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dc.contributor.authorIngelsrud, Mari Holmen_US
dc.date.accessioned2014-11-14T12:12:36Z
dc.date.available2014-11-14T12:12:36Z
dc.date.issued2014en_US
dc.identifier.citationIngelsrud, M.H. (2014). Reorganization increases long-term sickness absence at all levels of hospital staff: panel data analysis of employees of Norwegian public hospitals. BMC Health Services Research, doi:10.1186/1472-6963-14-411en_US
dc.identifier.issn1472-6963en_US
dc.identifier.otherFRIDAID 1157823en_US
dc.identifier.urihttps://hdl.handle.net/10642/2189
dc.description.abstractBackground: The Norwegian specialist health service has undergone many processes of reorganization during the last three decades. Changes are mainly initiated to increase the efficiency and quality of health care serving an ageing population under the condition of a diminishing labour supply. The aim of this study is to investigate the effects of reorganization on long-term sickness absence among different levels of hospital staff. Methods: The study draws on panel data on employees of Norwegian public hospitals in 2005 and 2007 (N = 106,715). National register data on individual employees’ days of medically certified long-term (>16 days) sickness absence were linked with survey measures of actual reorganization executed at each hospital in each year. The surveys, answered by hospital administration staff, measured five types of reorganization: merging units, splitting up units, creating new units, shutting down units and reallocation of employees. The variation in sickness absence days was analysed using random and fixed effects Poisson regression with level of reorganization as the main explanatory variable. Results: The fixed effects analysis shows that increasing the degree of organizational change at a hospital from a low to a moderate or high degree leads to an increase in the number of days of long-term sickness absence of respectively 9% (95% CI: 1.03-1.15) and 8% (95% CI: 1.02-1.15). There are few significant differences between employees in different education categories. Only physicians have a significantly higher relative increase in days of long-term sickness absence than the control group with lower tertiary education. Conclusions: Increased long-term sickness absence is a risk following reorganization. This risk affects all levels of hospital staff.en_US
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.relation.ispartofseriesBMC Health Services Research;14(411)en_US
dc.subjectSickness absence daysen_US
dc.subjectSick leaveen_US
dc.subjectOrganizational changeen_US
dc.subjectHospitalen_US
dc.subjectNorwayen_US
dc.titleReorganization increases long-term sickness absence at all levels of hospital staff: panel data analysis of employees of Norwegian public hospitalsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.version© 2014 Ingelsrud; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.identifier.doihttp://dx.doi.org/10.1186/1472-6963-14-411


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