Establishment of indicators for work-related healthmonitoring in Europe from a public health perspective

(WORKHEALTH)

Establishment of indicators for work-related healthmonitoring in Europe from a public health perspective

(WORKHEALTH)

Aims & Steps

� to describe the status on indicator sets

� to address the public health impacts

� to supplement indicators

� to point to further needs

WORKHEALTHPartners

WORKHEALTHWORKHEALTHPartnersPartners

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

The Results I

... the synopsis

Indicator schemes

European Commission: A framework forinvesting in quality

EFILWC: Quality of work & employmentindicators

Workplace health in the public healthperspective: Criteria and indicators forpolicy and performance of GP HESME

Work and health country profiles

ECHI

Monitoring reports

The state of occupational safety and health in the European Union

The European health report

Data sources

European occupational diseasesstatistics

European statistics on accidents at work

European survey on working conditions

The European labour force survey

European Community household panel

OECD Health Data

ILO: Key Indicators of the Labour Market

Synopsis of work-related indicator sets:Included documents

Synopsis of work-related indicator sets:Included documents

What is that synopsis good for? 1. Acknowledgement of work done2. Basis for identification of gaps

public healthmonitoring

healthhealth & & workwork

occupational health& safety

quality of work

publicpublichealthhealth

Work-related healthmonitoring from a

public healthperspective

OSH monitoring

Quality of work

monitoring

SCOPEScope of work-related health monitoring

from a public health perspectiveScope of work-related health monitoring

from a public health perspective

The Results II

... the Master List

„Master list“ of indicators:sources

„„Master listMaster list““ of indicators:of indicators:sourcessources

all indicators from satellite workshops

ECHI (all indicators which have a relation to work)

all indicators from the European Survey on Working Conditions

core indicators of the Work & Health Country Profiles

Quality of Work-concept (all indicators which have a relation to health

HESME-concept (dto.)

Demography &socioecon48

HealthStatus

39

HealthDeterminants

144

Healthsystems

125

Master list: contents

What is that good for?1. source for indicator selection2. sharpening the indicator meaning3. Overview on data availability

The Results III

... the Policy Cycle

Model

GOVERNMENTAL / SOCIAL ARENA

2

THE POLICY CYCLE

WORKPLACE PUBLICHEALTH1POLICY

• Public Health

• Quality ofWork/Life

• Employment

• Economic

• Equality

• OccupationalH&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

• measuringactivities

• measuringresults ofactivities

INDICATORS INDICATORS

• health

• costs

• jobsatisfaction

• productivity

• retirement

• workability

•...

GOVERNMENTAL / SOCIAL ARENA

2

THE POLICY CYCLE envisaged

WORKPLACE PUBLICHEALTH1POLICY

•

• Quality ofWork/Life

• Employment

• Economic

•

• l

•

3 4 5 6Policy Domainsrelevant forworkplace

Activities Output Outcome

INDICATORS

•training & adjustments in work environment

Early assessment of need for Reha

Financial regulations sickness benefits

Support workplace health promotion

reducing sicknessabsence

INDICATORS INDICATORS

•

Reduced sick leave rates

Reduced amount of sickness benefits

•

improvements in working conditions

Shorter time until reha starts

Employers have incentive for low sick leave

More WHP implemented & better lifestyles

The Results IV

... the Domain

Windows

DOMAIN WINDOWSDOMAIN WINDOWS

� sickness absence managementsickness absence management

�� combating health inequitycombating health inequity

�� promoting social inclusionpromoting social inclusion

�� improving working conditionsimproving working conditions

�� fostering health promotionfostering health promotion

�� prevention of accidents at work & occupational ill healthprevention of accidents at work & occupational ill health

�� increasing effectiveness of disability managementincreasing effectiveness of disability management

�� enhancing intrinsic job quality (job satisfaction)enhancing intrinsic job quality (job satisfaction)

�� enhancing agreement on international coenhancing agreement on international co--operation and operation and

regulationsregulations

DOMAIN WINDOWS: number of indicatorsDOMAIN WINDOWS: number of indicators

� sickness absence managementsickness absence management 146146

�� combating health inequitycombating health inequity 5252

�� promoting social inclusionpromoting social inclusion 9696

�� improving working conditionsimproving working conditions 4949

�� fostering health promotionfostering health promotion 124124

�� prevention of accidents & occupational ill healthprevention of accidents & occupational ill health 161161

�� increasing effectiveness of disability management 140increasing effectiveness of disability management 140

�� enhancing intrinsic job quality (job satisfaction) enhancing intrinsic job quality (job satisfaction) 124124

�� enhancing agreement on coenhancing agreement on co--operation & regulationsoperation & regulations 114 114

What is that good for?1. comprehensive list of indicators2. check if policy effects can be monitored3. allocation of resources

The Results V

... the Short List

Short list of indicators forwork-related health monitoring

Short list of indicators forwork-related health monitoring

To make work-related health monitoring work right now as a part of a basic health monitoring on European level.

Indicators were chosen which - being health and health system outcome indicators - reflect the effects of working conditions

No scientific rules to derive short lists from comprehensive compilations

Short list indicators may trigger more extensive analysis

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

Σ=11

Σx=5

ECHI 1

annex

annex

ECHI 2

annex

annex

annex

annex

annex

ECHI 3

ENWHP

Task Task Force WORK & HEALTHForce WORK & HEALTH

Starting Point

Objectives

Next steps

• Synopsis• policy cycle model • indicators

• business case• toolbox • national fora

• occupational health & safety • health promotion experts• work inspectorate• social insurance

policy oriented report Work & Health

status of WHP in new member states & candidates

recomendation for work-related health monitoring& implementation of WHP

emerging risks

Building the consortium

This paper was produced for a meeting organized by Health & Consumer Protection DG and represents the views of its author on the subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumer Protection DG's views. The European Commission does not guarantee the accuracy of the data included in this paper, nor does it accept responsibility for any use made thereof.