Work-related Health Monitoring in Europe - Indicators and Data sources Wolfgang Bödeker

1. Work-related Health Monitoring in Europe - Indicators and Data sources Wolfgang Bödeker BKK Federal Association of Company Health Insurance FundsEssen, Germany

2. Establishment of indicators for work-related health monitoring in Europe from a public health perspective (WORKHEALTH) 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 • Objectives • í to describe the status on indicator sets • to address the public health impacts • to supplement indicators • to point to further needs

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

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

5. 1 Demography & socioecon. (48) 2 Health Status (39) MASTERLIST Health Determinants (144) 3 4 Health Systems (125)

6. indicators 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 (X) expenditures on occupational health & safety measures -- job quality (X) disease occurrence -- The Short List … =5 =11

7. Was that worth while ?

8. www.healthindicators.org IPAG-11 RR Dorsopathien

10. Data availability Mortality Health For All database - no work-related information available 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

14. 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?

15. 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

16. The triangle model -Hearts and Minds at Work in Europe • Strong impact on work • common risk factors in the work environment • bi-directional relationship between mental ill health and cardiovascular diseases

17. 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

18. Public Health Challenges for EU25

22. Thank you!