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Hogsbro K.,University of Aalborg | Hogsbro K.,Danish Institute of Governmental Research
Scandinavian Journal of Disability Research | Year: 2010

Systematic Inquiry into Models for Rehabilitation (SIMREB) is a framework for designing evaluations of rehabilitation models specifically intended for persons who are only to a limited extent regarded as being capable to speak for themselves and who, therefore, are often entrusted to a professional assessment of their needs. The article identifies the general elements in this model. By looking at both the epistemological level and the practice level from a professional as well as a user perspective the model taps into discourse analysis, institutional ethnography and a wide tradition of evaluation research. The article uses an evaluation of a rehabilitation programme for people with traumatic brain injury (TBI) as an example to illustrate the different elements of the SIMREB model. © 2010 Nordic Network on Disability Research.


Aust B.,Helmholtz Center Munich | Helverskov T.,Helmholtz Center Munich | Nielsen M.B.D.,Helmholtz Center Munich | Bjorner J.B.,Helmholtz Center Munich | And 22 more authors.
Scandinavian Journal of Work, Environment and Health | Year: 2012

The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster-controlled trial and focuses on register-based primary outcomes - duration of sickness absence and RTW - and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is (v) cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation.


Kataria M.,University of Aarhus | Kataria M.,Max Planck Institute of Economics | Bateman I.,University of East Anglia | Christensen T.,Copenhagen University | And 7 more authors.
Journal of Environmental Management | Year: 2012

Using choice experiment data for economic valuation we analyse how disbelief in survey information could affect the retrieved welfare estimates. We distinguish between two types of survey information to the respondents. The first type of information concerns the current environmental status of a water body. This information is provided prior to the valuation questions and the corresponding beliefs in the provided information are also elicited before valuation. The second type of information concerns the proposed improvements in the environmental status of the water body. We find that average welfare measures differ considerably according to whether respondents who disagree with the status quo levels and find proposed scenarios unlikely are included or not. © 2011 Elsevier Ltd.


Ladenburg J.,Danish Institute of Governmental Research | Termansen M.,University of Aarhus | Hasler B.,University of Aarhus | Dahlgaard J.O.,Danish Institute of Governmental Research
European Wind Energy Conference and Exhibition 2012, EWEC 2012 | Year: 2012

Presently, onshore wind turbine densities are increasing in many countries. The "crowding" of wind turbines in especially the urban fringe and in more densely populated rural areas is expected to meet resistance, however, few studies have to date analysed the cumulative effects of wind power on the social acceptance of wind power. We shed light on this issue and find that the attitude towards increasing the onshore wind power capacity in Denmark is significantly influenced by the number of turbines people see on a daily basis. However, we find that this effect is conditional on having a wind turbine in the viewshed from the permanent or summer residence. Accordingly, if people cannot see an onshore wind turbine from their permanent or summer residence we do not find significant evidence of cumulative effects on attitude. Furthermore, if we hypothesise that an increase in the wind power capacity is implemented by replacing smaller wind turbines with larger ones, we find that the cumulative effects are reduced also among respondents having onshore wind turbines in the viewshed. This suggests that alternative strategies for increasing the onshore wind power capacity will have significant impact on social acceptance and in turn local implementation.


Jorgensen S.L.,University of Aarhus | Olsen S.B.,Copenhagen University | Ladenburg J.,Danish Institute of Governmental Research | Martinsen L.,University of Aarhus | And 2 more authors.
Ecological Economics | Year: 2013

Costs and benefits of water restoration projects are not necessarily evenly spread out over the entire area affected by the project. The physical distribution of benefits is, therefore, an important parameter when conducting economic analyses of water restoration projects. Two particularly relevant spatial issues relate to 1) the location of the population relative to the location of the waterbody, and 2) the availability and characteristics of substitute water bodies.Based on a contingent valuation (CV) study of the demand for restoring Odense River in Denmark a spatial demand model which accounts for travel time both to the river subject for valuation and to potential substitute sites is estimated. It is concluded that the spatial distribution of benefits is unlikely to be homogeneously determined by a one-dimensional spatial model. Moreover, the results suggest that the effect of spatial issues on preferences varies between users and non-users. For non-users the spatial impacts from potential substitutes significantly reduce demand for improvements in Odense River. This indicates that focus on estimation of distance decay effects may be an important tool in relation to ensuring proper geographical delimitation of the population in a given context. © 2012 Elsevier B.V.


Netterstrom B.,Copenhagen University | Blond M.,Nykobing F Hospital | Nielsen M.,Copenhagen University | Rugulies R.,Helmholtz Center Munich | Eskelinen L.,Danish Institute of Governmental Research
Scandinavian Journal of Work, Environment and Health | Year: 2010

Objective: On 1 January 2007, Denmark went through a major reorganization, where most of its 275 municipalities and 14 counties merged into larger units. Our study aimed to examine the development of depressive symptoms and incident depression among employees affected by this organizational change. Methods: A total of 685 civil servants employed in the administration of 5 municipalities and 2 counties participated in the study. They answered a postal questionnaire, 8 months prior to and 16 months after the reorganization, regarding working conditions, psychosocial work environment factors, and depressive symptoms, based on the Major Depression Inventory (MDI). During the follow-up period of 2006-2008, 295 employees had experienced a merger with other workplaces (hereafter the merger group), 259 had got a new job (the new job group), and 131 who experienced no change in workplace served as the control group. The three groups were compared to each other for (i) mean score of MDI and (ii) incident cases of depression using general linear models and logistic regression analyses, separately by gender. Results: After adjustment of the MDI for age, occupation, supervisor function, and department at baseline in 2006, no significant differences in increase in MDI were found between the groups. The incidence of depression in the merger group was not significantly higher than the control group [women: odds ratio (OR) 1.5 (95% confidence interval [95% CI] 0.6-3.9), men: OR 1.7 (95% CI 0.2-18.7)], after adjustment for confounders. Conclusion: This study showed no significantly increased risk of depression or increase in depressive symptoms among employees exposed to organizational change as a part of a major local government reform.


Browning M.,University of Oxford | Heinesen E.,Danish Institute of Governmental Research
Journal of Health Economics | Year: 2012

We investigate whether job loss due to plant closure causes an increased risk of (cause-specific) mortality and hospitalization for male workers having strong labour market attachment. We use administrative data: a panel of all persons in Denmark in the period 1980-2006, containing records on health and work status, and a link from workers to plants. We use propensity score weighting combined with non-parametric duration analysis. We find that job loss increases the risk of overall mortality and mortality caused by circulatory disease; of suicide and suicide attempts; and of death and hospitalization due to traffic accidents, alcohol-related disease, and mental illness. © 2012 Elsevier B.V.


Ladenburg J.,Danish Institute of Governmental Research | Dahlgaard J.-O.,Danish Institute of Governmental Research
Applied Energy | Year: 2012

An imperative factor in the identification of suitable wind-turbine locations and the subsequent development thereof is the general acceptance of the proposed wind turbines. In this perspective, the existing number of turbines is expected to be a driver of attitude. However, to date only a few studies have assessed the influence of the turbine density in the residential area has on attitude. The present paper sheds light on this issue and finds that attitude towards existing turbines is negatively related with the number of turbines encountered on a daily basis. If the respondents see more than five on-land turbines, they are less positive. However, conditional of seeing more than five turbines a day, opposition does not increase with increasing turbine encounters. These results suggest that the general long-run threshold for opposition towards wind turbines is five turbine encounters per day. © 2012 Elsevier Ltd.


Bonfils I.S.,Danish Institute of Governmental Research
Scandinavian Journal of Disability Research | Year: 2011

Disability meta-organizations are playing a significant role in influencing the development of disability policy. An example of this is the Disabled Peoples Organizations - Denmark (DPOD), which has managed to unify the disability movement and place itself in a unique position of power. The strategy of DPOD is based on organizational adaptation fitting into the institutional settings of government and building its influence on dialogue, and the establishment of a relationship of trust with political actors in network-based political settings. The change in governance towards cooperation through formal disability councils at municipal level requires the ability to recruit an increasing number of politically active representatives of disabled people. Tensions based on identity conflicts and different political priorities are revealed between different kinds of member organizations when representatives of DPOD are placed in political settings delegated to speak on behalf of disabled people in general. © 2011 Nordic Network on Disability Research.


PubMed | Danish Institute of Governmental Research
Type: Journal Article | Journal: HealthcarePapers | Year: 2010

This paper focuses on community-based services for vulnerable older people in Denmark. The main characteristics of the Danish case of integrated care are introduced, and the principles in the provision of community-based services and the overall organization and responsibility of these services are analyzed. Furthermore, the principles and the incentives behind the development of integrated care for older people in Denmark are discussed. On the basis of the Danish experience, the paper ends with a discussion of important characteristics of community care for vulnerable and disabled older people and significant factors in the process of developing integrated community care.

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