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Int. J. Environ. Res. Public Health 2018, 15(4), 781;

Mapping European Welfare Models: State of the Art of Strategies for Professional Integration and Reintegration of Persons with Chronic Diseases

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
Innovation and Teaching Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, 08830 Barcelona, Spain
Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain
Department of Special Education, University of Thessaly, 38221 Volos, Greece
The University Rehabilitation Institute, Republic of Slovenia, 1000 Ljubljana, Slovenia
Gailtal Klinik—Neurologische Rehabilitation, 9620 Hermagor, Austria
Department of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, 31-008 Krakow, Poland
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
Disability and Diversity Studies, Carinthia University of Applied Science (CUAS), 9020 Klagenfurt, Austria
Department of Rehabilitation Medicine 1th Medical Faculty Charles University and University Hospital in Prague, 12800 Praha, Czech Republic
Department of Social Work, Child Welfare and Social Policy, Oslo and Akershus University College of Applied Sciences, 0130 Oslo, Norway
European Association of Service providers for Persons with Disabilities (EASPD), 1040 Brussels, Belgium
Author to whom correspondence should be addressed.
Received: 26 February 2018 / Revised: 11 April 2018 / Accepted: 16 April 2018 / Published: 17 April 2018
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Background: 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”. Method: 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. Results: 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. Conclusion: 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. View Full-Text
Keywords: chronic diseases; employment; professional (re)integration; welfare models; strategies; policies; systems; services chronic diseases; employment; professional (re)integration; welfare models; strategies; policies; systems; services
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Scaratti, C.; Leonardi, M.; Silvaggi, F.; Ávila, C.C.; Muñoz-Murillo, A.; Stavroussi, P.; Roka, O.; Burger, H.; Fheodoroff, K.; Tobiasz-Adamczyk, B.; Sabariego, C.; Esteban, E.; Gruber, S.; Svestkova, O.; Halvorsen, R.; Kadyrbaeva, A.; Ferraina, S. Mapping European Welfare Models: State of the Art of Strategies for Professional Integration and Reintegration of Persons with Chronic Diseases. Int. J. Environ. Res. Public Health 2018, 15, 781.

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