Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, 20133 Milan, Italy.
Department of Psychiatry, Universidad Autónoma de Madrid and CIBER of Mental Health (CIBERSAM), 28028 Madrid, Spain.
Int J Environ Res Public Health. 2018 Apr 17;15(4):781. doi: 10.3390/ijerph15040781.
Persons with chronic diseases (PwCDs) often experience work-related problems, and innovative actions to improve their participation in the labor market are needed. In the frame of the European (EU) Pathways Project, the aim of the study is to compare existing strategies (policies, systems, and services) for professional (re-)integration of PwCDs and mental health conditions available at both European and national level between different European welfare models: Scandinavian, Continental, Anglo-Saxon, Mediterranean, and “Post-Communist”. : The European strategies were identified by an overview of relevant academic and grey literature searched through Medline and internet searches, while national strategies were explored through questionnaires and in-depth interviews with national relevant stakeholders. : The mapping of existing strategies revealed that, both at European and national level, PwCDs are often considered as part of the group of “persons with disabilities” and only in this case they can receive employment support. European countries put in place actions to support greater labor market participation, but these differ from country to country. : Strategies targeting “persons with disabilities” do not necessarily address all the needs of persons with chronic diseases. Countries should consider the importance of employment for all to achieve smart, sustainable, and inclusive growth.
慢性病患者(PwCD)经常会遇到与工作相关的问题,因此需要采取创新措施来改善他们参与劳动力市场的情况。在欧洲(EU)Pathways 项目的框架内,这项研究的目的是比较欧洲不同福利模式下(斯堪的纳维亚、大陆、盎格鲁-撒克逊、地中海和“后共产主义”)现有的专业(再)融入策略(政策、系统和服务)和针对 PwCD 及心理健康状况的策略:通过 Medline 和互联网搜索,对相关学术和灰色文献进行综述,确定了欧洲的策略,而国家策略则通过问卷和对国家相关利益攸关方的深入访谈进行了探讨。对现有策略的映射表明,无论是在欧洲层面还是在国家层面,慢性病患者通常都被视为“残疾人”群体的一部分,只有在这种情况下,他们才能获得就业支持。欧洲国家已经采取了行动来支持更大程度地参与劳动力市场,但各国的情况有所不同。针对“残疾人”的策略并不一定能满足慢性病患者的所有需求。各国应考虑到就业对所有人的重要性,以实现智慧、可持续和包容性增长。