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Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies
Open AccessArticle

What Persons with Chronic Health Conditions Need to Maintain or Return to Work—Results of an Online-Survey in Seven European Countries

Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany
Department of Psychiatry, Universidad Autónoma de Madrid and Institute of Health Carlos III, CIBER of Mental Health (CIBERSAM), 28038 Madrid, Spain
Development Center for Vocational Rehabilitation, University Rehabilitation Institute Republic of Slovenia, 1000 Ljubljana, Slovenia
Disability and Diversity Studies, Carinthia University of Applied Science (CUAS), 9020 Klagenfurt, Austria
Neurology, Public Health and Disability Unit; Neurological Institute Carlo Besta IRCCS Foundation, 20133 Milan, Italy
Research Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, 08830 Sant Boi de Llobregat, Barcelona, Spain
Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, 31-034 Krakow, Poland
Department of Special Education, University of Thessaly, 38221 Volos, Greece
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(4), 595;
Received: 11 January 2018 / Revised: 19 March 2018 / Accepted: 22 March 2018 / Published: 26 March 2018
Chronic health conditions represent the major share of the disease burden in Europe and have a significant impact on work. This study aims to: (1) identify factors that have a negative or positive impact on the work lives of persons with chronic health conditions; (2) explore the needs of these persons to maintain a job or return to work and (3) compare these results with respect to these persons’ occupational status. An online survey was performed in seven European countries. Open-ended survey questions were analyzed using qualitative methods. In total, 487 participants with six chronic health conditions participated. The majority of participants named work-related aspects (such as career development, stress at the workplace, work structure and schedule as well as workload), support of others and attitudes of others as being the factors positively and negatively impact their work lives the most. Our study shed light on the importance of changing the attitudes of supervisors and co-workers to counteract stigmatization of persons with chronic health conditions in the workplace. In conclusion, this study provides a basis for developing new strategies of integration and reintegration at work for persons with chronic health conditions in European countries. View Full-Text
Keywords: employment; chronic disease; work; needs; qualitative research employment; chronic disease; work; needs; qualitative research
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Foitzek, N.; Ávila, C.C.; Ivandic, I.; Bitenc, Č.; Cabello, M.; Gruber, S.; Leonardi, M.; Muñoz-Murillo, A.; Scaratti, C.; Tobiasz-Adamczyk, B.; Vlachou, A.; Esteban, E.; Sabariego, C.; Coenen, M. What Persons with Chronic Health Conditions Need to Maintain or Return to Work—Results of an Online-Survey in Seven European Countries. Int. J. Environ. Res. Public Health 2018, 15, 595.

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