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naslovnica. WORKPLACE HEALTH MONITORING IN SLOVENIA. EVA STERGAR, MA, psychologist. STRUCTURE OF PRESENTATION. GENERAL SITUATION OF WORK-RELATED HEALTH MONITORING MAIN WORK-RELATED HEALTH PROBLEMS CVDs AND MENTAL ILL-HEALTH HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION RECOMMENDATIONS.

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naslovnica
naslovnica

WORKPLACE HEALTH MONITORING IN SLOVENIA

EVA STERGAR, MA, psychologist

structure of presentation
STRUCTURE OF PRESENTATION
  • GENERAL SITUATION OF WORK-RELATED HEALTH MONITORING
  • MAIN WORK-RELATED HEALTH PROBLEMS
  • CVDs AND MENTAL ILL-HEALTH
  • HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION
  • RECOMMENDATIONS
facts about slovenia
FACTS ABOUT SLOVENIA
  • POPULATION: ~ 2 MILION (1,964,036 – 2002 CENSUS)
  • AREA: 20,273 KM2
  • CENTRAL EUROPEAN COUNTRY
  • CAPITAL: LJUBLJANA
  • GDP PER CAPITA EUR: 9,383 (1998); 13,103 (2004)
  • ACTIVE WORKING POPULATION (MAY 2004): 702,440 EMPLOYED, 78,914 SELF-EMPLOYED PERSONS
  • CCA 65,000 ECONOMIC ENTITIES – OUT OF THEM 3,000 BIG, MEDIUM AND PUBLIC INSTITUTIONS
  • MORE INFORMATION: http://e-uprava.gov.si/e-uprava/en/portal.euprava
naslovnica1
naslovnica

GENERAL SITUATION OF WORK-RELATED HEALTH MONITORING

work related health monitoring
WORK-RELATED HEALTH MONITORING
  • PART OF NATIONAL STATISTICS
  • LEGAL BASIS:
    • NATIONAL STATISTICS ACT + MEDIUM-TERM PROGRAMME OF STATISTICAL SURVEYS 2003-2007
    • HELATH CARE SECTOR DATABASES ACT (2000)
    • PENSION AND INVALIDITY INSURANCE ACT (2003)
data on
DATA ON
  • SICK-LEAVE
  • INJURES AT WORK
  • WORK RELATED DISABILITY

HEALTH STATISTICS YEAR BOOK

CHAPTER: MONITORING OF HEALTH STATUS OF EMPLOYEES

organisations institutes responsible for work related health monitoring
ORGANISATIONS/INSTITUTES RESPONSIBLE FOR WORK-RELATED HEALTH MONITORING
  • HEALTH CARE PERFORMERS
  • THE NETWORK OF REGIONAL INSTITUTES OF PUBLIC HEALTH
  • NATIONAL INSTITUTE OF PUBLIC HEALTH OF THE REPUBLIC OF SLOVENIA
  • HEALTH INSURANCE INSTITUTE OF SLOVENIA
  • INSTITUTE OF PENSION AND INVALIDITY INSURANCE
  • SLOVENIAN LABOUR INSPECTORATE
occupational diseases
OCCUPATIONAL DISEASES
  • NO DATA

WITH EXCEPTION FOR

DATA ON DISEASES CAUSED BY ASBESTOS

remarks
REMARKS
  • ONLY DATA ON ILL HEALTH OF WORKERS AND HEALTH CARE STAFF, SPECIALIZED IN OTSM
  • LACK OF MORE DETAILED DATA
  • NO PUBLICATIONS DEDICATED TO HEALTH MONITORING OF EMPLOYEES
naslovnica2
naslovnica

MAIN WORK-RELATED HEALTH PROBLEMS

data on sick leave 1990 2004 i
DATA ON SICK-LEAVE 1990 – 2004I.

% OF SICK-LEAVE

  • BETWEEN 4.5% (1991) AND 5.2% (1992, 1998)
  • DIFFERENCES BETWEEN GENDERS
  • CAUSES:
    • MUSCULOSKELETAL DISEASES
    • INJURIES OUTSIDE WORK
    • WORK-RELATED INJURIES
    • RESPIRATORY DISEASES
    • MENTAL AND BEHAVIORAL DISORDERS
data on sick leave 1990 2004 ii
DATA ON SICK-LEAVE 1990 – 2004 II.

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

  • COMPLICATIONS WITH PREGNANCY AND BIRTH
  • NEOPLASMS
  • MENTAL AND BEHAVIOURAL DISORDERS
data on sick leave 1990 2004 iii
DATA ON SICK-LEAVE 1990 – 2004 III.
  • STRATIFICATION BY AGE:
    • YOUNGER THAN 19 AND 20 - 44: INJURIES
    • 45 – 64: MUSCULOSKELETAL DISEASES
  • STRATIFICATION BY ECONOMIC FIELDS:
      • TOBACCO PRODUCTION
      • FORESTRY
      • LEATHER PRODUCTION…
data on sick leave 1990 2004 iv
DATA ON SICK-LEAVE 1990 – 2004 IV.

SICK-LEAVES LONGER THAN 365 DAYS:

  • MUSCULOSKELETAL DISEASES
  • MENTAL AND BEHAVIOURAL DISORDERS
  • NEOPLASMS
deaths at work 1999 2005
DEATHS AT WORK 1999 - 2005

SOURCE: SLOVENIAN LABOUR INSPECTORATE

naslovnica3
naslovnica

CARDIOVASCULAR DISEASES AND MENTAL ILL-HEALTH

cardiovascular diseses
CARDIOVASCULAR DISESES

ONE OF MAJOR PUBLIC HEALTH PROBLEMS IN SLOVENIA – LEADING CAUSES FOR DEATH:

  • CORONARY HEART DISEASE
  • DIGESTIVE SYSTEM CANCER
  • CEREBROVASCULAR DISEASES
data on life style
DATA ON LIFE STYLE
  • UNHEALTHY NUTRITION: 46 %
  • LACK OF PHYSICAL ACTIVITY: 16,4 %
  • SMOKING: 23,7 %
  • ALCOHOL ABUSE: 12,4 %
  • POOR STRESS COPING: 24,9 %

SOURCE: ZALETEL-KRAGELJ ET AL. RISK BEHAVIUORS RELATED TO HEALTH, 2004

alcohol consumption
ALCOHOL CONSUMPTION

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

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naslovnica

HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION -

CVDs AND MENTAL HEALTH

steps towards healthier slovenia i
STEPS TOWARDS HEALTHIER SLOVENIA I.
  • 1996: ACT ON RESTRICTION ON TOBACCO USE
  • 2003: ACT ON RESTRICTION ON ALCOHOL USE
  • 1999: ACT ON SAFETY AND HEALTH AT WORK
  • 2003: THE RESOLUTION ON NATIONAL PLAN ON SAFETY AND HEALTH AT WORK
  • 2005: THE RESOLUTION ON THE NATIONAL PRORAMME OF NUTRITION POLICY 2005 - 2010
steps towards healthier slovenia ii
STEPS TOWARDS HEALTHIER SLOVENIA II.
  • KNOWLEDGE AND SKILLS FOR HP / WHP ???
  • ALLOCATION OF RESOURCES FOR HP / WHP???
    • HELATH PROMOTING SCHOOLS, HEALTHY CITIES
    • HEALTHY NUTRITION, PHYSICAL ACTIVITY, NON-SMOKING
    • MENTAL HEALTH PROGRAMMES
it seems better times for whp are near
IT SEEMS BETTER TIMES FOR WHP ARE NEAR…

THE RESOLUTION ON NATIONAL PLAN ON SAFETY AND HEALTH AT WORK –

FIT FOR WORK PROGRAMME

clinical institute of occupational traffic and sports medicine nco
CLINICAL INSTITUTE OF OCCUPATIONAL, TRAFFIC AND SPORTS MEDICINE - NCO
  • WORKPLACE EPIDEMIOLOGY
  • OCCUPATIONAL DISEASES
  • WORK CAPACITY ASSESSMENT
  • ERGONOMY
  • PSYCHOLOGY AND HUMANIZATION OF WORKPALCES
  • TRAFFIC SAFETY & HEALTH
  • SPORTS MEDICINE
  • HEALTH PROMOTION
fit for work program
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
NCO SLOVENIA LONG TERM GOALS
  • NEW APPROACHES TO HEALTH IN VARIOUS WORK SETTINGS
  • CO-OPERATION – BUILDING NETWORKS
  • DESIGN AND SPREAD PROGRAMMES
  • EVALUATION
  • FINDING WAY TO ENTERPRISES
  • INVOLVEMENT OF INSURANCE COMPANIES
recommendations
RECOMMENDATIONS
  • HEALTH POLICY
  • HP / WHP STRATEGY
  • HP / WHP DEVELOPMENT SUPPORTED
  • SOFISTICATED DATA ON WORK-RELATED HEALTH
  • MORE RESEARCH OF PSYCHOSOCIAL FACTORS INFLUENCING HEALTH, HEALTH BEHAVIOUR …