Rydlewska-Liszkowska Izabela
Z Zakładu Polityki Zdrowotnej, Instytutu Medycyny Pracy im. prof. dra med. i. Nofera w Lodzi.
Med Pr. 2006;57(4):317-24.
The costs of occupational diseases and accidents at work in the state members of the European Union keep at a level of several percent of their gross national product (GNP). Employees, employers and the society as a whole have to incur this financial burden. Therefore, all social partners should be involved in the improvement of health and safety in the work environment through their concerted efforts. It should be pointed out that information in the field of economy is an inherent instrument of all activities. It allows to estimate economic consequences of occupational diseases and accidents at work as well as to formulate future strategies. The aim of this study was to estimate and assess the range of the expenditure of money on occupational diseases and accidents at work in Poland in 2004.
The algorithm for estimating economic consequences of occupational diseases and accidents at work was developed, taking into account, e.g., the selected components of the costs, the estimation of economic consequences for the national economy, and the costs incurred by employers and social insurance institutions. In addition, the model for estimating economic consequences and defining the range of expenditure of money on occupational diseases and accidents at work relative to indicators of socioeconomic situation of the country was constructed. Economic consequences are understood as costs incurred by the health care and social insurance systems in Poland, institutions, companies, and individual employees.
The following cost components were estimated: the average-annual costs of lost production, sickness benefits, social insurance benefits and those incurred by enterprises related with accidents at work and occupational diseases.
Due to the lack of complete, reliable information essential for estimating economic consequences, a number of assumptions and study limitations were accepted. The range of identified and estimated costs of occupational diseases and accidents at work was set relative to GNP and to the value added in the national economy. Bearing in mind that the costs of occupational diseases and accidents at work are underestimated, it can be concluded that their share in values characteristic of the national economy do not depart from average values recorded in European countries.
欧盟成员国中,职业病和工作事故的成本占其国民生产总值(GNP)的百分之几。员工、雇主和整个社会都必须承担这一经济负担。因此,所有社会伙伴都应共同努力,参与改善工作环境中的健康与安全。应当指出,经济领域的信息是所有活动的固有工具。它有助于评估职业病和工作事故的经济后果,并制定未来战略。本研究的目的是估计和评估2004年波兰职业病和工作事故的资金支出范围。
开发了估算职业病和工作事故经济后果的算法,例如考虑成本的选定组成部分、对国民经济的经济后果估计以及雇主和社会保险机构产生的成本。此外,构建了一个估算经济后果并根据国家社会经济状况指标确定职业病和工作事故资金支出范围的模型。经济后果被理解为波兰医疗保健和社会保险系统、机构、公司及个体员工所产生的成本。
估计了以下成本组成部分:年平均生产损失成本、疾病津贴、社会保险福利以及企业因工作事故和职业病产生的成本。
由于缺乏估算经济后果所需的完整、可靠信息,接受了一些假设和研究局限性。已确定和估计的职业病和工作事故成本范围是相对于国民生产总值和国民经济增加值确定的。鉴于职业病和工作事故的成本被低估,可以得出结论,它们在国民经济特征值中的占比与欧洲国家记录的平均值没有偏差。