The study shows that workplace health promotion (WHP) in German small and medium-sized enterprises is not yet installed to a wide extent. The smaller the enterprises the less WHP is found. The results are verified by similar studies. Small and medium-sized enterprises have a need for consultation in cases of illness or health prevention. But there is not yet an organised structure available for getting advice. The study is the basis for a national project "Gesunde Arbeit", which will establish these consulting structures.

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BACKGROUND: The assessment of work capacity, workable work and the need for a common language is challenging in labour market policy. Being a specific instrument to facilitate Return To Work (RTW), the Integration von Menschen mit Behinderungen in die Arbeitswelt (IMBA) might facilitate the documentation of the individual’s work capacity, the job-related workload and the match between these two elements. Since the International Classification of Functioning, Disability and Health (ICF) is worldwide recognized as frame of reference in RTW, this paper presents the linking of IMBA to the ICF, since this is assumed to be beneficial to support RTW. OBJECTIVE: The establishment of the IMBA-ICF linking in order to study 1) the relationship between IMBA and ICF; 2) the content comparison of IMBA with work-related ICF core sets; and 3) the extent to which the linking addresses the challenges in RTW policy. METHODS: A content comparison of IMBA and ICF was conducted, using a 7- step linking methodology in which the Delphi and Nominal Group Technique are integrated in the implementation of the ICF linking rules. An explorative conversion of the scoring systems of IMBA and ICF was established based on expert opinions. RESULTS: In the main 70 IMBA items, 107 concepts have been identified of which 94 were linked to 87 different ICF categories. Body functions and activities and participation are the most presented ICF components in contrast to the environmental factors. IMBA items regarding occupational safety and work organization are respectively ‘not covered’ and ‘not defined’ in ICF. CONCLUSIONS: An integration of IMBA and ICF addresses the challenges in RTW policy in the assessment of work capacity, workable work and the need for a common language. In order to do so, extension of ICF terminology regarding ‘occupational safety’ and ‘work organization’ is priority. In depth quantitative research is necessary to support the conversion of both scoring systems.

Zusammenfassung GABI ist ein Kooperationsprojekt zwischen einem Maschinenbau-Unternehmen und einer Reha-Klinik, in dem Mitarbeitern mit gef?hrdeter beruflicher Integration eine somatische und psychosomatische Diagnostik angeboten wird mit dem Ziel, konkrete Ma?nahmen abzuleiten. Dazu geh?rt ein standardisierter Profilvergleich zwischen Arbeitsplatzanforderungen und tats?chlichem Leistungsverm?gen auf der Basis von IMBA/MARIE und EFL. Alle bisher eingeschlossenen 12?Teilnehmer konnten in Betrieb und Arbeit gehalten werden.

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