AN ASSESSMENT OF WORK ABILITY AFTER THE COMPLETION OF REHABILITATION AS PART OF DISABILITY PENSION PREVENTION OF THE SOCIAL INSURANCE INSTITUTION AMONG PEOPLE WITH CHRONIC MUSCULOSKELETAL DISEASES/OCENA ZDOLNOSCI DO PODEJMOWANIA PRACY PO ZAKONCZENIU REHABILITACJI W RAMACH PREWENCJI RENTOWEJ ZAKLADU UBEZPIECZEN SPOLECZNYCH U OSOB Z CHOROBAMI PRZEWLEKLYMI NARZADU RUCHU

Background: The increasing number of people receiving benefits due to incapacity for work is a heavy burden for the state budget. In order to reduce the scale of this phenomenon, the Social Insurance Institution (ZUS) carries out a rehabilitation program as part of disability pension prevention. Mat...

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Published in:Medycyna pracy 2019-07, Vol.70 (4), p.459
Main Authors: Przysada, Grzegorz, Kilian, Justyna, Wisniowska-Szurlej, Agnieszka, Sozanski, Bernard, Piwonski, Pawel, Druzbicki, Mariusz, Wilmowska-Pietruszynska, Anna, Cwirlej-Sozanska, Agnieszka
Format: Article
Language:English
Subjects:
Analysis
Budgets
Chronic diseases
Government finance
Insurance
Medical research
Pensions
Public finance
Social security
State budgets
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Summary:Background: The increasing number of people receiving benefits due to incapacity for work is a heavy burden for the state budget. In order to reduce the scale of this phenomenon, the Social Insurance Institution (ZUS) carries out a rehabilitation program as part of disability pension prevention. Material and Methods: The study was based on the analysis of medical documentation of 607 patients rehabilitated at the Saint Queen Jadwiga's Regional Clinical Hospital No. 2 in Rzeszow, as part of the ZUS prevention of disability pension program in 2011-2013. Medical documentation included the medical history and results of the Functional Test recommended by ZUS. Two years after the completion of rehabilitation, a telephone check was conducted among 118 rehabilitated patients to assess their occupational status. Results: The analysis of the Functional Test documentation showed that in all groups of patients included in the rehabilitation program, as well as those among whom the control was carried out, the majority were people with post-exercise pain, full physical fitness, slight mobility limitation, full efficiency in everyday activities, correct strength of muscles and moving abilities, as well as normal psychosocial efficiency. The vast majority of them received a recommendation regarding work in a properly-adjusted position. It was shown that in the 2-year observation period, the percentage of professionally active people increased from 56% to 61.02%. Conclusions: The most important factors determining the return to work include psychosocial efficiency and the level of pain. Key words: rehabilitation, chronic diseases, employment, prevention, incapacity for work, Social Insurance Institution Wstep: Wzrastajaca liczba osob pobierajacych swiadczenia z tytulu niezdolnosci do pracy jest duzym obciazeniem budzetu panstwa. W celu zmniejszania skali tego zjawiska Zaklad Ubezpieczen Spolecznych (ZUS) realizuje program rehabilitacji w ramach prewencji rentowej. Material i metody: Badanie przeprowadzono na podstawie analizy dokumentacji medycznej 607 pacjentow rehabilitowanych w latach 2011-2013 w Klinicznym Szpitalu Wojewodzkim nr 2 im. sw. Jadwigi Krolowej w Rzeszowie w ramach prewencji rentowej ZUS. Dokumentacje medyczna stanowila historia choroby i wyniki rekomendowanego przez ZUS Testu funkcjonalnego. Po 2 latach od zakonczenia rehabilitacji (2013-2015) przeprowadzono telefoniczne badanie kontrolne dotyczace losow zawodowych rehabilitowanych pacjentow, w ktorym wz
ISSN:0465-5893
DOI:10.13075/mp.5893.00826