work-related health monitoring in europe - indicators and data sources wolfgang bödeker

Work-related Health Monitoring in Europe -

Indicators and Data sources

Wolfgang Bödeker

BKK Federal Association of Company Health Insurance Funds

Essen, Germany

Establishment of indicators for work-related health

monitoring in Europe from a public health perspective

(WORKHEALTH)

Establishment of indicators for work-related health

monitoring in Europe from a public health perspective

(WORKHEALTH)

Objectives

to describe the status on indicator sets

to address the public health impacts

to supplement indicators to point to further needs

Memberstates

A, B, D, DK, E, F, FIN, GR, I, IR, IS, NL, S

Institutions

Occupational Health & Safety

Social Insurance

Public Health Science

Work Inspectorate

public health monitoring

health & workhealth & work

occupational health & safety

public public healthhealth

Work-related health monitoring

from a public health perspective

OSH monitoring

SCOPE

GOVERNMENTAL / SOCIAL ARENA

2

THE POLICY CYCLE

WORKPLACE PUBLICHEALTH1POLICY

• Public Health

• Quality of Work/Life

• Employment

• Economic

• Equality

• Occupational H&S

• Demography

3 4 5 6Policy

Domainsrelevant forworkplace

Activities Output Outcome

INDICATORS

• services

• structures

• processes

• people

• resources

• ...

• sickness absence

• accidents & occupational ill health

• health inequity

• social inclusion

• work organisation

•

health promotion

• intrinsic job quality

•

disability management

• international cooper- ation and regulations

• measuring activities

• measuring results of activities

INDICATORS INDICATORS

• health

• costs

• job satisfaction

• productivity

• retirement

• workability

•...

1 Demography & socioecon.

(48)

2 Health Status(39)

3Health

Determinants(144)

4 Health Systems

(125)

The Short List …The Short List …

--disease occurrence

(X)job quality

--expenditures on occupational health & safety measures

(X)reintegration/rehabilitation

Xoccupational diseases

Xwork-related health risks

Xdisability

--health promotion activities at the workplace

--compliance with OSH regulations

Xsickness absence (causes)

Xaccidents at work

data availability

indicators

=11 =5

Was that worth while ?Was that worth while ?

IPAG-11 RR Dorsopathien

www.healthindicators.org

Data availability

MortalityHealth For All database - no work-related information availableHealth Data OECD - no work-related information available

Morbidity Health For All database - no work-related information availableHealth Data OECD - no work-related information available ESWC

Labour Force Survey ad hoc module 1999

Accidents at Work ESAW Labour Force Survey ad hoc module 1999

Occupational Diseases EODS Labour Force Survey ad hoc module 1999

Sickness absenceESWC Labour Force Surveysocial insurance data

Data availability: Some remarks

data for some countries are missing

data are collected for only one year (LFS ad hoc module: only 1999) or quite infrequently (ESWC: approx. every 4-5 years)

there is a long time delay between collection and publication of data (EODS: 3 years)

Improving data availability is a slow process if it is given no high political priority

Is it possible to set up a European work-related public health report?

What is the status of work-related health monitoring in the new member states?

WORKHEALTH II

Development of an European work-related health report

and establishment of mechanisms

for dissemination and co-operation

in the acceding and candidate countries

The triangle model -Hearts and Minds at Work in Europe

WORKPLACE

Mental illhealth

CardiovascularDiseases

Public health importance / Impact on work(sickness absence, cost etc.)

Work-relatedness / risk factors

Strong impact on work

common risk factors in the work environment

bi-directional relationship between mental ill health and cardiovascular diseases

Basic understanding

European data as far as possible

supplement by national data

use available publications and reviews

audience: politics, public health, interested public

chapters rather short and easy to read

Public Health Challenges for EU25

49.3

39.5

98.3

0

10

20

30

40

50

60

70

80

90

100

EU total „Old“MemberStates

NewMemberStates

Deaths by diseases of the circulatory system (SDR 0-64, WHO-HFA-MDB)

10.49.1

16.9

0

5

10

15

20

EU total „Old“MemberStates

NewMemberStates

Suicide and self-inflicted injury (SDR 0-64, WHO-HFA-MDB)

28 28 23

41

0

10

20

30

40

50

Work-related stress Work-related overallfatigue

Workers exposed to work-related stress and overall fatigue (%, EWCS 2000)

„Old“ Member States New Member States, BG, RO

Thank you!