INTRODUCTION

In the situation of rapid population ageing, it is necessary to encourage the older people to work longer. This requires a recognition of health conditions that cause the decision to continue working in retirement age.

OBJECTIVES

The aim of the study was to determine differences in health status and health security between working and non-working retirees involved in the program of social participation in healthcare reform. MATERIAL AND METHODS. Of 406 participants of the program of social participation in healthcare reform, 161 non-working retirees and 21 working retirees were involved to analysis. Eight indicators of health status and eight components of health security were adopted.

RESULTS

Our findings showed the weak relationship between health and the working continue in retirement age. The considerable differences between the groups were reported only for physical well-being; the working retirees felt better. They continued work despite the fact that most of them perceived their health poorly and almost all suffered from chronic diseases. The working in retirement age was related with financial and social benefits to a greater extent. The working retirees rarely reported financial problems, the medical expanses was less onerous for them, they had the great opportunity to use the private physician services, and they more often perceived social support. The negative effect of working in retirement age, however, was related with the lack of time to rest, more negative assessment of existing healthcare system and less satisfaction with health information received from family doctor.

CONCLUSIONS

Our finding would indicate that health status influences the work in retirement age to a limited extend. Financial motivation and social factors seems to be the main determinants of working continue. The recommendations for future more extensive research were presented in detail.