities in the EU: statistical analysis of the LFS ad hoc module and the EU-SILC; Final report. 2007, Brussels: European Commission, DG Employment and Social Affairs and Inclusion Applica, CESEP, Alphametrics: Men and women with disabilities in the EU: statistical analysis of the LFS ad hoc module and the EU-SILC; Final report. 2007, Brussels: European Commission, DG Employment and Social Affairs and Inclusion
5.
go back to reference Beatty JE, Joffe R: An overlooked dimension of diversity: the career effects of chronic illness. Organizational Dynamics. 2006, 35: 182-195. 10.1016/j.orgdyn.2006.03.006.CrossRef Beatty JE, Joffe R: An overlooked dimension of diversity: the career effects of chronic illness. Organizational Dynamics. 2006, 35: 182-195. 10.1016/j.orgdyn.2006.03.006.CrossRef
6.
go back to reference Lerner DJ, Amick BC, Malspeis S, Rogers WH: A national survey of health-related work limitations among employed persons in the United States. Disabil Rehabil. 2000, 22: 225-232. 10.1080/096382800296791.CrossRefPubMed Lerner DJ, Amick BC, Malspeis S, Rogers WH: A national survey of health-related work limitations among employed persons in the United States. Disabil Rehabil. 2000, 22: 225-232. 10.1080/096382800296791.CrossRefPubMed
7.
go back to reference Baanders AN, Andries F, Rijken PM, Dekker J: Work adjustments among the chronically ill. Int J Rehabil Res. 2001, 24: 7-14. 10.1097/00004356-200103000-00002.CrossRefPubMed Baanders AN, Andries F, Rijken PM, Dekker J: Work adjustments among the chronically ill. Int J Rehabil Res. 2001, 24: 7-14. 10.1097/00004356-200103000-00002.CrossRefPubMed
8.
go back to reference Munir F, Jones D, Leka S, Griffiths A: Work limitations and employer adjustments for employees with chronic illness. Int J Rehabil Res. 2005, 28: 111-17. 10.1097/00004356-200506000-00003.CrossRefPubMed Munir F, Jones D, Leka S, Griffiths A: Work limitations and employer adjustments for employees with chronic illness. Int J Rehabil Res. 2005, 28: 111-17. 10.1097/00004356-200506000-00003.CrossRefPubMed
9.
go back to reference Korlleila J, Oksanen T, Virtanen M, Salo O, Nabi H, Pentti J, Kivimäki M: Early retirement from work among employees with a diagnosis of personality disorders compared to anxiety and depressive disorders. Eur Psychiatry. 2011, 26: 18-22. 10 Korlleila J, Oksanen T, Virtanen M, Salo O, Nabi H, Pentti J, Kivimäki M: Early retirement from work among employees with a diagnosis of personality disorders compared to anxiety and depressive disorders. Eur Psychiatry. 2011, 26: 18-22. 10
10.
go back to reference Ng YC, Jacobs P, Johnson JA: Productivity losses associated with diabetes in the US. Diabetes Care. 2001, 24: 257-61. 10.2337/diacare.24.2.257.CrossRefPubMed Ng YC, Jacobs P, Johnson JA: Productivity losses associated with diabetes in the US. Diabetes Care. 2001, 24: 257-61. 10.2337/diacare.24.2.257.CrossRefPubMed
11.
go back to reference Backman CL: Employment and work disability in rheumatoid arthritis. Curr Opin Rheumatol. 2004, 16: 148-152. 10.1097/00002281-200403000-00014.CrossRefPubMed Backman CL: Employment and work disability in rheumatoid arthritis. Curr Opin Rheumatol. 2004, 16: 148-152. 10.1097/00002281-200403000-00014.CrossRefPubMed
12.
go back to reference Karpansalo M, Kauhanen J, Lakka TA, Manninen P, Kaplan GA, Salonen JT: Depression and early retirement: prospective population based study in middle aged men. J Epidemiol Community Health. 2005, 59: 70-74. 10.1136/jech.2003.010702.CrossRefPubMedPubMedCentral Karpansalo M, Kauhanen J, Lakka TA, Manninen P, Kaplan GA, Salonen JT: Depression and early retirement: prospective population based study in middle aged men. J Epidemiol Community Health. 2005, 59: 70-74. 10.1136/jech.2003.010702.CrossRefPubMedPubMedCentral
13.
go back to reference Kremer AM, Pal TM, van Keimpema AR: Employment and disability for work in patients with COPD: a cross-sectional study among Dutch patients. Int Arch Occup Environ Health. 2006, 80: 78-86. 10.1007/s00420-006-0101-z.CrossRefPubMed Kremer AM, Pal TM, van Keimpema AR: Employment and disability for work in patients with COPD: a cross-sectional study among Dutch patients. Int Arch Occup Environ Health. 2006, 80: 78-86. 10.1007/s00420-006-0101-z.CrossRefPubMed
14.
go back to reference Van den Berg TI, Elders LA, Burdorf A: Influence of Health on early retirement. J Occup Environ Med. 2010, 52: 576-583. 10.1097/JOM.0b013e3181de8133.CrossRefPubMed Van den Berg TI, Elders LA, Burdorf A: Influence of Health on early retirement. J Occup Environ Med. 2010, 52: 576-583. 10.1097/JOM.0b013e3181de8133.CrossRefPubMed
15.
go back to reference Schuring M, Burdorf L, Kunst A, Mackenbach J: The effects of ill health on entering and maintaining paid employment: evidence in European countries. J Epidemiol Community Health. 2007, 61: 597-604. 10.1136/jech.2006.047456.CrossRefPubMedPubMedCentral Schuring M, Burdorf L, Kunst A, Mackenbach J: The effects of ill health on entering and maintaining paid employment: evidence in European countries. J Epidemiol Community Health. 2007, 61: 597-604. 10.1136/jech.2006.047456.CrossRefPubMedPubMedCentral
16.
go back to reference Waddell G, Burton AK: Is work good for your health and wellbeing?. 2006, London: The Stationary Office Waddell G, Burton AK: Is work good for your health and wellbeing?. 2006, London: The Stationary Office
17.
go back to reference Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W: Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med. 2004, 46: 398-412. 10.1097/01.jom.0000121151.40413.bd.CrossRefPubMed Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W: Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med. 2004, 46: 398-412. 10.1097/01.jom.0000121151.40413.bd.CrossRefPubMed
18.
go back to reference Grammenos S: Illness, disability and social inclusion. 2003, Dublin: Eurofound Grammenos S: Illness, disability and social inclusion. 2003, Dublin: Eurofound
21.
go back to reference Houtman I: Health, chronic disease, absenteeism and work disability. Worklife in the Netherlands. Edited by: Smulders GW. 2006, Hoofddorp: TNO Work&Employment, 141-160. Houtman I: Health, chronic disease, absenteeism and work disability. Worklife in the Netherlands. Edited by: Smulders GW. 2006, Hoofddorp: TNO Work&Employment, 141-160.
22.
go back to reference Frank J, Cullen K: Preventing injury, illness and disability at work. Scand J Work Environ Health. 2006, 32: 160-7.CrossRefPubMed Frank J, Cullen K: Preventing injury, illness and disability at work. Scand J Work Environ Health. 2006, 32: 160-7.CrossRefPubMed
23.
go back to reference Williams RM, Westmorland M: Perspectives on workplace disability management: a review of the literature. Work. 2002, 19: 87-93.PubMed Williams RM, Westmorland M: Perspectives on workplace disability management: a review of the literature. Work. 2002, 19: 87-93.PubMed
24.
go back to reference Williams RM, Westmorland MG, Shannon HS, Amick BC: Disability management practices in Ontario health care workplaces. J Occup Rehabil. 2007, 17: 153-165. 10.1007/s10926-006-9045-0.CrossRefPubMed Williams RM, Westmorland MG, Shannon HS, Amick BC: Disability management practices in Ontario health care workplaces. J Occup Rehabil. 2007, 17: 153-165. 10.1007/s10926-006-9045-0.CrossRefPubMed
25.
go back to reference van Oostrom SH, Driesen MT, de Vet HC, Franche RL, Schonstein E, Loisel P, van Mechelen W, Anema JR: Workplace interventions for preventing work disability. Cochrane Database Syst Rev. 2009, 15: CD000695. van Oostrom SH, Driesen MT, de Vet HC, Franche RL, Schonstein E, Loisel P, van Mechelen W, Anema JR: Workplace interventions for preventing work disability. Cochrane Database Syst Rev. 2009, 15: CD000695.
26.
go back to reference Amick BC, Habeck RV, Ossmann J, Fossel AH, Keller R, Katz JN: Predictors of successful work role functioning after carpal tunnel release surgery. J Occup Environ Med. 2004, 46: 490-500. 10.1097/01.jom.0000126029.07223.a0.CrossRefPubMed Amick BC, Habeck RV, Ossmann J, Fossel AH, Keller R, Katz JN: Predictors of successful work role functioning after carpal tunnel release surgery. J Occup Environ Med. 2004, 46: 490-500. 10.1097/01.jom.0000126029.07223.a0.CrossRefPubMed
27.
go back to reference Habeck R, Hunt A, Head RC, Kregel J, Chan F: Employee retention and integrated disability management practices as demand side factors. J Occup Rehabil. 2010. Habeck R, Hunt A, Head RC, Kregel J, Chan F: Employee retention and integrated disability management practices as demand side factors. J Occup Rehabil. 2010.
29.
go back to reference Vickers MH: Life at work with invisible chronic illness (ICI): the unseen, unspoken, unrecognised dilemma of disclosure. J Workplace Learning. 1997, 7: 240-252.CrossRef Vickers MH: Life at work with invisible chronic illness (ICI): the unseen, unspoken, unrecognised dilemma of disclosure. J Workplace Learning. 1997, 7: 240-252.CrossRef
30.
go back to reference Stockdale MS, Crosby FJ: The psychology and management of workplace diversity. 2004, Malden MA: Blackwell Publishing Stockdale MS, Crosby FJ: The psychology and management of workplace diversity. 2004, Malden MA: Blackwell Publishing
31.
go back to reference Fowler A: When chief executives discover HRM. Personnel Management. 1987, 1: 3. Fowler A: When chief executives discover HRM. Personnel Management. 1987, 1: 3.
32.
go back to reference Cunningham I, Hyman J: Devolving employee relations responsibility to the line: An opportunity for personnel. Personnel Review. 1999, 28: 9-27. 10.1108/00483489910248947.CrossRef Cunningham I, Hyman J: Devolving employee relations responsibility to the line: An opportunity for personnel. Personnel Review. 1999, 28: 9-27. 10.1108/00483489910248947.CrossRef
33.
go back to reference Cunningham I, Dibben P, James P: Bridging the gap between rhetoric and reality: Line managers and the protection of job security for ill workers in the modern workplace. British Journal of Management. 2004, 152: 73-290. Cunningham I, Dibben P, James P: Bridging the gap between rhetoric and reality: Line managers and the protection of job security for ill workers in the modern workplace. British Journal of Management. 2004, 152: 73-290.
34.
go back to reference Krause N, Frank JW, Dasinger LK, Sullivan TJ, Sinclair SJ: Determinants of duration of disability and return-to-work after work-related injury and illness: challenges for future research. Am J Ind Med. 2001, 40: 464-484. 10.1002/ajim.1116.CrossRefPubMed Krause N, Frank JW, Dasinger LK, Sullivan TJ, Sinclair SJ: Determinants of duration of disability and return-to-work after work-related injury and illness: challenges for future research. Am J Ind Med. 2001, 40: 464-484. 10.1002/ajim.1116.CrossRefPubMed
35.
go back to reference Franche RL, Baril R, Shaw W, Nicholas M, Loisel P: Workplace-based return-to-work interventions: optimizing the role of stakeholders. J Occup Rehabil. 2005, 15: 525-42. 10.1007/s10926-005-8032-1.CrossRefPubMed Franche RL, Baril R, Shaw W, Nicholas M, Loisel P: Workplace-based return-to-work interventions: optimizing the role of stakeholders. J Occup Rehabil. 2005, 15: 525-42. 10.1007/s10926-005-8032-1.CrossRefPubMed
36.
go back to reference Purcell J, Hutchinson S: Front-line managers as agents in the HRM causal chain: theory, analysis and evidence. Human Resource Management Journal. 2007, 17: 3-20. 10.1111/j.1748-8583.2007.00022.x.CrossRef Purcell J, Hutchinson S: Front-line managers as agents in the HRM causal chain: theory, analysis and evidence. Human Resource Management Journal. 2007, 17: 3-20. 10.1111/j.1748-8583.2007.00022.x.CrossRef
37.
go back to reference Pope C, Mays N: Researching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995, 311: 42-45.CrossRefPubMedPubMedCentral Pope C, Mays N: Researching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995, 311: 42-45.CrossRefPubMedPubMedCentral
38.
go back to reference Kane M, Trochim WMK: Concept mapping for planning and evaluation. 2006, Thousand Oaks, CA: Sage Publications Kane M, Trochim WMK: Concept mapping for planning and evaluation. 2006, Thousand Oaks, CA: Sage Publications
39.
go back to reference Trochim WMK: An introduction to concept mapping for planning and evaluation. Eval Program Plann. 1989, 12: 1-16. 10.1016/0149-7189(89)90016-5.CrossRef Trochim WMK: An introduction to concept mapping for planning and evaluation. Eval Program Plann. 1989, 12: 1-16. 10.1016/0149-7189(89)90016-5.CrossRef
41.
go back to reference Pope C, van Royen P, Baker R: Qualitative methods in research on healthcare quality. Qual Saf Healthcare. 2002, 11: 148-152. 10.1136/qhc.11.2.148.CrossRef Pope C, van Royen P, Baker R: Qualitative methods in research on healthcare quality. Qual Saf Healthcare. 2002, 11: 148-152. 10.1136/qhc.11.2.148.CrossRef
42.
go back to reference Patton MQ: Qualitative research methods. 1990, Newbury Park: CA. Sage Publications Patton MQ: Qualitative research methods. 1990, Newbury Park: CA. Sage Publications
43.
go back to reference Francis JJ, Johnston M, Robertson C, Glidewell L, Entwistle V, Eccles MP, Grimshaw JM: What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychol Health. 2010, 10: 1229-45.CrossRef Francis JJ, Johnston M, Robertson C, Glidewell L, Entwistle V, Eccles MP, Grimshaw JM: What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychol Health. 2010, 10: 1229-45.CrossRef
44.
go back to reference Detaille SI, Haafkens JA, van Dijk FJ: What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work. Scan J Work Environ Health. 2003, 29: 134-142.CrossRef Detaille SI, Haafkens JA, van Dijk FJ: What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work. Scan J Work Environ Health. 2003, 29: 134-142.CrossRef
45.
go back to reference Varekamp I, Haafkens JA, Detaille SI, Tak PP, van Dijk FJ: Preventing work disability among employees with rheumatoid arthritis: what medical professionals can learn from the patients' perspective. Arthritis Rheu. 2005, 53: 965-972. 10.1002/art.21592.CrossRef Varekamp I, Haafkens JA, Detaille SI, Tak PP, van Dijk FJ: Preventing work disability among employees with rheumatoid arthritis: what medical professionals can learn from the patients' perspective. Arthritis Rheu. 2005, 53: 965-972. 10.1002/art.21592.CrossRef
46.
go back to reference Kruskal JB, Wish M: Multidimensional scaling. 1978, Beverly Hills: CA: Sage PublicationsCrossRef Kruskal JB, Wish M: Multidimensional scaling. 1978, Beverly Hills: CA: Sage PublicationsCrossRef
47.
go back to reference Trip DM, Willems DL: Respect for human subject involved in medical research. Independence in scientific research: research code AMC. Edited by: van Kammen J. 2010, Amsterdam: Academic Medical Center, 13-18. 3 Trip DM, Willems DL: Respect for human subject involved in medical research. Independence in scientific research: research code AMC. Edited by: van Kammen J. 2010, Amsterdam: Academic Medical Center, 13-18. 3
48.
go back to reference Munir F, Yarker J, Haslam C: Sickness absence management: encouraging attendance or 'risk-taking' presenteeism in employees with chronic illness?. Disabil Rehabil. 2008, 30: 1461-72. 10.1080/09638280701637380.CrossRefPubMed Munir F, Yarker J, Haslam C: Sickness absence management: encouraging attendance or 'risk-taking' presenteeism in employees with chronic illness?. Disabil Rehabil. 2008, 30: 1461-72. 10.1080/09638280701637380.CrossRefPubMed
49.
go back to reference Gates LB: Workplace accommodation as a social process. J Occup Rehabil. 2000, 10: 85-98. 10.1023/A:1009445929841.CrossRef Gates LB: Workplace accommodation as a social process. J Occup Rehabil. 2000, 10: 85-98. 10.1023/A:1009445929841.CrossRef
50.
go back to reference James P, Cunningham I, Dibben P: Job retention and return to work of ill and injured workers; towards an understanding of organisational dynamics. Employee Relations. 2006, 28: 290-303. 10.1108/01425450610661252.CrossRef James P, Cunningham I, Dibben P: Job retention and return to work of ill and injured workers; towards an understanding of organisational dynamics. Employee Relations. 2006, 28: 290-303. 10.1108/01425450610661252.CrossRef
51.
go back to reference Williams RM, Westmorland MG, Shannon HS, Rasheed F, Amick BC: Disability management practices in education, hotel/motel, and health care workplaces. Am J Ind Med. 2005, 47: 217-26. 10.1002/ajim.20139.CrossRefPubMed Williams RM, Westmorland MG, Shannon HS, Rasheed F, Amick BC: Disability management practices in education, hotel/motel, and health care workplaces. Am J Ind Med. 2005, 47: 217-26. 10.1002/ajim.20139.CrossRefPubMed
52.
go back to reference Amick BC, Habeck RV, Hunt A, Fossel AH, Chapin A, Keller RB, et al: Measuring the impact of organizational behaviors on work disability prevention and management. J Occup Rehabil. 2000, 10: 21-38. 10.1023/A:1009437728024.CrossRef Amick BC, Habeck RV, Hunt A, Fossel AH, Chapin A, Keller RB, et al: Measuring the impact of organizational behaviors on work disability prevention and management. J Occup Rehabil. 2000, 10: 21-38. 10.1023/A:1009437728024.CrossRef
53.
go back to reference Detaille SI, Haafkens JA, Hoekstra JB, van Dijk FJ: What employees with diabetes mellitus need to cope at work: views of employees and health professionals. Patient Educ Couns. 2006, 64: 183-190. 10.1016/j.pec.2005.12.015.CrossRefPubMed Detaille SI, Haafkens JA, Hoekstra JB, van Dijk FJ: What employees with diabetes mellitus need to cope at work: views of employees and health professionals. Patient Educ Couns. 2006, 64: 183-190. 10.1016/j.pec.2005.12.015.CrossRefPubMed
Metadata
Title
Facilitating job retention for chronically ill employees: perspectives of line managers and human resource managers
Authors
Joke A Haafkens
Helen Kopnina
Martha GM Meerman
Frank JH van Dijk
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2011
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-11-104

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