the assessment of work ability søren brage directorate for labour and welfare norway
TRANSCRIPT
The assessment of work ability
Søren Brage
Directorate for Labour and Welfare
Norway
Side 2
To secure employment and work ability
Side 3
Work ability in context – a model
Side 4
Work ability in context – a model
HealthFunctional ability
Side 5
Work ability in context – a model
HealthFunctional ability
Work strain
Side 6
Work ability in context – a model
HealthFunctional ability
Work strain
Side 7
Work ability in context – a model
HealthFunctional ability
Work strain
Occupational skillsGeneral competencies
Side 8
Work ability in context – a model
HealthFunctional ability
Work strain
Occupational skillsGeneral competencies
Work content Demands
Side 9
Work ability in context – a model
HealthFunctional ability
Work strain
Occupational skillsGeneral competencies
Work content Demands
Work organisation Environment
Side 10
Definition
A person P has complete work ability if, and only if, P has the work specific manual and intellectual competence, strength, as well as tolerance and courage, relevant virtues, other qualifications and has the physical, mental and social health that is required to fulfil the tasks (or alternatives within a set of tasks) and reach the goals (with some requirements of quality) which belong to the job in question, given that the physical, psychological, and organizational work environment is acceptable to P, or can with adjustments easily be made acceptable to P
– Nordenfelt. L. The concept of work ability, 2008, p 137.
Side 11
Assessments in social security
Increasing focus on resources, ”residual work capacity”, functional abilities instead of disease – ”work although ill”
–Netherlands, UK, Denmark, Norway
Work lane, rather than security lane
Increasing multiprofessional assessments
Side 12
Situations for work ability assessments
Guidance–Return to work, rehabilitation, job matching –focus on resources and possibilities–Comprehensive, including
Benefit decision–Disability and incapacity benefits –focus on deficits–Grading–Limited, excluding
Evaluation–Follow-up of clients–Effective measures
Side 13
The medical dimension
Strong medical influence– Continental Europe– Finland
Benefit decisions
Weak medical influence– Denmark, Norway
Guidance
Side 14
The client dimension
Strong– Denmark, Norway, UK
Guidance
Weak– Netherlands (CBBS)
Benefit decision
Side 15
The instrument dimension
Decisive instruments or structured interviews
– Iceland, UK, Netherlands, Australia
Benefit decision
Procedures
– Denmark, Norway
Guidance
Side 16
Health Condition Health Condition ((disorder/diseasedisorder/disease))
Interaction of ICF Concepts
Environmental Environmental FactorsFactors
Personal Personal FactorsFactors
Body Body function&structurefunction&structure
(Impairment(Impairment))
ActivitiesActivities(Limitation)(Limitation)
ParticipationParticipation(Restriction)(Restriction)
Side 17
ICF in social security
provides a nomenclature for describing functional abilities and resources
provides an understanding af function as a health state
provides a cross-professional language
provides a classification for the registration of social security data
has international support and use
Side 18
Research
Nordenfelt (2008).The concept of work ability.
Gould, Ilmarinen, Järvisalo, Koskinen (2009). Dimensions of work ability.
SOU 2009:89. Gränslandet mellan sjukdom och arbete.
Brage, Østerås, Krohne, Steiran (2008). Funksjons-vurderinger ved langvarig sykefravær og ved vedtak om langtidsytelser (Sluttrapport).
Side 19
Takk for oppmerksomheten!