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FIOH, Prof. Juhani IlmarinenRooma.ppt
Work Ability Index: a tool for Occupationalhealth research and practise
Work Ability Index: a tool for Occupationalhealth research and practise
Prof. Juhani IlmarinenFinnish Institute of Occupational Health
Helsinki, Finland
11 th Annual EUPHA meeting,20-22 November 2003
Rome, Italy
1.
FIOH, Prof. Juhani IlmarinenRooma.ppt
2.
Lea KatajarinneFinnish Institute of Occupational Health
ICOH 2003
WORK ABILITY
INDEXKaija TuomiJuhani IlmarinenAntti JahkolaLea KatajarinneArto Tulkki
FIOH, Prof. Juhani IlmarinenRooma.ppt
3.
Definion of Work Ability in 1980 sDefinion of Work Ability in 1980 s
"How good is the workers at present and in the near future, and how able is he/she to do his/her work with repect to work demands, health, and mental resources?"
FIOH, Prof. Juhani IlmarinenRooma.ppt
4.Work Ability Index7 Items
• Current work ability compared with thelifetime best
• Work ability in relation to the demands ofthe job
• Number of current diseases diagnosed byphysician
• Estimated workimpairment due to diseases
• Sick leave during the past year (12 months)
• Own prognosis of work ability two yearsfrom now
• Mental resourses
Lea KatajarinneFinnish Institute of Occupational Health
ICOH 2003
FIOH, Prof. Juhani IlmarinenRooma.ppt
5.
Lea KatajarinneFinnish Institute of Occupational HealthICOH 2003
Work Ability Index
Scoring of the Questionnaire (range 7- 49 points)
Points Work ability Objective of measures
7 - 27 POOR RESTORE WORK ABILITY
28 - 36 MODERATE IMPROVE WORK ABILITY
37 - 43 GOOD SUPPORT WORK ABILITY
44 - 49 EXCELLENT MAINTAIN WORK ABILITY
FIOH, Prof. Juhani IlmarinenRooma.ppt
6.
5
10
15
20
25
30
35
40
45
50
15 25 35 45 55 65
Carrot project 1998, N=729
49
43
36
27
7
exellent
good
moderate
poor
Age, yrs
Work ability index (WAI)
WAI ClassWAI
FIOH, Prof. Juhani IlmarinenRooma.ppt
7.
FIOH, Prof. Juhani IlmarinenRooma.ppt
8.
FIOH, Prof. Juhani IlmarinenRooma.ppt
9.
5
10
15
20
25
30
35
40
45
50
15 25 35 45 55 65
WAIScores Clas
49
43
36
27
7
excellent
good
moderate
poor
WAI, mean mean
Age, yrs
WAI by age
Bus company
WAI
FIOH, Prof. Juhani IlmarinenRooma.ppt
10.
FIOH, Prof. Juhani IlmarinenRooma.ppt
11.
FIOH, Prof. Juhani IlmarinenRooma.ppt
12.
COMPANY XCOMPANY X
WAI I
POOR 7086 € 3571 € MODERATE 3000 € 1257 €GOOD 1557 € 643 €EXCELLENT 857 € 200 €
WORK DISABILITYCOSTS/YEAR/PERSON
SICKNESS ABSENCECOSTS/YEAR/PERSON
FIOH, Prof. Juhani IlmarinenRooma.ppt
13.TYÖKYKYINDEKSI (Finnish) Arbetsförmågaindexet (Swedish) Work ability index (English)Töövoimeindex
Arbeitsbewältigungsindex (German)(Chinese)
'Indice de Capacidade para o trabalho (Portuguese) (Russian)
(Dutch) (Hebrew)
(French)
(Danish)
(Japanese)
(Esthonian)
Arbeidsgeschiktheidsindex
Indice de capacite de travail(Italy)Indice di capacita’ di lavoro
(Polish)Indeks zdolnos´ci do pracy
(Serbian))
(Lithuanien)Darba speju indekss (DSI)Indige de capacidad de trabajoDarba speju novertejumsArbeidsevneindeks
FIOH, Prof. Juhani IlmarinenRooma.ppt
14.
LOGISTIC MODEL FOR IMPROVEDWORK ABILITY
LOGISTIC MODEL FOR IMPROVEDWORK ABILITY
• Improved supervisor’s attitude (OR 3.6, CI 1.8-7.2)• Decreased repetetive movements at work (OR 2.1, CI 1.0-3.4)• Increased vigorous physical exercise during leisure time (OR 1.8, CI 1.0-3.5)
FIOH, Prof. Juhani IlmarinenRooma.ppt
15.
LOGISTIC MODEL FOR WORSENEDWORK ABILITY
LOGISTIC MODEL FOR WORSENEDLOGISTIC MODEL FOR WORSENEDLOGISTIC MODEL FOR WORSENEDWORK ABILITYWORK ABILITYWORK ABILITY
• Decreased recognition andesteem at work(OR 2.4, CI 1.4-4.3)
• Worsened working rooms(OR 1.6, CI 1.0-2.6)
• Increased standing at work(OR 1.7, CI 1.0-2.9)
• Decreased vigorous physicalexercise during leisure time(OR 1.8, CI 1.2-2.8)
FIOH, Prof. Juhani IlmarinenRooma.ppt
16.
Adjustment ofphysical workenvironment
Adjustment ofpsychosocialwork environment
GOOD WORK ABILITY, HEALTH AND COMPETENCE
GOOD PRODUCTIVITYAND QUALITY OF WORK
GOOD QUALITY OF LIFE AND WELL-BEING
GOOD RETIREMENT,MEANINGFUL, SUCCESSFUL, AND PRODUCTIVE
'' THIRD AGE ''
Professionalcompetence
Health functional Capacities
FIOH, Prof. Juhani IlmarinenRooma.ppt
17.
1
2626thth International Congress on Occupational Health International Congress on Occupational HealthSingapore 2000Singapore 2000
Jorma Rantanen FIOHJorma Rantanen FIOH
Economic appraisal
• Over 200 companies of various size from differentbranches
• Method: Tervus Economic Appraisal• Benefit / Cost ratio variation between 3 and 20• Benefit: Reduction of absenteeism and work
incapacity 50%, increase in productivity 50%
Source: Bergs tröm and Ahonen 2000
FIOH, Prof. Juhani IlmarinenRooma.ppt
18.
WAI Good retirement ability in 1997
goodWAI
goodhealth
goodPWC
satisfiedwith life
excellentgoodmoderatebadxpdf
2
in 1992 n=619 n=700n=700 n=704
63,356,922,5 5,7
178,30,001 30
73,3 62,8 36,6 20,0138,50,001 12
80,0 65,6 38,8 19,6145,30,001 12
35,0 29,9 20,5 8,5 49,50,001 12
Source:Tuomi, Huuhtanen, Nykyri and IlmarinenPromotion of work ability,the quality of work and retirement, 2001
FIOH, Prof. Juhani IlmarinenRooma.ppt
19.Work Ability IndexUse in Finnish OH-services
• Pre-employment assessments
• Periodical health examinations
• by age-group• in a certain department or a
work community
• Assessing the need of earlyrehabilitation
• Workplace interventions
Lea KatajarinneFinnish Institute of Occupational HealthICOH 2003
FIOH, Prof. Juhani IlmarinenRooma.ppt
20.Work Ability IndexTools
• Work Ability Index Questionnaire and calculating instructions
• Worker and Group follow-up
• Sample list of measures to improve work ability
• Worker feed-back
• Follow-up of recommendations
• Computer programmesLea Katajarinne
Finnish Institute of Occupational HealthICOH 2003
FIOH, Prof. Juhani IlmarinenRooma.ppt
21.
Work Ability IndexFollow-up
recommendationsClick to edit Master title
style
ICOH 2003© FIOH
WO
RK
ABIL
ITY
IND
EX F
ollo
w-u
p re
com
men
datio
ns
Surname and first names______________________________________________Workplace / work site ________________________________________________
Davies Harry
immediacy: 1 within 1 month2 within ½ year3 within 1 year
realization: 1 entirely realized2 partially realized3 not realized
recommen-dationmade (time)
contents or number ofrecommendations
when to be carried out
means(or cause why not successful)
212 correct difficult
15.5.02 work postures 15.11.02 new desk provided131 check VDT
15.5.02 work conditions 15.6.02 work site corrected271 decrease
15.5.02 need for rush 15.6.02 work re-organized26 improve
15.5.02 work schedules 15.5.03 shifted to day work311 improve more
15.5.02 general condition 15.6.02 walking recommended365 promote one week’s
15.5.02 computer skills 15.5.03 course arranged
21 1
1 2
3 22
23
1
Imme-diacy(no.)
realiza-tion(no.)
Lea KatajarinneFinnish Institute of Occupational Health
FIOH, Prof. Juhani IlmarinenRooma.ppt
22.
Work Ability IndexConfidentiality of the data
• To ensure confidentiality, it is recommended that the data is presented in statistical cells comprised of at least 10 persons
• Filling out the questionnaire is always voluntary
• The Work Ability Index is ment as a tool for occupational health personnel
Lea KatajarinneFinnish Institute of Occupational Health
ICOH 2003