Workrelated Health Monitoring in Europe Indicators and Data

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) Objectives Memberstates í to describe the status on indicator sets A, B, D, DK, E, F, FIN, GR, I, IR, IS, NL, S í to address the public health impacts Institutions í to supplement indicators í to point to further needs Occupational Health & Safety Social Insurance Public Health Science Work Inspectorate

SCOPE Work-related health monitoring from a public health perspective public health monitoring public health & work occupational health & safety OSH monitoring

THE POLICY CYCLE GOVERNMENTAL / SOCIAL ARENA 1 POLICY • Public Health • Quality of Work/Life 2 3 PUBLIC HEALTH WORKPLACE Policy Domains relevant for workplace 4 Activities 5 Output 6 Outcome • Employment • sickness absence • services • Equality • accidents & occupational ill health • structures • Occupational H&S • health inequity • Economic • Demography • processes • measuring activities • health • measuring results of activities • job satisfaction • costs • social inclusion • people • work organisation • resources • retirement • health promotion • . . . • workability • productivity • . . . • intrinsic job quality • disability management • international cooperation and regulations INDICATORS

1 Demography & socioecon. (48) 2 Health Status (39) 3 4 Health Systems (125) Health Determinants (144)

The Short List … indicators =11 data availability accidents at work X sickness absence (causes) X compliance with OSH regulations -- health promotion activities at the workplace -- disability X work-related health risks X occupational diseases X reintegration/rehabilitation expenditures on occupational health & safety measures job quality disease occurrence (X) -- =5

Was that worth while ?

www. healthindicators. org IPAG-11 RR Dorsopathien

Data availability Mortality Health For All database Health Data OECD - no work-related information available Morbidity Health For All database - no work-related information available Health 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 absence ESWC Labour Force Survey social 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 ä Strong impact on work ä common risk factors in the work environment ä bi-directional relationship between mental ill health and cardiovascular diseases

Basic understanding Ô European data as far as possible Ô supplement by national data Ô use available publications and reviews Ô audience: politics, public health, interested public Ô chapters rather short and easy to read

Public Health Challenges for EU 25

Thank you!