naslovnicaWORKPLACE WORKPLACE HEALTH HEALTH

MONITORING IN MONITORING IN SLOVENIASLOVENIAEVA STERGAR, MA,

psychologist

STRUCTURE OF STRUCTURE OF PRESENTATIONPRESENTATION

• GENERAL SITUATION OF WORK-GENERAL SITUATION OF WORK-RELATED HEALTH MONITORINGRELATED HEALTH MONITORING

• MAIN WORK-RELATED HEALTH MAIN WORK-RELATED HEALTH PROBLEMSPROBLEMS

• CVDs AND MENTAL ILL-HEALTHCVDs AND MENTAL ILL-HEALTH• HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION AND WORKPLACE

HEALTH PROMOTIONHEALTH PROMOTION• RECOMMENDATIONSRECOMMENDATIONS

FACTS ABOUT SLOVENIAFACTS ABOUT SLOVENIA

• POPULATION: POPULATION: ~~ 2 MILION (1,964,036 2 MILION (1,964,036 – 2002 CENSUS)

• AREA: 20,273 KMAREA: 20,273 KM22

• CENTRAL EUROPEAN COUNTRYCENTRAL EUROPEAN COUNTRY• CAPITAL: LJUBLJANACAPITAL: LJUBLJANA• GDP PER CAPITA EUR: 9,383 (1998); 13,103 (2004)GDP PER CAPITA EUR: 9,383 (1998); 13,103 (2004)• ACTIVE WORKING POPULATION (MAY 2004): ACTIVE WORKING POPULATION (MAY 2004):

702,440 EMPLOYED, 78,914 SELF-EMPLOYED 702,440 EMPLOYED, 78,914 SELF-EMPLOYED PERSONSPERSONS

• CCA 65,000 ECONOMIC ENTITIES – OUT OF THEM CCA 65,000 ECONOMIC ENTITIES – OUT OF THEM 3,000 BIG, MEDIUM AND PUBLIC INSTITUTIONS 3,000 BIG, MEDIUM AND PUBLIC INSTITUTIONS

• MORE INFORMATION: MORE INFORMATION: http://e-uprava.gov.si/e-http://e-uprava.gov.si/e-uprava/en/portal.eupravauprava/en/portal.euprava

naslovnica

GENERAL SITUATION GENERAL SITUATION OF WORK-RELATED OF WORK-RELATED

HEALTH HEALTH MONITORINGMONITORING

WORK-RELATED HEALTH WORK-RELATED HEALTH MONITORINGMONITORING

• PART OF NATIONAL STATISTICSPART OF NATIONAL STATISTICS• LEGAL BASIS:LEGAL BASIS:

• NATIONAL STATISTICS ACT + MEDIUM-NATIONAL STATISTICS ACT + MEDIUM-TERM PROGRAMME OF STATISTICAL TERM PROGRAMME OF STATISTICAL SURVEYS 2003-2007SURVEYS 2003-2007

• HELATH CARE SECTOR DATABASES ACT HELATH CARE SECTOR DATABASES ACT (2000)(2000)

• PENSION AND INVALIDITY INSURANCE PENSION AND INVALIDITY INSURANCE ACT (2003)ACT (2003)

DATA ONDATA ON

• SICK-LEAVESICK-LEAVE• INJURES AT WORKINJURES AT WORK• WORK RELATED DISABILITYWORK RELATED DISABILITY

HEALTH STATISTICS YEAR BOOKHEALTH STATISTICS YEAR BOOKCHAPTER: MONITORING OF HEALTH CHAPTER: MONITORING OF HEALTH

STATUS OF EMPLOYEESSTATUS OF EMPLOYEES

ORGANISATIONS/INSTITUTES ORGANISATIONS/INSTITUTES RESPONSIBLE FOR WORK-RESPONSIBLE FOR WORK-

RELATED HEALTH MONITORINGRELATED HEALTH MONITORING

• HEALTH CARE PERFORMERSHEALTH CARE PERFORMERS• THE NETWORK OF REGIONAL INSTITUTES THE NETWORK OF REGIONAL INSTITUTES

OF PUBLIC HEALTHOF PUBLIC HEALTH• NATIONAL INSTITUTE OF PUBLIC HEALTH NATIONAL INSTITUTE OF PUBLIC HEALTH

OF THE REPUBLIC OF SLOVENIAOF THE REPUBLIC OF SLOVENIA• HEALTH INSURANCE INSTITUTE OF HEALTH INSURANCE INSTITUTE OF

SLOVENIASLOVENIA• INSTITUTE OF PENSION AND INVALIDITY INSTITUTE OF PENSION AND INVALIDITY

INSURANCEINSURANCE• SLOVENIAN LABOUR INSPECTORATESLOVENIAN LABOUR INSPECTORATE

OCCUPATIONAL DISEASESOCCUPATIONAL DISEASES

• NO DATANO DATAWITH EXCEPTION FORWITH EXCEPTION FOR

DATA ON DISEASES CAUSED BY DATA ON DISEASES CAUSED BY ASBESTOSASBESTOS

REMARKSREMARKS

• ONLY DATA ON ILL HEALTH OF ONLY DATA ON ILL HEALTH OF WORKERS AND HEALTH CARE WORKERS AND HEALTH CARE STAFF, SPECIALIZED IN OTSMSTAFF, SPECIALIZED IN OTSM

• LACK OF MORE DETAILED DATALACK OF MORE DETAILED DATA• NO PUBLICATIONS DEDICATED TO NO PUBLICATIONS DEDICATED TO

HEALTH MONITORING OF HEALTH MONITORING OF EMPLOYEESEMPLOYEES

naslovnica

MAIN WORK-MAIN WORK-RELATED HEALTH RELATED HEALTH

PROBLEMSPROBLEMS

DATA ON SICK-LEAVE DATA ON SICK-LEAVE 1990 – 20041990 – 2004

I.I.% OF SICK-LEAVE% OF SICK-LEAVE •BETWEEN 4.5% (1991) AND 5.2% BETWEEN 4.5% (1991) AND 5.2%

(1992, 1998)(1992, 1998)•DIFFERENCES BETWEEN GENDERSDIFFERENCES BETWEEN GENDERS•CAUSES:CAUSES:

•MUSCULOSKELETAL DISEASESMUSCULOSKELETAL DISEASES•INJURIES OUTSIDE WORKINJURIES OUTSIDE WORK•WORK-RELATED INJURIESWORK-RELATED INJURIES•RESPIRATORY DISEASESRESPIRATORY DISEASES•MENTAL AND BEHAVIORAL MENTAL AND BEHAVIORAL DISORDERSDISORDERS

DATA ON SICK-LEAVE DATA ON SICK-LEAVE 1990 – 2004 II.1990 – 2004 II.

THE AVERAGE DURATION OF THE AVERAGE DURATION OF SICK-LEAVE PER DIAGNOSIS SICK-LEAVE PER DIAGNOSIS FOR WOMEN IS LONGER DUE FOR WOMEN IS LONGER DUE TO:TO:•COMPLICATIONS WITH COMPLICATIONS WITH

PREGNANCY PREGNANCY AND BIRTHAND BIRTH•NEOPLASMSNEOPLASMS•MENTAL AND BEHAVIOURAL MENTAL AND BEHAVIOURAL

DISORDERSDISORDERS

DATA ON SICK-LEAVE DATA ON SICK-LEAVE 1990 – 2004 III.1990 – 2004 III.

• STRATIFICATION BY AGE: STRATIFICATION BY AGE: •YOUNGER THAN 19 AND 20 - 44: YOUNGER THAN 19 AND 20 - 44:

INJURIESINJURIES•45 – 64: MUSCULOSKELETAL 45 – 64: MUSCULOSKELETAL

DISEASESDISEASES• STRATIFICATION BY ECONOMIC STRATIFICATION BY ECONOMIC

FIELDS:FIELDS:•TOBACCO PRODUCTIONTOBACCO PRODUCTION•FORESTRYFORESTRY•LEATHER PRODUCTION…LEATHER PRODUCTION…

DATA ON SICK-LEAVE DATA ON SICK-LEAVE 1990 – 2004 IV.1990 – 2004 IV.

SICK-LEAVES LONGER THAN 365 SICK-LEAVES LONGER THAN 365 DAYS:DAYS:•MUSCULOSKELETAL DISEASESMUSCULOSKELETAL DISEASES•MENTAL AND BEHAVIOURAL MENTAL AND BEHAVIOURAL

DISORDERSDISORDERS•NEOPLASMSNEOPLASMS

DEATHS AT WORK 1999 DEATHS AT WORK 1999 - 2005- 2005

SOURCE: SLOVENIAN LABOUR SOURCE: SLOVENIAN LABOUR INSPECTORATE INSPECTORATE

naslovnicaCARDIOVASCULAR CARDIOVASCULAR

DISEASES AND DISEASES AND MENTAL ILL-HEALTHMENTAL ILL-HEALTH

CARDIOVASCULAR CARDIOVASCULAR DISESESDISESES

ONE OF MAJOR PUBLIC ONE OF MAJOR PUBLIC HEALTH PROBLEMS IN HEALTH PROBLEMS IN SLOVENIA – LEADING CAUSES SLOVENIA – LEADING CAUSES FOR DEATH:FOR DEATH:•CORONARY HEART DISEASECORONARY HEART DISEASE•DIGESTIVE SYSTEM CANCER DIGESTIVE SYSTEM CANCER •CEREBROVASCULAR DISEASESCEREBROVASCULAR DISEASES

SELECTED DATA ON SELECTED DATA ON MORTALITY DUE TO CVDSMORTALITY DUE TO CVDS

SELECTED DATA ON SELECTED DATA ON MENTAL ILL-HEALTHMENTAL ILL-HEALTH

DATA ON LIFE STYLEDATA ON LIFE STYLE

• UNHEALTHY NUTRITION: 46 %UNHEALTHY NUTRITION: 46 %• LACK OF PHYSICAL ACTIVITY: LACK OF PHYSICAL ACTIVITY:

16,4 %16,4 %• SMOKING: 23,7 %SMOKING: 23,7 %• ALCOHOL ABUSE: 12,4 %ALCOHOL ABUSE: 12,4 %• POOR STRESS COPING: 24,9 %POOR STRESS COPING: 24,9 %

SOURCE: ZALETEL-KRAGELJ ET AL. RISK BEHAVIUORS RELATED TO HEALTH, SOURCE: ZALETEL-KRAGELJ ET AL. RISK BEHAVIUORS RELATED TO HEALTH, 20042004

THE INCREASING THE INCREASING IMPORTANCE OF MENTAL IMPORTANCE OF MENTAL

HEALTHHEALTH

• SUICIDESUICIDE• ALCOHOL DEPENDENCYALCOHOL DEPENDENCY

ALCOHOL CONSUMPTIONALCOHOL CONSUMPTION

0

2

4

6

8

10

12

14

16

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

Lit

res

per i

nhab

itan

t

Slovenija

Evropa

Europe

Source: WHO/Europe, European HFA Database, June 2005

naslovnicaHEALTH PROMOTION HEALTH PROMOTION

AND WORKPLACE AND WORKPLACE HEALTH PROMOTION -HEALTH PROMOTION -

CVDs AND MENTAL CVDs AND MENTAL HEALTHHEALTH

STEPS TOWARDS HEALTHIER STEPS TOWARDS HEALTHIER SLOVENIA I.SLOVENIA I.

• 1996: ACT ON RESTRICTION ON TOBACCO 1996: ACT ON RESTRICTION ON TOBACCO USEUSE

• 2003: ACT ON RESTRICTION ON ALCOHOL USE2003: ACT ON RESTRICTION ON ALCOHOL USE• 1999: ACT ON SAFETY AND HEALTH AT WORK1999: ACT ON SAFETY AND HEALTH AT WORK• 2003: THE RESOLUTION ON NATIONAL PLAN 2003: THE RESOLUTION ON NATIONAL PLAN

ON SAFETY AND HEALTH AT WORKON SAFETY AND HEALTH AT WORK• 2005: THE RESOLUTION ON THE NATIONAL 2005: THE RESOLUTION ON THE NATIONAL

PRORAMME OF NUTRITION POLICY 2005 - PRORAMME OF NUTRITION POLICY 2005 - 20102010

STEPS TOWARDS HEALTHIER STEPS TOWARDS HEALTHIER SLOVENIA II.SLOVENIA II.

• KNOWLEDGE AND SKILLS FOR HP / KNOWLEDGE AND SKILLS FOR HP / WHP ???WHP ???

• ALLOCATION OF RESOURCES FOR HP / ALLOCATION OF RESOURCES FOR HP / WHP???WHP???• HELATH PROMOTING SCHOOLS, HEALTHY HELATH PROMOTING SCHOOLS, HEALTHY

CITIESCITIES• HEALTHY NUTRITION, PHYSICAL ACTIVITY, HEALTHY NUTRITION, PHYSICAL ACTIVITY,

NON-SMOKINGNON-SMOKING• MENTAL HEALTH PROGRAMMESMENTAL HEALTH PROGRAMMES

IT SEEMS BETTER IT SEEMS BETTER TIMES FOR WHP ARE TIMES FOR WHP ARE

NEAR…NEAR…

THE RESOLUTION ON THE RESOLUTION ON NATIONAL PLAN ON SAFETY NATIONAL PLAN ON SAFETY

AND HEALTH AT WORK – AND HEALTH AT WORK – FIT FOR WORK PROGRAMMEFIT FOR WORK PROGRAMME

CLINICAL INSTITUTE OF OCCUPATIONAL, CLINICAL INSTITUTE OF OCCUPATIONAL, TRAFFIC AND SPORTS MEDICINE - NCOTRAFFIC AND SPORTS MEDICINE - NCO

• WORKPLACE EPIDEMIOLOGYWORKPLACE EPIDEMIOLOGY• OCCUPATIONAL DISEASESOCCUPATIONAL DISEASES• WORK CAPACITY ASSESSMENTWORK CAPACITY ASSESSMENT• ERGONOMYERGONOMY• PSYCHOLOGY AND HUMANIZATION OF PSYCHOLOGY AND HUMANIZATION OF

WORKPALCESWORKPALCES• TRAFFIC SAFETY & HEALTHTRAFFIC SAFETY & HEALTH• SPORTS MEDICINESPORTS MEDICINE

• HEALTH PROMOTIONHEALTH PROMOTION

FIT FOR WORK PROGRAM

• SURVEY – SPRING 2005• PHARE PROJECT - LIFELONG

LEARNING FOR HEALTHY WORK AND LIFE – MAY 2005 – JULY 2006

• IMPLEMENTATION – 2006 ON

NCO SLOVENIA LONG TERM GOALS

• NEW APPROACHES TO HEALTH IN NEW APPROACHES TO HEALTH IN VARIOUS WORK SETTINGSVARIOUS WORK SETTINGS

• CO-OPERATION – BUILDING CO-OPERATION – BUILDING NETWORKSNETWORKS

• DESIGN AND SPREAD PROGRAMMESDESIGN AND SPREAD PROGRAMMES

• EVALUATIONEVALUATION

• FINDING WAY TO ENTERPRISESFINDING WAY TO ENTERPRISES

• INVOLVEMENT OF INSURANCE INVOLVEMENT OF INSURANCE COMPANIESCOMPANIES

RECOMMENDATIONS

• HEALTH POLICYHEALTH POLICY

• HP / WHP STRATEGYHP / WHP STRATEGY

• HP / WHP DEVELOPMENT HP / WHP DEVELOPMENT SUPPORTEDSUPPORTED

• SOFISTICATED DATA ON WORK-SOFISTICATED DATA ON WORK-RELATED RELATED HEALTHHEALTH

• MORE RESEARCH OF MORE RESEARCH OF PSYCHOSOCIAL PSYCHOSOCIAL FACTORS FACTORS INFLUENCING HEALTH, HEALTH INFLUENCING HEALTH, HEALTH BEHAVIOUR …BEHAVIOUR …

THANK YOU VERY THANK YOU VERY MUCH FOR YOUR MUCH FOR YOUR

ATTENTIONATTENTION