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Follow-up regimes for sick-listed employees : A comparison of nine north-western European countries

Ose, Solveig Osborg ; Kaspersen, Silje Lill ; Leinonen, Taina ; Verstappen, Suzanne ; de Rijk, Angelique ; Spasova, Slavina ; Hultqvist, Sara LU ; Nørup, Iben ; Pálsson, Jón R. and Blume, Andreas , et al. (2022) In Health Policy 126(7). p.619-631
Abstract

The Covid-19 pandemic has revealed the importance of social protection systems, including income security, when health problems arise. The aims of this study are to compare the follow-up regimes for sick-listed employees across nine European countries, and to conduct a qualitative assessment of the differences with respect to burden and responsibility sharing between the social protection system, employers and employees. The tendency highlighted is that countries with shorter employer periods of sick-pay typically have stricter follow-up responsibility for employers because, in practice, they become gatekeepers of the public sickness benefit scheme. In Germany and the UK, employers have few requirements for follow-up compared with the... (More)

The Covid-19 pandemic has revealed the importance of social protection systems, including income security, when health problems arise. The aims of this study are to compare the follow-up regimes for sick-listed employees across nine European countries, and to conduct a qualitative assessment of the differences with respect to burden and responsibility sharing between the social protection system, employers and employees. The tendency highlighted is that countries with shorter employer periods of sick-pay typically have stricter follow-up responsibility for employers because, in practice, they become gatekeepers of the public sickness benefit scheme. In Germany and the UK, employers have few requirements for follow-up compared with the Nordic countries because they bear most of the costs of sickness absence themselves. The same applies in Iceland, where employers carry most of the costs and have no obligation to follow up sick-listed employees. The situation in the Netherlands is paradoxical: employers have strict obligations in the follow-up regime even though they cover all the costs of the sick-leave themselves. During the pandemic, the majority of countries have adjusted their sick-pay system and increased coverage to reduce the risk of spreading Covid-19 because employees are going to work sick or when they should self-quarantine, except for the Netherlands and Belgium, which considered that the current schemes were already sufficient to reduce that risk.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
comparative study, European countries, sick-pay, sickness absenteeism, sickness benefit
in
Health Policy
volume
126
issue
7
pages
13 pages
publisher
Elsevier
external identifiers
  • scopus:85130348709
  • pmid:35577620
ISSN
0168-8510
DOI
10.1016/j.healthpol.2022.05.002
language
English
LU publication?
yes
id
b2c3589f-26d7-4920-8e2c-893aff1736c1
date added to LUP
2022-08-22 11:16:04
date last changed
2024-07-11 20:50:18
@article{b2c3589f-26d7-4920-8e2c-893aff1736c1,
  abstract     = {{<p>The Covid-19 pandemic has revealed the importance of social protection systems, including income security, when health problems arise. The aims of this study are to compare the follow-up regimes for sick-listed employees across nine European countries, and to conduct a qualitative assessment of the differences with respect to burden and responsibility sharing between the social protection system, employers and employees. The tendency highlighted is that countries with shorter employer periods of sick-pay typically have stricter follow-up responsibility for employers because, in practice, they become gatekeepers of the public sickness benefit scheme. In Germany and the UK, employers have few requirements for follow-up compared with the Nordic countries because they bear most of the costs of sickness absence themselves. The same applies in Iceland, where employers carry most of the costs and have no obligation to follow up sick-listed employees. The situation in the Netherlands is paradoxical: employers have strict obligations in the follow-up regime even though they cover all the costs of the sick-leave themselves. During the pandemic, the majority of countries have adjusted their sick-pay system and increased coverage to reduce the risk of spreading Covid-19 because employees are going to work sick or when they should self-quarantine, except for the Netherlands and Belgium, which considered that the current schemes were already sufficient to reduce that risk.</p>}},
  author       = {{Ose, Solveig Osborg and Kaspersen, Silje Lill and Leinonen, Taina and Verstappen, Suzanne and de Rijk, Angelique and Spasova, Slavina and Hultqvist, Sara and Nørup, Iben and Pálsson, Jón R. and Blume, Andreas and Paternoga, Mike and Kalseth, Jorid}},
  issn         = {{0168-8510}},
  keywords     = {{comparative study; European countries; sick-pay; sickness absenteeism; sickness benefit}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{619--631}},
  publisher    = {{Elsevier}},
  series       = {{Health Policy}},
  title        = {{Follow-up regimes for sick-listed employees : A comparison of nine north-western European countries}},
  url          = {{http://dx.doi.org/10.1016/j.healthpol.2022.05.002}},
  doi          = {{10.1016/j.healthpol.2022.05.002}},
  volume       = {{126}},
  year         = {{2022}},
}