Health risk appraisals in Swedish occupational health services

Grooten, Wilhelmus Johannes Andreas; Müller, Mira; Forsman, Mikael; Kjellberg, Katarina; Toomingas, Allan; Olov, Ång Björn; Svartengren, Magnus

doi:10.3233/wor-162443

Cited by 6 publications

(6 citation statements)

References 21 publications

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“…[32] One approach would be to have SMEs merge their resources together to provide services to their employees, including promoting a workplace culture of safety. [3334] Moreover, there is a dearth of research examining the health and safety of workers and their workplaces in emerging economies. The need in emerging economies is on the identification of factors and hazards associated with injuries in SME, whereas in developed economies, the focus is shifting toward a work disability prevention paradigm.…”

Section: Discussionmentioning

confidence: 99%

Systematic review: Factors related to injuries in small- and medium-sized enterprises

Nowrouzi‐Kia

Nadesar

Casole³

2019

Int J Crit Illn Inj Sci

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The purpose of this systematic review was to identify the antecedent factors of workplace injuries in small- and medium-sized enterprises (SMEs). A customized systematic review protocol included the research question, literature search, quality appraisal, data management and extraction, and evidence synthesis. The evidence was evaluated using the Critical Appraisal Skills Programme checklists and the Cochrane Collaboration “Risk of Bias” assessment tools. A total of 1355 articles were identified before duplicate removal. Ten articles were relevant to the study objective. Of these, two articles examined antecedents related to physical injuries, three examined those related to psychological injuries, and four focused on a combination. Antecedent factors included older workers, unsafe acts, unsafe working conditions, accident type and type of work performed, trips and falls, loss in productivity, social isolation, financial stress, and lack of employer support during the return to the workplace. The findings of this systematic review support the need for increased research to identify antecedent factors associated with injury in SMEs. Research should focus on interventions to mitigate injury rates that associate employees with employers, thus promoting collaboration in augmenting health and safety in SMEs.

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Section: Discussionmentioning

confidence: 99%

Systematic review: Factors related to injuries in small- and medium-sized enterprises

Nowrouzi‐Kia

Nadesar

Casole³

2019

Int J Crit Illn Inj Sci

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“…Finally, the OHS personnel completed this database with data from physical measurements collected in a clinical setting. These measures were dichotomized using the standard cut-offs for classifying being at risk or not and described elsewhere [9, 26]. An individual was classified as being “at risk” when theyhad a blood pressure (either systolic or diastolic pressure above 149 and 90, respectively), or were taking blood pressure medicineswere diagnosed with diabeteswere diagnosed with asthmawere classified as overweight or “obese”, i.e.…”

Section: Methodsmentioning

confidence: 99%

Non-participation in initial and repeated health risk appraisals – a drop-out analysis based on a health project

Grooten

Hansson

Forsman

et al. 2019

BMC Health Serv Res

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Background Health risk assessment (HRAs) are commonly used by occupational health services (OHS) to aid workplaces in keeping their employees healthy, but for unknown reasons, many employees choose not to participate in the HRAs. The aim of the study was to explore whether demographic, lifestyle and health-related factors in employees are associated with non-participation in initial and repeated HRAs. Methods In an OHS-based health project, 2022 municipal employees were asked to participate in three repeated HRAs. Multiple logistic regression analyses were used so as to determine associations between non-participating and demographic, lifestyle and health-related factors (e.g. biomarkers). Results Among the employees who were asked to participate in the health project, more than half did not participate in any HRA and among those who did, more than one third did not participate in repeated HRAs. Young age, male sex and being employed in the Technical department or Health and Social Care department in comparison with being employed in the department for Childcare and Education were factors significantly associated with non-participation in the initial HRA. These factors, together with being on sick leave and having unhealthy dietary habits, were factors associated with non-participation in repeated HRAs. Conclusions Among the non-participators in initial HRAs and in repeated HRAs younger men and those already related to ill-health were overrepresented. This implicates that health care providers to a higher extent should focus on “those most needed” and that employers should be more engaged in results of repeated HRA’s. Future studies should focus on modifiable variables that could make the HRAs more attractive and inclusive.

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“…Bei einer Literaturrecherche diverser Datenbanken mit 1287 Treffern über livivo.de (Suchbegriffe: "arbeits medizinisch" und "Vorsorge") wurden Studien in Deutschland im Zeitraum von 1995 bis 2022 berücksichtigt. Mit dem Schwerpunkt auf Organisation und Durchführung von AMV sind einige qualita tive Studien (Barth et al 2014;Grooten et al 2016;Michaelis et al 2013a,b;Preiser et al 2013;Stranzinger u. Nienhaus 2018;Stran zinger et al 2016;Stratil et al 2017a,b;Stratil et al 2018;Voelter Mahlknecht et al 2013, 2017, Querschnittuntersuchungen (Berger 2005;Hoge et al 2019;Olszewski et al 2021;Peters et al 2017;Seibt et al 2011;Winkler et al 2015), eine Kohortenstudie (Ott et al 2010) sowie ein Pilotprojekt zur sicherheitstechnischen und be triebsärztlichen Betreuung (Bell 2022;Bell et al 2021) veröffentlicht. Direkt in Bezug auf die Einflussfaktoren und die Ergebnisse eines ganzheitlichen Vorgehens in der AMV liegen auch aus diesen Studien keine Aussagen vor.…”

Section: Introductionunclassified

Ergebnisse einer Expertenbefragung zur Umsetzung der ganzheitlichen arbeitsmedizinischen Vorsorge in der betrieblichen Praxis

Aupers¹,

Liebers²

2023

ASU

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Results of an expert survey on the implementation of holistic occupational preventive healthcare in company practice Objectives: The aim of the Ordinance on Preventive Occupational Medicine (ArbMedVV) is to detect and prevent work-related diseases at an early stage, to provide employees with individual advice and to support employers in matters of occupational health protection. The prevention potential of a holistic approach to occupational healthcare has been indicated for some time and is being further reinforced with a recent amendment to the ArbMedVV. The aim of this study was to obtain assessments of the implementation of holistic occupational healthcare (GAMV) based on expert interviews with occupational health and safety stakeholders. Methods: Eleven expert interviews were conducted and evaluated with fourteen representatives from the units of the Committee for Occupational Medicine (AfAMed) at the Federal Ministry of Labour and Social Affairs (BMAS). The interview guide was based on the following model: On the one hand various factors influencing the implementation of the GAMV (e.g. legal and operational framework conditions) must be taken into account. With regard to the effects of the GAMV, a distinction must be made between expectations, the actual implementation observed, and the results achieved. In addition, derived aspects are to be considered. Results: It becomes clear that there are deficits in the (successful) implementation of the GAMV. Possible reasons include, for example, the legal framework, resource issues, structural and organizational aspects of occupational healthcare, and the motivation of and information acquired by those involved. Conclusions: The results indicate that the holistic approach to occupational healthcare formulated in the ArbMedVV requires increased awareness and implementation support. According to the experts, the new Occupational Medicine Rule (AMR 3.3) for the GAMV will be helpful. Keywords: occupational health care – holistic approach – ArbMedVV – expert survey

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Health risk appraisals in Swedish occupational health services

Cited by 6 publications

References 21 publications

Systematic review: Factors related to injuries in small- and medium-sized enterprises

Systematic review: Factors related to injuries in small- and medium-sized enterprises

Non-participation in initial and repeated health risk appraisals – a drop-out analysis based on a health project

Ergebnisse einer Expertenbefragung zur Umsetzung der ganzheitlichen arbeitsmedizinischen Vorsorge in der betrieblichen Praxis

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