assembling the evidence jigsaw insights from a systematic review of uk studies of individual-focused return to work initiatives for disabled and long-term ill people组装的证据拼图的见解来自英国的系统回顾研究individual-focused残疾人重返工作计划和长期的病人.pdfVIP
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assembling the evidence jigsaw insights from a systematic review of uk studies of individual-focused return to work initiatives for disabled and long-term ill people组装的证据拼图的见解来自英国的系统回顾研究individual-focused残疾人重返工作计划和长期的病人
Clayton et al. BMC Public Health 2011, 11:170
/1471-2458/11/170
RESEARCH ARTICLE Open Access
Assembling the evidence jigsaw: insights from a
systematic review of UK studies of individual-
focused return to work initiatives for disabled
and long-term ill people
1* 2 3 1 4 1
Stephen Clayton , Clare Bambra , Rachael Gosling , Sue Povall , Kate Misso , Margaret Whitehead
Abstract
Background: Employment rates of long-term ill and disabled people in the UK are low and 2.63 million are on
disability-related state benefits. Since the mid-1990 s, UK governments have experimented with a range of active
labour market policies aimed to move disabled people off benefits and into work to reduce the risk of poverty and
social exclusion. This systematic review asks what employment impact have these interventions had and how
might they work better?
Methods: A systematic review of observational and qualitative empirical studies and systematic reviews published
between 2002 and mid-2008 reporting employment effects and/or process evaluations of national UK government
interventions focused on helping long-term sick or disabled people (aged 16-64) into the open labour market. This
built on our previous systematic review which covered the years 1970 to 2001.
Results: Searches identified 42 studies, 31 of which evaluated initiatives with an individual focus (improving an
individual’s employability or providing financial support in returning to work) while 11 evaluated initiatives with an
environmental focus (directed at the employment environment or changing the behaviour of employers). This
paper synthesises evidence from the 31 studies with an individual focus. The use of personal advisors and
individual case management i
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