work-related health monitoring in europe - indicators and data sources wolfgang bödeker
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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). - PowerPoint PPT PresentationTRANSCRIPT
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Work-related Health Monitoring in Europe -
Indicators and Data sources
Wolfgang Bödeker
BKK Federal Association of Company Health Insurance Funds
Essen, Germany
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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
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public health monitoring
health & workhealth & work
occupational health & safety
public public healthhealth
Work-related health monitoring
from a public health perspective
OSH monitoring
SCOPE
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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
•...
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1 Demography & socioecon.
(48)
2 Health Status(39)
3Health
Determinants(144)
4 Health Systems
(125)
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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
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Was that worth while ?Was that worth while ?
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IPAG-11 RR Dorsopathien
www.healthindicators.org
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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
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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?
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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
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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
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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
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Public Health Challenges for EU25
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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)
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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)
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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
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Thank you!