1. work ability index: a tool for occupational health...

FIOH, Prof. Juhani IlmarinenRooma.ppt

Work Ability Index: a tool for Occupationalhealth research and practise

Work Ability Index: a tool for Occupationalhealth research and practise

Prof. Juhani IlmarinenFinnish Institute of Occupational Health

Helsinki, Finland

11 th Annual EUPHA meeting,20-22 November 2003

Rome, Italy

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2.

Lea KatajarinneFinnish Institute of Occupational Health

ICOH 2003

WORK ABILITY

INDEXKaija TuomiJuhani IlmarinenAntti JahkolaLea KatajarinneArto Tulkki


3.

Definion of Work Ability in 1980 sDefinion of Work Ability in 1980 s

"How good is the workers at present and in the near future, and how able is he/she to do his/her work with repect to work demands, health, and mental resources?"


4.Work Ability Index7 Items

• Current work ability compared with thelifetime best

• Work ability in relation to the demands ofthe job

• Number of current diseases diagnosed byphysician

• Estimated workimpairment due to diseases

• Sick leave during the past year (12 months)

• Own prognosis of work ability two yearsfrom now

• Mental resourses


ICOH 2003


5.

Lea KatajarinneFinnish Institute of Occupational HealthICOH 2003

Work Ability Index

Scoring of the Questionnaire (range 7- 49 points)

Points Work ability Objective of measures

7 - 27 POOR RESTORE WORK ABILITY

28 - 36 MODERATE IMPROVE WORK ABILITY

37 - 43 GOOD SUPPORT WORK ABILITY

44 - 49 EXCELLENT MAINTAIN WORK ABILITY


6.

5

10

15

20

25

30

35

40

45

50

15 25 35 45 55 65

Carrot project 1998, N=729

49

43

36

27

7

exellent

good

moderate

poor

Age, yrs

Work ability index (WAI)

WAI ClassWAI


7.


8.


9.

5

10

15

20

25

30

35

40

45

50

15 25 35 45 55 65

WAIScores Clas

49

43

36

27

7

excellent

good

moderate

poor

WAI, mean mean

Age, yrs

WAI by age

Bus company

WAI


10.


11.


12.

COMPANY XCOMPANY X

WAI I

POOR 7086 € 3571 € MODERATE 3000 € 1257 €GOOD 1557 € 643 €EXCELLENT 857 € 200 €

WORK DISABILITYCOSTS/YEAR/PERSON

SICKNESS ABSENCECOSTS/YEAR/PERSON


13.TYÖKYKYINDEKSI (Finnish) Arbetsförmågaindexet (Swedish) Work ability index (English)Töövoimeindex

Arbeitsbewältigungsindex (German)(Chinese)

'Indice de Capacidade para o trabalho (Portuguese) (Russian)

(Dutch) (Hebrew)

(French)

(Danish)

(Japanese)

(Esthonian)

Arbeidsgeschiktheidsindex

Indice de capacite de travail(Italy)Indice di capacita’ di lavoro

(Polish)Indeks zdolnos´ci do pracy

(Serbian))

(Lithuanien)Darba speju indekss (DSI)Indige de capacidad de trabajoDarba speju novertejumsArbeidsevneindeks


14.

LOGISTIC MODEL FOR IMPROVEDWORK ABILITY

LOGISTIC MODEL FOR IMPROVEDWORK ABILITY

• Improved supervisor’s attitude (OR 3.6, CI 1.8-7.2)• Decreased repetetive movements at work (OR 2.1, CI 1.0-3.4)• Increased vigorous physical exercise during leisure time (OR 1.8, CI 1.0-3.5)


15.

LOGISTIC MODEL FOR WORSENEDWORK ABILITY

LOGISTIC MODEL FOR WORSENEDLOGISTIC MODEL FOR WORSENEDLOGISTIC MODEL FOR WORSENEDWORK ABILITYWORK ABILITYWORK ABILITY

• Decreased recognition andesteem at work(OR 2.4, CI 1.4-4.3)

• Worsened working rooms(OR 1.6, CI 1.0-2.6)

• Increased standing at work(OR 1.7, CI 1.0-2.9)

• Decreased vigorous physicalexercise during leisure time(OR 1.8, CI 1.2-2.8)


16.

Adjustment ofphysical workenvironment

Adjustment ofpsychosocialwork environment

GOOD WORK ABILITY, HEALTH AND COMPETENCE

GOOD PRODUCTIVITYAND QUALITY OF WORK

GOOD QUALITY OF LIFE AND WELL-BEING

GOOD RETIREMENT,MEANINGFUL, SUCCESSFUL, AND PRODUCTIVE

'' THIRD AGE ''

Professionalcompetence

Health functional Capacities


17.

1

2626thth International Congress on Occupational Health International Congress on Occupational HealthSingapore 2000Singapore 2000

Jorma Rantanen FIOHJorma Rantanen FIOH

Economic appraisal

• Over 200 companies of various size from differentbranches

• Method: Tervus Economic Appraisal• Benefit / Cost ratio variation between 3 and 20• Benefit: Reduction of absenteeism and work

incapacity 50%, increase in productivity 50%

Source: Bergs tröm and Ahonen 2000


18.

WAI Good retirement ability in 1997

goodWAI

goodhealth

goodPWC

satisfiedwith life

excellentgoodmoderatebadxpdf

2

in 1992 n=619 n=700n=700 n=704

63,356,922,5 5,7

178,30,001 30

73,3 62,8 36,6 20,0138,50,001 12

80,0 65,6 38,8 19,6145,30,001 12

35,0 29,9 20,5 8,5 49,50,001 12

Source:Tuomi, Huuhtanen, Nykyri and IlmarinenPromotion of work ability,the quality of work and retirement, 2001


19.Work Ability IndexUse in Finnish OH-services

• Pre-employment assessments

• Periodical health examinations

• by age-group• in a certain department or a

work community

• Assessing the need of earlyrehabilitation

• Workplace interventions

Lea KatajarinneFinnish Institute of Occupational HealthICOH 2003


20.Work Ability IndexTools

• Work Ability Index Questionnaire and calculating instructions

• Worker and Group follow-up

• Sample list of measures to improve work ability

• Worker feed-back

• Follow-up of recommendations

• Computer programmesLea Katajarinne

Finnish Institute of Occupational HealthICOH 2003


21.

Work Ability IndexFollow-up

recommendationsClick to edit Master title

style

ICOH 2003© FIOH

WO

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ABIL

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IND

EX F

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w-u

p re

com

men

datio

ns

Surname and first names______________________________________________Workplace / work site ________________________________________________

Davies Harry

immediacy: 1 within 1 month2 within ½ year3 within 1 year

realization: 1 entirely realized2 partially realized3 not realized

recommen-dationmade (time)

contents or number ofrecommendations

when to be carried out

means(or cause why not successful)

212 correct difficult

15.5.02 work postures 15.11.02 new desk provided131 check VDT

15.5.02 work conditions 15.6.02 work site corrected271 decrease

15.5.02 need for rush 15.6.02 work re-organized26 improve

15.5.02 work schedules 15.5.03 shifted to day work311 improve more

15.5.02 general condition 15.6.02 walking recommended365 promote one week’s

15.5.02 computer skills 15.5.03 course arranged

21 1

1 2

3 22

23

1

Imme-diacy(no.)

realiza-tion(no.)



22.

Work Ability IndexConfidentiality of the data

• To ensure confidentiality, it is recommended that the data is presented in statistical cells comprised of at least 10 persons

• Filling out the questionnaire is always voluntary

• The Work Ability Index is ment as a tool for occupational health personnel


ICOH 2003

1. work ability index: a tool for occupational health...

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