2023 Volume 2 Pages 9-18
The medical rework program (RP) for patients on sick leave due to mood disorder provided all over japan. There are already reports of studies on effectiveness of RP, but they are mainly reported in the metropolitan area. The purpose of this study is to find the effectiveness of RP at our psychiatric clinic in Kitakyushu city through retrospective cohort method by analyzing the 405 patients enrolled in RP at our clinic between August 2011 and July 2021 who returned to work before the survey date of July 31st, 2021 and consented to participate in this study. The average duration, the rate after one year and two years of work continuation, as estimated by the Kaplan-Meier study method, were 1518 days, 80.8% and 72.1%. Furthermore, most patients enrolled in RP at our clinic were factory workers educated background below high school graduate. Difference between our clinic doctor and other clinic or hospital doctors predicted work continuation similarly. Twenties significantly predicted a shorter duration of work continuation than older generations. Patients with many clinical developmental disability factors, and・or bipolar disorder factors were significantly predicted a shorter duration of work continuation than patients with few those factors.
