keynote address: musculoskeletal conditions as a challenge for policy making
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Keynote address: Musculoskeletal conditions as a challenge for policy making. Professor Paul Emery President of EULAR Professor of Rheumatology, University of Leeds Co-President, Fit for Work Coalition. Musculoskeletal conditions as a challenge for policy making. (Foundation: 1947). - PowerPoint PPT PresentationTRANSCRIPT
Keynote address:Musculoskeletal conditions as a
challenge for policy makingProfessor Paul EmeryPresident of EULAR
Professor of Rheumatology, University of LeedsCo-President, Fit for Work Coalition
Patients organisations
Scientific associations
Health Professionals associations
(Foundation: 1947)
Musculoskeletal conditions as a challenge for policy making
All aspects of RMDs (rheumatic and musculoskeletal diseases)
EULAR mission: to improve the treatment, prevention and rehabilitation of
musculoskeletal diseases; and thereby to reduce the burden or rheumatic diseases on the
individual and society
EULAR activity areas:
Representation RMD community
Translation into daily care
Education & Research
Musculoskeletal conditions as a challenge for policy making
Relevance of Rheumatic and Musculoskeletal Diseases:
120,000,000EU citizens
affected by RMDs(~1/4 of totalpopulation)
Individuals’ wellbeing affected
Productivity and economic losses
Burden on Health and Social systems
Musculoskeletal conditions as a challenge for policy making
Morbidity: Rheumatic and musculoskeletal diseases (RMDs) are the most prevalent group of diseases in Europe
Quality of life of ~7.5% of the European population severely and permanently reduced by pain and functional impairment caused by RMDs
Up to ⅓ of European citizens of all ages suffer from RMD at one point in their lifetime
A survey on musculoskeletal pain concluded that:• 85% of people between 20 and 72 years suffered from
musculoskeletal pain during the previous year• 15% of people between 20 and 72 years suffered from
musculoskeletal pain every day during the previous year
Musculoskeletal conditions as a challenge for policy making
Costs: RMDs represent one of the highest costs to European health care and socioeconomic systems
RMDs are the second most common reason for consulting a doctor (10-20% of primary care consultations)
RMDs represent an economic burden of 240 Billion euro per year
The direct costs of RMDs in EU is estimated to be of 2% of the GDP
Workdays’ lost account for 650 Million euro loss per year
Musculoskeletal conditions as a challenge for policy making
Disability: RMDs represent the main cause of disability and premature retirement among European workers
In Sweden, up to 60% of people on early retirement or long-term sick leave claim musculoskeletal problems as the reason
In France, 6.5 million workdays were lost due to RMDs in 2005
Musculoskeletal conditions as a challenge for policy making
The situation now: A more favourable context for people with RMDs in Europe:
Increasing involvement of EU institutions EU legislation protecting working and environmental risks in
place, but scattered Good examples of national governments’ commitment to fight
against RMDs, but no overall strategy
Musculoskeletal conditions as a challenge for policy making
Recent EU initiatives on Rheumatic and Musculoskeletal Diseases:
2005: European Parliament Written Declaration 41/2005 on rheumatic diseases
2008: European Parliament Written Declaration 08/2008 on rheumatic diseases
2009: European Parliament Interest Group on rheumatic and musculoskeletal diseases
2010: Funding by European Commission of European musculoskeletal surveillance network project (EUMUSC.NET)
2010: Belgian EU Presidency Ministerial Conference on Chronic Illness & Conference on RMDs
2010: Council Conclusions on Chronic Illness 2010: European Disability Strategy 2011: Conference on the Burden of RMDs under the Hungarian
Presidency of the EU
Musculoskeletal conditions as a challenge for policy making
Main EU Legislation related to work-related RMDs:
1989: Directive 89/654/EEC: minimum safety and health requirements for the workplace
1989: Directive 89/655/EEC: minimum safety and health requirements for the use of work equipment by workers at work
1990: Directive 90/269/EEC: minimum health and safety requirements for the manual handling of loads where there is a risk particularly of back injury to workers
1993: Directive 93/104/EC: organisation of working time. Factors such as repetitive work, monotonous work and fatigue
1998: Directive 98/37/EC: ergonomic principles for machinery and devices 2002: Directive 2002/44/EC: minimum health and safety requirements
regarding the exposure of workers to the risks arising from physical agents (vibration)
2006: Directive 2006/42/EC: health and safety requirements relating to the design and construction of machinery
2011/2012: Integrative Directive on RMDs at workplace?
Musculoskeletal conditions as a challenge for policy making
Examples of national policy outcomes on RMDs and work(*):
Finland: Government support for workability and functionality support for RMDs through the Minister of Labour
France: RMDs as a national public health priority thanks to its existing RMDs national plan implemented by the Ministry of Work
Germany: Agreement for improving working conditions for disabled people
Lithuania: Multi-functional working group to solve RMD related issues Spain: Government support and announcement of a national strategy for
RMDs. Catalonian regional plan on RMDs UK: “Fit note” instead of “Sick note”
(*) Based on Fit for Work
Musculoskeletal conditions as a challenge for policy making
What is still needed? Despite the favourable context, there is still a long way to go…
The Brussels Declaration: 6 key principles and recommendations to EU and Member States to address RMDs
Musculoskeletal conditions as a challenge for policy making
120 MillionPeoplewith RMD
DisabledPeople
Causes DiseaseManagement
Consequenceson individuals
Biological/Geneticfactors
Socio-Economicfactors
Life-stylefactors
Healthcare services
Treatments
Labour market
Social activities
Education
Reduced participation in:
Recognition: “The European Union and its Member States should recognise the socioeconomic importance of rheumatic and musculoskeletal diseases of all ages and assign them appropriate priority”
Prevention
Musculoskeletal conditions as a challenge for policy making
120 MillionPeoplewith RMD
DisabledPeople
Causes DiseaseManagement
Consequenceson individuals
Biological/Geneticfactors
Socio-Economicfactors
Life-stylefactors
Healthcare services
Treatments
Labour market
Social activities
Education
Reduced participation in:Prevention
Research: “There is an urgent need to prioritise basic, and clinical research regarding the causes, predictors, management and impact of these chronic diseases”
Musculoskeletal conditions as a challenge for policy making
120 MillionPeoplewith RMD
DisabledPeople
Causes DiseaseManagement
Consequenceson individuals
Biological/Geneticfactors
Socio-Economicfactors
Life-stylefactors
Healthcare services
Treatments
Labour market
Social activities
Education
Reduced participation in:Prevention
Inclusion: “The European Union and Member States should ensure that people with disabilities related to rheumatic and musculoskeletal diseases have the right to full inclusion in society; this encompasses optimisation of environmental and life-style factors, the availability of self-management tools and respect for the right to a flexible education and work environment”
Musculoskeletal conditions as a challenge for policy making
120 MillionPeoplewith RMD
DisabledPeople
Causes DiseaseManagement
Consequenceson individuals
Biological/Geneticfactors
Socio-Economicfactors
Life-stylefactors
Healthcare services
Treatments
Labour market
Social activities
Education
Reduced participation in:Prevention
Quality care: “People with rheumatic and musculoskeletal diseases should receive prompt access to high quality care, ideally in specialised centres, thus maximising long-term quality of life”
Musculoskeletal conditions as a challenge for policy making
120 MillionPeoplewith RMD
DisabledPeople
Causes DiseaseManagement
Consequenceson individuals
Biological/Geneticfactors
Socio-Economicfactors
Life-stylefactors
Healthcare services
Treatments
Labour market
Social activities
Education
Reduced participation in:Prevention
Evidence base: “Management of rheumatic and musculoskeletal diseases should be in accordance with evidence-based recommendations in every European Union Member State”
Musculoskeletal conditions as a challenge for policy making
120 MillionPeoplewith RMD
DisabledPeople
Causes DiseaseManagement
Consequenceson individuals
Biological/Geneticfactors
Socio-Economicfactors
Life-stylefactors
Healthcare services
Treatments
Labour market
Social activities
Education
Reduced participation in:Prevention
Patients’ involvement: “People with rheumatic and musculoskeletal diseases are experts in living with their condition and should be involved in the design, delivery and evaluation of their services”
Musculoskeletal conditions as a challenge for policy making
Follow up EU and Member StatesA European Union Strategy to fight musculoskeletal disorders, covering:
public health and employment best practices, disability/anti-discrimination legislation, research
National Action Plans to allow for holistic and integrated measures, covering:
Access to treatment/care, specialised centres, training, work place regulation, disability aspects, research support, etc.
Partnership between governments and stakeholders at EU and national level for exchange of information and best practices
Musculoskeletal conditions as a challenge for policy making
Thank you!
Musculoskeletal conditions as a challenge for policy making