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EN
ObjectivesAn increased burden of chronic diseases in the working age population is observed across high income countries. Persons with chronic diseases (PwCDs) are less likely to maintain or return to work due to several constraints they experience. The purpose of the study was to assess the preferences and needs of PwCDs regarding 6 areas of flexibility at the workplace. It was assessed whether there were any personal characteristics associated with higher or lower expectations and needs.Material and MethodsThis was a part of a large multicenter international project, i.e., the PArticipation To Healthy Workplaces And inclusive Strategies in the Work Sector (PATHWAYS) project, aimed to contribute to the development of innovative approaches to promote professional integration and reintegration of PwCDs into the work sector. In Poland, 59 respondents diagnosed with different chronic diseases were identified through advocacy groups. An on-line survey was conducted to collect information on their needs and expectations. A cluster analysis was performed to reveal some expectation types which differentiated individuals across 6 analyzed domains, along with a multivariable logistic regression to identify some characteristics associated with a special expectation type.ResultsWorkplace facilitator items were generally scored as needed (“rather conductive” and “very conductive” groups identified). The factors positively associated with higher needs in this domain were education, and a hindering type of the disease. Unrestricted working hours were very conductive or indifferent, and were positively associated with education. Legal solutions were more conductive for older people. Medical support, access to training, and supervisors’ knowledge were needed in general, with no associations with the personal characteristics identified.ConclusionsPersons with chronic diseases report several facilitators which are needed for them to maintain or return to work, but they are not satisfied with the existing economy in Poland. These needs should be taken into consideration in the effective policy development.
EN
Objectives The objective of this study is to present the barriers existing in Poland to professional integration and reintegration of people with chronic diseases, including mental health conditions, and discuss them on the basis of expert opinions and in comparison with the situation in other European countries. Material and Methods The research methodology was based on a mixed-methods approach, including literature review, in-depth expert interviews, and a survey (based on a structured questionnaire) performed with experts. Results The mapping of policies, systems and services facilitating the integration and reintegration of people with chronic diseases in Poland, as well as expert opinions, made it possible to identify many barriers regarding access to support, such as an obligation to have a certificate of disability, and a system of certification by 2 institutions. There are also barriers regarding the support itself, including problems with subsidies and with professional (re)integration services. Conclusions Poland has a multi-level and multi-sector system of public institutions, which should provide support for people with disabilities and chronic diseases. Nevertheless, the research conducted in Poland indicates an insufficient implementation of the existing solutions. Int J Occup Med Environ Health. 2019;32(4):475–88
EN
The aim of this paper is to explore issues related to children and adolescents with chronic diseases and their social functioning in Poland. The article begins with a theoretical framework, including definitions of categorical and non‑categorical chronic diseases. The author presents the data on occurrence of chronic conditions, social assistance for families with children with chronic conditions, education system (children with chronic conditions as children with special educational needs) and home education. In the second part the author looks at the functioning of children and adolescents with chronic diseases in social institutions (family, school, etc.). In the final section some recommendations with respect to improving the social functioning of children and adolescents with chronic conditions are discussed.
EN
The aim of the paper is to present international PATHWAYS project, which contributes to develop innovative approaches to promote the professional re/integration of persons with chronic health problems. Project methodology was based on the mixed-methods approach, including literature review, content analysis, in-depth interviews, survey with experts and people with chronic diseases or mental disorder. In Poland the situation of people with disabilities at the labour market is regulated, unlike the situation of people with specific health conditions, but not having the “certificate of disability”. Specific solutions to improve work ability and employability of these groups of patients are needed. PATHWAYS project is needed in order to fill the information gap for both experts and the beneficiaries of the system.
PL
Celem artykułu jest przedstawienie projektu PATHWAYS, który zmierza do identyfikacji strategii integracji i reintegracji osób chorujących na choroby przewlekłe w Europie oraz stworzenia rekomendacji dotyczących wdrażania efektywnych programów zawodowej integracji i reintegracji. Projekt opiera się na łączeniu wielu metod i technik badawczych, w tym analizie treści, analizie danych zastanych, indywidualnych wywiadów z ekspertami czy badań sondażowych z ekspertami i osobami chorującymi przewlekle. W Polsce istnieją regulacje dotyczące osób z orzeczeniem o niepełnosprawności i ich sytuacji na rynku pracy. Brakuje rozwiązań skierowanych na osoby chorujące przewlekle, w tym osoby z zaburzeniami zdrowia psychicznego. Projekt PATHWAYS jest potrzebny w celu wypełnienia luki informacyjnej zarówno dla ekspertów, jak i beneficjentów systemu.
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