Table 2 Improvement areas and examples... | Emerald Publishing

Table 2

Improvement areas and examples of basic statements

Theme	Description (created in step 4) – results from topic analysis	Basic statements (sample of statements generated in step 2) – prior to topic analysis	Level
1	Common concept definitions driven by a clear facilitator role	Involve employers at an early stage. In all cases, emphasize the importance of the patient maintaining contact with the employer. Clarify that sick leave insurance is based on the fact that someone is not working due to illness Find/create forums to raise the issue of sick leave insurance and work-oriented rehabilitation	Organizational level
2	Underlying infrastructure must come first and drive the development of the process	Developed routines between different authorities, The Social Insurance Agency, The Public Employment Service and The Social Services. Today you are dependent on personal contacts Collaboration and coordination internally and between organizations and professions	Governance level
3	Standardized ways of working to create security and opportunity for the individual (working within the sick leave insurance system) to do a good job (and get recognition for it)	Clarity. How do we work in this unit? Need a unified goal Acquire consensus, clarity of the internal structure of the unit, in terms of the sick leave insurance system, also clarify the different roles	Governance level
4	Distribution of responsibilities: Need for descriptions of methods and routines for increased clarity regarding the division of responsibilities for and between actors in medical and work-oriented rehabilitation	Clear structure and process and knowledge for actors to be able to help the person on sick leave insurance through the process Regarding organization, structure, and management: Consultant with expert knowledge in insurance medicine that you can consult with, as you can with other medical issues (but improve your own knowledge at each consultant contact)	Governance level
5	Knowledge of process: A clear process for sick leave insurance and/or rehabilitation with knowledge and support for actors to meet the patient's needs and increase the patient's participation and the likelihood of success	Work much more patient-centered. Even if there is a business reorganization or lack of resources and time, we must involve the patient much more than we do today. Too many individuals express that they are a “go-between” among different therapists/administrators and that they lack control/influence/participation regarding their own sick leave insurance and rehabilitation process The work must be done together, where the entire organization has a common view on the sick leave insurance and rehabilitation process	Operational level
6	Need for support: We have to meet the needs of support and knowledge of those who are involved in insurance medicine, and rehabilitation-oriented assessments and initiatives, regardless of the need for sick leave insurance	Raise the issue of routines for sick leave insurance at the healthcare unit Review the internal coordination and find routines for collaboration between professions at the healthcare unit to create a clear plan for workforce-related rehabilitation	Operational level
7	It is important to have a clear division of responsibilities between actors and levels in healthcare	Ensure that we work with the patient at the right level of care (refers to questions about investigation, diagnosis, and treatment where sick leave insurance is included). Today, there are demarcation problems where specialist care refers ongoing patients to the primary care units for assessment and treatment with sick leave insurance. This results in uncertainty regarding the legal aspect, impacts patient safety, and the costs and time wastage for the primary care unit Teamwork between the professions at the primary care unit. The correct patient is sent to the correct profession – where sick leave insurance is not necessarily the treatment	Organizational level
8	It is important to know when sick leave insurance is the right measure and what the purpose of sick leave insurance is	Vision and goals: Reduce the number and length of sick leave insurances The organization must have a common goal and vision of how we can reduce sick leave	Organizational level
9	It is difficult to ensure that the patient becomes the main character in their own process, both in terms of focus and participation (does the patient want? Is the patient allowed?)	Regarding cooperation and collaboration between businesses and professions. Feedback orally and in writing from employers as soon as a sick certificate comes to them with information about, for example, whether a rehabilitation plan has been made or to signal the need for consultation about the patient Supply the client with important information regarding the sick leave insurance process and the client's responsibilities. Listen when needed. Ask the correct questions	Operational level
10	Early health promotion interventions (which do not always include sick leave insurance)	Early interventions to reduce the number of sick leave insurances Create a plan together with relevant actors and the client when efforts are needed around work-oriented rehabilitation	Operational level

Theme	Description (created in step 4) – results from topic analysis	Basic statements (sample of statements generated in step 2) – prior to topic analysis	Level
1	Common concept definitions driven by a clear facilitator role	Involve employers at an early stage. In all cases, emphasize the importance of the patient maintaining contact with the employer. Clarify that sick leave insurance is based on the fact that someone is not working due to illness Find/create forums to raise the issue of sick leave insurance and work-oriented rehabilitation	Organizational level
2	Underlying infrastructure must come first and drive the development of the process	Developed routines between different authorities, The Social Insurance Agency, The Public Employment Service and The Social Services. Today you are dependent on personal contacts Collaboration and coordination internally and between organizations and professions	Governance level
3	Standardized ways of working to create security and opportunity for the individual (working within the sick leave insurance system) to do a good job (and get recognition for it)	Clarity. How do we work in this unit? Need a unified goal Acquire consensus, clarity of the internal structure of the unit, in terms of the sick leave insurance system, also clarify the different roles	Governance level
4	Distribution of responsibilities: Need for descriptions of methods and routines for increased clarity regarding the division of responsibilities for and between actors in medical and work-oriented rehabilitation	Clear structure and process and knowledge for actors to be able to help the person on sick leave insurance through the process Regarding organization, structure, and management: Consultant with expert knowledge in insurance medicine that you can consult with, as you can with other medical issues (but improve your own knowledge at each consultant contact)	Governance level
5	Knowledge of process: A clear process for sick leave insurance and/or rehabilitation with knowledge and support for actors to meet the patient's needs and increase the patient's participation and the likelihood of success	Work much more patient-centered. Even if there is a business reorganization or lack of resources and time, we must involve the patient much more than we do today. Too many individuals express that they are a “go-between” among different therapists/administrators and that they lack control/influence/participation regarding their own sick leave insurance and rehabilitation process The work must be done together, where the entire organization has a common view on the sick leave insurance and rehabilitation process	Operational level
6	Need for support: We have to meet the needs of support and knowledge of those who are involved in insurance medicine, and rehabilitation-oriented assessments and initiatives, regardless of the need for sick leave insurance	Raise the issue of routines for sick leave insurance at the healthcare unit Review the internal coordination and find routines for collaboration between professions at the healthcare unit to create a clear plan for workforce-related rehabilitation	Operational level
7	It is important to have a clear division of responsibilities between actors and levels in healthcare	Ensure that we work with the patient at the right level of care (refers to questions about investigation, diagnosis, and treatment where sick leave insurance is included). Today, there are demarcation problems where specialist care refers ongoing patients to the primary care units for assessment and treatment with sick leave insurance. This results in uncertainty regarding the legal aspect, impacts patient safety, and the costs and time wastage for the primary care unit Teamwork between the professions at the primary care unit. The correct patient is sent to the correct profession – where sick leave insurance is not necessarily the treatment	Organizational level
8	It is important to know when sick leave insurance is the right measure and what the purpose of sick leave insurance is	Vision and goals: Reduce the number and length of sick leave insurances The organization must have a common goal and vision of how we can reduce sick leave	Organizational level
9	It is difficult to ensure that the patient becomes the main character in their own process, both in terms of focus and participation (does the patient want? Is the patient allowed?)	Regarding cooperation and collaboration between businesses and professions. Feedback orally and in writing from employers as soon as a sick certificate comes to them with information about, for example, whether a rehabilitation plan has been made or to signal the need for consultation about the patient Supply the client with important information regarding the sick leave insurance process and the client's responsibilities. Listen when needed. Ask the correct questions	Operational level
10	Early health promotion interventions (which do not always include sick leave insurance)	Early interventions to reduce the number of sick leave insurances Create a plan together with relevant actors and the client when efforts are needed around work-oriented rehabilitation	Operational level