Thursday, 17th of September 2020
Social Security in a Globalised World - Experiences and Concepts in the Swiss Context
Thomas Gächter, Prof. Dr. iur.
Abstract: The globalisation of the economy poses a growing challenge to national social security systems. Particularly in connection with digitalisation, it is becoming increasingly difficult to ensure the social protection of all those involved in the economic process. The social security of the future will look different and will have to set different priorities compared to the current systems. The lecture will shed light on the Swiss perspective on these issues. Which approaches can be expanded on in the future, which systems no longer fit into a globalised world?
Mental Health and Work: Challenges and Solutions for Assessing and Improving Work Capacity
Niklas Baer, PhD, Psychologist
Abstract: Working problems, sick leaves or disability benefits due to mental ill-health have steadily increased over in past decades in most European countries. Because the prevalence of mental disorders has not changed in the same period, there must be other drivers for this development, e.g. an increased awareness of mental health problems, an improved access to the psychiatric service system, a changed behaviour in sick employees, or a reduced tolerance at the workplace. The presentation highlights some major challengeges of the different actors – the people with a mental health problem, the employers, the doctors, and the insurance systems - and provides some possible solutions
Migration, mental disorders and insurance medicine
Professor Ellenor Mittendorfer-Rutz
Abstract: Many European countries have experienced dramatic demographic changes due to increasing global migration. A considerable proportion of these migrants, particularly refugees, have traumatic experiences, placing them at an elevated risk of developing mental disorders, which in turn may lead to long-term work disability. Despite these recent trends, consideration of transcultural aspects in research on work disability is sparse. The presentation will show recent findings on patterns of and pathways to work disability due to mental disorders in migrant populations resettling in European countries. The need for a research field dealing with transcultural insurance medicine will be highlighted.
TOWARDS INTEGRATED HEALTH AND WORK POLICIES. First results from the implementation of an OECD Recommendation.
Dr Christopher Prinz
Abstract: Mental ill-health is a key challenge for education, social and labour market policy. The challenge results from the high prevalence and early onset of mental health problems, and the fact that it has long been neglected because of widespread stigma and misconceptions. Recognising the high costs of this neglect for people, employers and society, in 2015 OECD governments have endorsed a number of policy principles to achieve better social and economic outcomes for people with mental health problems. These policy principles were laid down in the "OECD Recommendation of the Council on Integrated Mental Health, Skills and Work Policy" (https://legalinstruments.oecd.org/en/instruments/334). This presentation will look at the question if, five years later, countries have been successful in promoting a more integrated policy stance and especially a stronger integration between health and employment policies.
Friday, 18th of September 2020
What are the „real“ challenges of future medicine and health insurance?
Professor Dr Joachim Breuer
Abstract: Future medicine and health insurance are facing undisputedly dramatic changes. It is thus no surprise that conferences are focussing on issues like digitalization, artificial intelligence, electronic health records or new technical options for treatments. But is this not just a view from the „inside“, too much concentrated of what medicine and doctors could and health insurance should do? Are there no (other) factors and (e.g. political) developments „outside of medicine“, which have a comparable or even higher impact on the future? The presentation seeks to give a different perspective of what is driving the future of medicine and the health insurance area.
Social security disability assessments: how to directly assess work capacity, and the challenges that remain
Ben Baumberg Geiger
Abstract: There is a strong argument that social security disability assessments should directly assess claimants’ work capacity, rather than relying on proxies such as on functioning. However, there is little academic discussion of how such assessments can occur. Based on case studies of eight countries, I argue that these assessments take three forms: (i) “demonstrated assessments” (using claimants’ experiences in the labour market), (ii) “structured assessments” (matching functional requirements to workplace demands), and (iii) “expert assessments” (the judgement of skilled professionals). However, we must still develop our knowledge – and accept the limitations – of each way of directly assessing capacity.
Socioeconomic outcomes in multiple sclerosis – consequence or tell-tale?
Abstract: Multiple Sclerosis (MS) is chronic disease of the brain and spinal cord that, if untreated, often leads to devastating consequences for the individual, physically, psychologically and socially. 25 years after the introduction of costly disease modifying MS therapies we are starting to see a positive change at the population level with less disability and decreasing costs of illness. To optimize interventions, such as treatments, outcomes are needed that are patient centered, objective and data dense. Here, socioeconomic outcomes, as high level proxies for a biological event, a progressing brain disease, may help not only to direct resources but also to optimize their use.
Using neuroscience to enhance personnel wellbeing and productivity
Professor Minna Huotilainen
Abstract: This talk discusses neuroscientific findings relevant to worklife. Research related to sleep, nutrition, or physical activity helps employers support the wellbeing of their personnel in long term. In contrast, even during one working day, research shows the benefits of short physical activity to cognitive functions. In addition, research on multitasking and task switching gives important understanding for the development of work strategies. Brain research on cognitive ergonomy covers areas of tools, programs, work arrangements as well as work spaces. Finally, the talk also discusses recent research on empathy skills, highly relevant for workplace wellbeing and leadership.
Total Worker Health: a framework for achieving well-being
Paul A. Schulte
Abstract: Well-being is an overarching construct to address the impact on workers of the changing nature of work, the workforce, and the workplace. Total Worker Health® merges health protection and health promotion and treats the wholeness of workers. The future of work requires that enhanced perspective. An expanded focus for the occupational safety and health professions will help achieve Total Worker Health.
Saturday, 19th of September 2020
Work disability prevention through interdisciplinary collaboration
Abstract: Work disability (WD) is a complex problem. Its prevention calls for multiple disciplinary approaches focusing on risks at population level (primary), on incipient work disability (secondary), and on return to work (tertiary prevention). In addition to the individual and workplace issues,risks related to health care and social security systems can delay return to work and even induce WD. In collaboration between various actors, the concept of WD should be clarified, as divergent emphases might hamper successful prevention. Solutions to service coordination, work modification and health-focused practices will be discussed togehter with proposals for improvement.
Multimorbidity as a Challenge of the 21st century and its Impact for Rehabilitation
Professor Wolfgang Seger
Abstract: Multimorbidity is a highly prevalent phenomenon of growing public health impact in the 21st century. Multimorbidity is more than an addition of different diseases. It comprises a complex net of mutually influencing factors like physical functioning, mental well-being, social relationships and environmental factors. People with multimorbidity are more sensitive for contextual factors and need multimodal and multidisciplinary support with attention to the patient`s resources. Due to the increasing proportion of multimorbid people in acute medicine the established rehabilitation system is also coming into focus. Manifold action fields are proposed as being crucial for the future of rehabilitation.
INDEPENDENT MEDICAL EXAMINATION at 6 months sick leave in Norway. A randomized controlled trial and qualitative evaluations of stakeholders experiences.
Abstract: Independent medical examinations (IME) entail evaluation of a sick listed workers physical or psychological medical condition by a medical practitioner who are required to present an independent opinion, representing neither the compensation insurer nor the injured worker’s interests. Every day 330 workers reach six months continuous sickness absence in Norway. The effect of IMEs on return to work have never been evaluated. To develop a knowledgebase, the Norwegian government ordered an effect evaluation of IME in 2015 asking the following research question: What is the effect of IME on return to work for workers sick listed for six months by their general practitioner in Norway.
A case for ethics in insurance medicine
Dr. W.A. (Jim) Faas
Abstract: Insurance physicians must comply with all kinds of laws in their work. Their employer also has all kinds of rules. In addition, doctors adhere to (moral) values based on their doctor's oath. These different perspectives do not always match. Dilemmas pop up daily. How does one deal with this? The characteristic of an ethical dilemma is a conflict between values. With every choice for a course of action a moral value is violated. One always makes ‘dirty hands’. A choice must be made nevertheless.
Faas and Nauta* introduced a Moral Deliberation method, adapted from the clinical and occupational setting, to insurance physicians. Over the years Faas has guided many groups in applying the method.
In this lecture Faas will cover the method itself, share his experiences and discuss some regularly occurring dilemmas.
*Dr. A.P. Nauta