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Les pratiques d’orientation en direction des personnes malades chroniques
Accompagnement collectif et individuel dans le cadre d'une recherche-action Cet article présente les pratiques d'orientation individuelles et collectives mises en œuvre auprès de personnes malades chroniques, dans le cadre d'une recherche-action portant sur les freins et les leviers de leur retour à l'emploi. Après avoir exposé nos ancrages théoriques et les choix méthodologiques effectués, nous décrirons comment des pratiques collectives au sein d'un dispositif d'échanges et des pratiques individuelles...
Joint association of multimorbidity and work ability with risk of long-term sickness absence
A prospective cohort study with register follow-up Objectives: The aim of this study was to determine the joint association of multimorbidity and work ability with the risk of long-term sickness absence (LTSA) in the general working population. Methods: Cox regression analysis censoring for competing events (statutory retirement, early retirement, disability pension, immigration, or death) was performed to estimate the joint association of chronic diseases and work ability in relation to physical and mental demands of the job with the prospective risk for LTSA (defined as ≥6 consecutive weeks...
Chronic Condition Combinations and Productivity Loss Among Employed Nonelderly Adults (18 to 64 Years)
Objective: We examined the relationship between specific chronic condition combinations and productivity loss measured by missed work days among nonelderly employed adults with at least two physical chronic conditions of arthritis, diabetes mellitus, heart disease, and hypertension. Methods: We analyzed data from the Medical Expenditure Panel Survey for the years 2004 to 2012. Results: Adults with arthritis/diabetes/heart disease had the highest average missed work days (14.42). In the adjusted model, compared with adults with arthritis/hypertension, adults with diabetes/heart disease and arthritis...
Comparing the Relationship Between Age and Length of Disability Across Common Chronic Conditions
Objective: The aim of this study was to compare the association between age and disability length across common chronic conditions. Methods: Analysis of 39,915 nonwork-related disability claims with a diagnosis of arthritis, diabetes, hypertension, coronary artery disease, depression, low back pain, chronic pulmonary disease, or cancer. Ordinary least squares regression models examined age-length of disability association across chronic conditions. Results: Arthritis (76.6 days), depression (63.2 days), and cancer (64.9 days) were associated with longest mean disability lengths; hypertension was...
Nordic approaches to disability prevention
Different approaches to disability prevention, including work modifications, work schedule redesign and national legislative changes were the topics at the Disability prevention seminar, held in Helsinki, Finland, by the Finnish Institute of Occupational Health (FIOH) on November 26. Source: http://www.ttl.fi/en/news/Pages/Nordic_approach_to_disability_prevention_presentations.aspx
Absenteeism due to Functional Limitations Caused by Seven Common Chronic Diseases in US Workers
Objective: The study examined the relationship between functional limitation due to chronic diseases and absenteeism among full-time workers. The studied chronic diseases include arthritis/rheumatism, cancer, diabetes, heart disease, hypertension, lung disease, and stroke. Methods: We analyzed data from the 2011 to 2013 National Health Interview Survey. Economic impact was determined by workdays lost and lost income. Results: Increase in absenteeism was observed for each studied condition. Employees with multiple conditions also saw increase absenteeism. Employers lose 28.2 million workdays annually...
Travailler avec une maladie chronique évolutive
Face à la multiplication des pathologies dans la population active, les entreprises ne peuvent plus se contenter de réponses individuelles. La solution passe par la mise en oeuvre de politiques collectives, à même de favoriser le maintien en emploi des personnes atteintes. Source: Travail & Changement , numéro 360, juillet-août-septembre 2015. http://www.anact.fr/portal/pls/portal/docs/1/17170384.PDF
Quality of Working Life Issues of Employees with a Chronic Physical Disease
A Systematic Review Purpose: To assess issues that contribute to the Quality of Working Life (QWL) of employees with a chronic physical disease. Methods: A systematic literature search was conducted using the databases PubMed, PsycINFO and EMBASE. Experiences and perceptions during the working life of employees with a chronic physical disease were extracted and synthesized into issues that contributed to their QWL. We organized these synthesized QWL issues into higher order themes and categories with qualitative data analysis software. Results: From a total of 4,044 articles identified by the search...
Travailler avec une maladie chronique
Les 10 recommandations de la Déclaration de Bruxelles Pendant deux ans, les représentants de 28 pays européens - dont l'Anact et l'Aract Aquitaine pour la France - ont travaillé sur le thème du maintien dans l'emploi des personnes atteintes d'une maladie chronique évolutive. Venant conclure ces travaux, la "déclaration de Bruxelles" présente 10 recommandations à destination des employeurs et des gouvernements. Source: http://www.anact.fr/web/actualite/essentiel?p_thingIdToShow=36337649
Workplace health practices for employees with chronic illness
Conference on promoting workplace health 22nd-23rd October 2013 Brussels proceedings. Source : http://www.enwhp.org/uploads/media/Conference_proceedings_PH_Work_conference_22-23_October.pdf
Travailler avec une maladie chronique
Un guide de bonnes pratiques Ce guide de bonnes pratiques s'adresse principalement aux employeurs et aux responsables qui sont confrontés à la difficulté et à l'éventualité de devoir gérer des salariés atteints de maladie chronique, et de les soutenir dans le maintien dans l'emploi ou encore de les aider dans le processus de retour au travail après une période d'absence. Il propose un argumentaire pour convaincre les employeurs d'investir dans la qualité de vie au travail et la promotion de la santé...
How much do preexisting chronic conditions contribute to age differences in health care expenditures after a work-related musculoskeletal injury?
OBJECTIVES: To estimate the contribution of preexisting chronic conditions on age differences in health care expenditures for the management of work-related musculoskeletal injuries in British Columbia. METHODS: A secondary analysis of workers' compensation claims submitted over the 5-year period between January 1, 2002 and December 31, 2006 (N=55,827 claims among men and 32,141 claims among women). Path models examined the relationships between age and health care expenditures, and the extent to which age differences in health care expenditures were mediated by preexisting chronic conditions...
Impact of pre-existing chronic conditions on age differences in sickness absence after a musculoskeletal work injury
A path analysis approach Objectives: This study aims to examine the extent to which a greater prevalence of pre-existing chronic conditions among older workers explains why older age is associated with longer duration of sickness absence (SA) following a musculoskeletal work-related injury in British Columbia. Methods: A secondary analysis of workers' compensation claims in British Columbia over three time periods (1997–1998; 2001–2002, and 2005–2006), the study comprised 102 997 and 53 882 claims among men and women, respectively. Path models examined the relationships between...
Occupational and genetic risk factors for osteoarthritis: A review
BACKGROUND : Osteoarthritis (OA) is a multifactorial disease with strong genetic and occupational components. Although published studies have described several risk factors for OA, very few studies have investigated the occupational and genetic factors that contribute to this debilitating condition. OBJECTIVE : To describe occupational and genetic factors that may contribute to the risk of developing (OA). METHODS : A literature search was conducted in PubMed using the search terms osteoarthritis, occupation, work, and genetics. RESULTS : Heavy physical work load was the most common occupational...
Introduction to the Special Section: Sustainability of Work with Chronic Health Conditions
Background The increasing prevalence of older workers and chronic health conditions represents a growing occupational health concern. More research is needed to understand risk factors, apply and adapt theories, and test workplace-focused interventions that might prevent work disability and disengagement among chronically ill workers. Methods A 2-h roundtable symposium involving 28 participants was held at an international conference (Second Scientific Conference on Work Disability Prevention & Integration, Groningen, The Netherlands) in October 2012. In that symposium, small groups of participants...
Maladies chroniques et travail : l'exemple danois du programme "Return To Work"
Les maladies chroniques évolutives posent un challenge majeur en matière de santé en Europe. Mais elles ont aussi un impact substantiel sur le marché du travail et la vie professionnelle. Des actions sur l’organisation du travail peuvent pourtant être menées pour améliorer la situation des salariés et celle des entreprises. Le réseau Anact est l'opérateur pour la France d'un projet réunissant 18 pays de l'Union sur ce sujet. Retour d'expérience sur une initiative danoise. Dans un contexte de...
Maladies chroniques et travail : l'exemple danois du programme "Return To Work"
Les maladies chroniques évolutives posent un challenge majeur en matière de santé en Europe. Mais elles ont aussi un impact substantiel sur le marché du travail et la vie professionnelle. Des actions sur l’organisation du travail peuvent pourtant être menées pour améliorer la situation des salariés et celle des entreprises. Le réseau Anact est l'opérateur pour la France d'un projet réunissant 18 pays de l'Union sur ce sujet. Retour d'expérience sur une initiative danoise Source : http://www...
Maladies chroniques et accidents
Une évaluation de leur impact Cet article traite de l'impact des maladies chroniques et des accidents sur les performances individuelles sur le marché du travail. Nous utilisons l'enquête Santé Itinéraires Professionnels (SIP) réalisée en France en 2006-2007 et mettons en oeuvre la méthode du score de propension de manière à évaluer l'impact des maladies chroniques et des accidents sur la participation aux marchés de travail et les revenus. Nous constatons que les maladies chroniques tout comme les accidents...
The quest for greater flexibility: Creative innovations for workers with arthritis
Arthritis is a leading cause of disability among adults, and it often affects them in the prime of their career. How it’s approached in the workplace can make all the difference, according to a new study by an adjunct scientist at the Institute for Work & Health. An accessible and supportive workplace is the litmus test as to whether a person with arthritis can continue working. This is the implication of a study led by Institute for Work & Health (IWH) Adjunct Scientist Dr. Monique Gignac, which explored the sometimes mercurial combination of arthritis and work. Gignac and her team...
Workplace problems and solutions for employees with chronic diseases
Background While many employees who have a chronic disease manage their jobs well, others are hampered in work performance, experience work-related problems and are at risk for job loss. Aims To identify the practical and psychosocial barriers recognized by employees with chronic disease who experience work-related problems and to examine preferred work accommodations. Methods A questionnaire was sent by mail and completed by current workers who have a chronic disease and experience serious problems at work. Results One hundred and twenty-two employees participated in this study. On average, they...
Retention, reintegration and rehabilitation of workers who have suffered chronic diseases
A new site provides guidance for the retention, reintegration and rehabilitation of workers who have suffered chronic diseases, and how to retain these workers in the work process. The site is an outcome of a pan-European project on the topic and addresses very diverse risks from cancer, musculoskeletal disorders to multiple sclerosis and infectious diseases such as hepatitis and AIDS. The project was supported by the European Social Fund. The documentary tool kit provides information as well as recommendations for the use of OSH and other prevention actors, such as ergonomists, OSH practitioners...

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