In Search of Effective Disability Policy

In Search of Effective Disability Policy

By Jan Høgelund
Book Description

In Search of Effective Disability Policy examines the potentials of two very different strategies of integrating disabled people into the working life. In the Netherlands employers have great responsi-bility for the integration. In contrast employers have limited responsibility in the Danish strategy, where public authorities are crucial. This book finds that there are virtues and drawbacks of both strategies. While the Dutch policy promotes work-retention of sick-listed workers, it hampers the labour market entry of non-employed disabled people. This is so because employers avoid hiring disabled people as future work-disability inflicts costs upon employers. This is not the case in Denmark. But here too many workers with health problems lose their labour market attachment because employers are allowed to dismiss them and as public reintegration measures do not work as intended. Consequently, an effective disability policy should demand neither too little nor too much of employers. By combing macro-level analyses with empirical analyses at the micro-level this book distinguishes itself from most other studies in the field.

In deze vergelijkende studie worden de resultaten van twee zeer uiteenlopende strategieën voor de integratie van arbeidsongeschikten in het bedrijfsleven vergeleken. In Nederland dragen de werkgevers grote verantwoordelijkheid voor de herintreding, terwijl in Denemarken de overheidsinstanties een cruciale rol spelen. In Search of Effective Disability Policy laat zien dat beide oplossingen voor- en nadelen met zich meebrengen. Het Nederlandse systeem bevordert het behoud van de arbeidsplaats van zieke werknemers, maar toetreding van werkloze WAO'ers tot de arbeidsmarkt wordt belemmerd: werkgevers zijn immers niet meer bereid om arbeidsongeschikten in dienst te nemen vanwege de hoge kosten die zo'n werknemer met zich meebrengt. Dat komt in Denemarken niet voor, maar daar verliest een groot aantal zieke werknemers de aansluiting met de arbeidsmarkt als gevolg van hun ontslag en een falende overheidsaanpak voor reïntegratie. In een succesvol WAO-beleid zouden overheid en werkgevers daarom een gedeelde verantwoordelijkheid moeten dragen. Door analyses op macroniveau te combineren met empirische analyses op microniveau onderscheidt In Search of Effective Disability Policy zich van andere studies over dit onderwerp.

Table of Contents
  • Contents
  • Acknowledgement
  • 1 Disability Policies Under Pressure
    • The welfare state under pressure
    • Similar pressures – different problems
    • Welfare states and disability programmes
    • The labour market and the disability pathway
    • The consequences of exogenous pressures
    • Disability programmes and the disability pathway
    • Disability policy responses
    • The objective of this book
    • How to study the outcomes of disability policies
    • The structure of this book
  • 2 The Integration of Disabled People:What Do We Know?
    • Clinical studies
    • Economic studies
    • Public policy studies
    • Sociological studies
    • Summary and conclusions
  • 3 Bringing the Pieces Together:A Multidisciplinary Approach to Work Disability
    • Choosing the approach
    • A model for the labour market integration of disabled people
    • The labour market attachment of workers with health problems
    • Discussion and critique
  • 4 Economic Miracles Bypassing Disabled People
    • Fromeconomic growth to crisis
    • Crisis management: paid exit and active labour market measures
    • Fromcrisis to recovery
  • 5 Dutch Disability Reforms:Redefining Responsibilities
    • A sick nation
    • Ineffective changes
    • The beginning of a reform
    • Redefining responsibilities
    • Conclusion
  • 6 Danish Disability Policy:Small Steps,Big Change?
    • Danish disability policy in the 1980s
    • Defects in Danish disability policy
    • Changes during the 1980s: crisis management
    • Changes during the 1990s: increased emphasis on activation
    • Dutch and Danish disability policies: different developments
    • Dutch and Danish disability policies: different principles
    • Conclusion
  • 7 Different Routes to Integration
    • The data
    • Dismissals during sick leave
    • The supply of vocational rehabilitation measures
    • Income protection during sick leave
    • Conclusion
    • Appendix A
    • Appendix B
  • 8 Different Policies – Different Outcomes
    • The return to work of long-term sick-listed workers
    • Dutch and Danish disability policies: a question of different rights?
    • Conclusion
    • Appendix C
    • Appendix D
    • Appendix E
  • 9 Too Much and Too Little:Employers’Responsibility in Denmark and the Netherlands
    • The disability figures reconsidered: an overestimated disability crisis
    • Policy changes – success or failure?
    • Explaining the developments
    • Disability policies in the context of future challenges
    • Towards a more effective disability policy
  • Tables and Figures
  • Notes
  • References
  • Index of Subjects
  • Index of Names
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