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尽管患有慢性健康问题仍坚持工作:对瑞典公共就业服务机构工作人员的定性研究

To work despite chronic health conditions: a qualitative study of workers at the Swedish Public Employment Service.

作者信息

Hjärtström Carina, Lindahl Norberg Annika, Johansson Gun, Bodin Theo

机构信息

Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Department of Rehabilitation to Work, Arbetsformedlingen, Västerås, Sweden.

出版信息

BMJ Open. 2018 Apr 20;8(4):e019747. doi: 10.1136/bmjopen-2017-019747.

Abstract

OBJECTIVES

Achieving a sustainable, healthy and long working life is key prerequisite for meeting the demographic challenge posed by an ageing population so that more people can work on into their later years. The objective of this study is to explore the relationship between work and chronic health conditions in a group of employees aged 50-64 years with a focus on factors that enable them to continue to work.

METHODS

Ten white-collar workers with one or more chronic health conditions at the Swedish Public Employment Service participated in the study. A qualitative method with semistructured in-depth interviews was used to collect data.

RESULTS AND CONCLUSIONS

This study shows that factors enabling people with chronic health conditions to work include adaptation of the work situation by task-shifting as well as provision of physical aids. Our study suggest that the changes often come at the employee's initiative; hence, there is potential for greater involvement from the employer, healthcare agencies and the social insurance fund in making it easier for employees to adapt their work situation and in providing information regarding available support. It confirms findings in earlier studies that health plays an important part and also that self-confidence and motivation are significant factors contributing to workers being able and wanting to continue working.

摘要

目标

实现可持续、健康且长久的工作生涯是应对人口老龄化带来的人口挑战的关键前提,以便更多人能够工作到晚年。本研究的目的是探讨一组年龄在50至64岁之间的员工的工作与慢性健康状况之间的关系,重点关注使他们能够继续工作的因素。

方法

瑞典公共就业服务机构的十名患有一种或多种慢性健康状况的白领员工参与了该研究。采用半结构化深度访谈的定性方法收集数据。

结果与结论

本研究表明,使患有慢性健康状况的人能够工作的因素包括通过任务转移来调整工作状况以及提供辅助器具。我们的研究表明,这些改变通常是员工主动做出的;因此,雇主、医疗保健机构和社会保险基金有更大的潜力参与进来,使员工更容易调整工作状况,并提供有关可用支持的信息。它证实了早期研究的结果,即健康起着重要作用,同时自信和动力也是促使员工能够并愿意继续工作的重要因素。

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