The ORs with a 95% CI of the outcomes (recommendation of rehabilitation by the occupational healthcare physician, continued sick leave or pension), medical reasons for the outcomes and process activities performed in 1092 health check-ups (HCUs) to reach the outcomes compared with patients on 30-day sick leave and those who did not get a recommendation in 15 occupational healthcare units in Finland during 2013–2018
| Preventive aspects reason for HCU | Recommendation of occupational healthcare physician | ||
| Rehabilitation OR 95% CI | Continued sick leave OR 95% CI | Partial or full pension OR 95% CI | |
| Self-assessed good or satisfactory work ability (N=178) | 0.71 0.37 to 1.36 | 1.01 0.45 to 2.26 | 0.39 0.18 to 0.80* |
| Early support (N=15) | 2.00 0.28 to 14.19 | 1.50 0.19 to 11.54 | NE |
| Reason for HCU | |||
| Sick leave 60 days (N=15) | 1.00 0.07 to 14.64 | 4.00 0.50 to 32.00 | 12.00 1.05 to 136.69* |
| Sick leave 90 days (N=33) | 9.60 1.48 to 62.13* | 8.80 1.35 to 57.47* | 8.00 0.71 to 89.93 |
| Sick leave longer than 90 days (N=72) | 5.88 1.11 to 31.15* | 3.06 0.55 to 16.92 | 8.00 0.90 to 71.05 |
| Permanently reduced work ability (N=137) | 4.62 0.93 to 22.88 | 1.42 0.27 to 7.42 | 4.26 0.50 to 36.12 |
| Process activities to assess or promote work ability | |||
| Alcohol use checked (N=231) | 1.15 0.54 to 2.41 | 0.62 0.27 to 1.39 | 2.37 0.82 to 6.85 |
| Work ability assessed (N=272) | 1.11 0.31 to 3.97 | 0.94 0.21 to 4.09 | NA |
| Personal health promotion plan made (N=160) | 0.92 0.50 to 1.69 | 0.55 0.26 to 1.14 | 1.85 0.86 to 3.95 |
| Need for partial sick leave assessed (N=124) | 1.55 0.38 to 6.31 | NA | NA |
| Need for rehabilitation assessed (N=233) | 1.49 0.54 to 4.08 | 1.45 0.42 to 5.03 | 2.37 0.61 to 9.23 |
| Tripartite negotiation taken place (N=61) | 1.47 0.51 to 4.24 | 0.71 0.22 to 2.29 | 4.5 1.14 to 17.68* |
| Work ability maintenance started earlier (N=187) | 0.83 0.38 to 1.82 | 0.56 0.23 to 1.39 | 0.87 0.34 to 2.19 |
| Work ability maintenance recommended now (N=210) | 0.96 0.36 to 2.54 | 0.41 0.14 to 1.14 | 1.94 0.49 to 7.75 |
| Illness causing work disability (N=268) | |||
| Work disability due to alcohol use disorder (N=11) | 1.57 0.32 to 7.58 | 0.48 0.05 to 4.53 | 1.71 0.35 to 8.34 |
| Work disability due to mental disorder (N=84) | 1.59 0.74 to 3.43 | 1.11 0.45 to 2.72 | 1.06 0.45 to 2.48 |
| Work disability due to musculoskeletal disorder (N=173) | 5.48 1.92 to 15.67* | 1.80 0.68 to 4.79 | 3.04 1.04 to 8.91* |
*Statistically significant OR.
NA, insufficient data; NE, not expected to be done.