Epidemiologie van de arbeidsongeschiktheid, cohort 1987

<p>The project Epidemiology of Incapacity for Work was initiated and executed by the Dutch Communal Medical Service ( GMD , Gemeenschappelijke Medische Dienst ) to provide systematic insight in the characteristics of the incapacitated population of recipients of disablement insurance benefits and changes of these characteristics in time, to provide insight in problems of the implementation of the Disablement Insurance Act for the GMD and to enlarge knowledge of current problems concerning social insurances and related fields. Topics: physical condition / illness / physical disorders / health complaints / difficulties with everyday activities / trouble with motoric or sensory functions / evaluation of one's health / comparison with last year's situation / future expectations / medical treatments: number of medical doctors, number of visits, still under treatment, use of medicines, drugs prescribed, development of medical consumption, use of tranquillizers, consensus and cooperation between doctors / resumption of work, necessary provisions for resuming work / if respondent resumed work or will do so soon: data on job and employer, persons and institutions that played important role in resuming work / history of illness / effects on productivity / absenteeism / illness caused by job / hospitalization, received disablement benefits in the past / kind of job / job history / age when started working / voluntary breaks in working life / number of employers last 10 years / unemployment history / changes of work for health reasons/ characteristics of last job: physical and mental stress, dangers, working conditions, executive function, working hours, organizational climate, atmosphere at work, satisfaction with employer and job / attitudes regarding work / most important aspects of work / data on company respondent worked for: size, financial situation, reorganizations, availability of early retirement scheme ( VUT ), company doctor / contacts with company doctor / provisions for disabled within company: different work, shorter working hours / possibilities for reemployment / contacts with GMD personnel ( doctor, ergonomist, social worker ), nature of these contacts, satisfaction with contacts / adaption to unemployment situation, recreational activities, memberships and social activities, social contacts / attitudes with regard to receiving benefits / work ethic / reintegration into labour market / voluntary work / prospects of future work / conditions to be fulfilled / eagerness to get to work again / preferred working conditions / recent steps taken to get to work again / reasons for not being successful / extra education or training / help needed / family situation / financial situation / able to manage financially / need to economize / which expenses / financial expectations / VOEG, short version of standard questionnaire for perceived health / The second wave updated the data of the first and registered changes. If respondent had gone back to work detailed data of current working situation and the process of reintegration were collected. Further topics: pro's and con's of not having to work / women only: role of women, women and work, financial independence / willingness to undergo choice of career test, psychological test, revalidation. Wave 2 contained an annex to be filled out by respondent regarding psychological issues: depression, neurotic disorder, sense of efficacy versus powerlessness. Background variables: basic characteristics/ residence/ housing situation/ household characteristics/ occupation/employment/ income/capital assets/ education/ politics/ religion/ readership, mass media, and 'cultural' exposure/ organizational membership</p>本项目为工作失能流行病学研究（Epidemiology of Incapacity for Work），由荷兰公共医疗服务机构（Gemeenschappelijke Medische Dienst，简称GMD）发起并实施，旨在系统性阐明伤残保险受助群体中失能人群的特征及其随时间的变化趋势，为GMD解读《伤残保险法》的实施难点提供支撑，并拓展当前社会保障保险及相关领域的认知边界。研究覆盖的核心议题包括：身体状况、疾病、躯体障碍、健康主诉、日常活动困难、运动或感知功能障碍、自我健康评价、与去年健康状况的对比、未来健康预期；医疗相关情况涵盖就诊医师数量、就诊频次、当前治疗状态、药物使用与处方情况、医疗消费变化趋势、镇静剂使用情况、医师间的共识与协作模式；复工相关议题包括复工情况、复工所需配套支持，已复工或计划近期复工的受访者的工作与雇主信息、对复工起到关键作用的个人与机构信息，病史、对工作生产力的影响、缺勤情况、职业相关性疾病、住院史、过往伤残津贴申领记录，职业类型与职业史、首次工作年龄、职业生涯中的自愿中断时长、近10年的雇主数量、失业史、因健康原因导致的工作变动情况，上一份工作的特征：身心压力、职业危害、工作环境、执行功能、工作时长、组织氛围与职场人际、雇主与工作满意度；工作态度相关议题包括工作相关态度、工作核心要素，就职企业信息（企业规模、财务状况、重组情况、提前退休方案（VUT）、企业医师配置）、与企业医师的接触情况、企业内针对残障人士的适配措施（调整岗位、缩短工时）、再就业可能性，与GMD工作人员（医师、人机工程学家（ergonomist）、社会工作者）的接触情况、接触性质与满意度；失业适应与社会参与议题包括失业状态下的适应情况、休闲活动、会员身份与社会活动、社会交往，对申领津贴的态度、职业伦理、劳动力市场再融入情况、志愿工作、未来工作展望、需满足的复工条件、重返工作岗位的意愿、理想工作条件、近期为复工采取的举措、复工失败的原因、额外教育或培训需求、所需帮助；家庭与财务议题包括家庭状况、财务状况、财务自理能力、节俭需求、具体开支项、财务预期。研究采用健康感知标准问卷简化版（VOEG）作为评估工具。第二波次研究对第一波次的数据进行更新并记录相关变化，针对已复工的受访者，额外收集当前工作状况与再融入过程的详细数据。第二波次新增议题包括：无工作状态的利弊分析；仅针对女性受访者的细分议题：女性角色、女性与工作、财务独立性；意愿接受职业选择测试、心理测试与康复训练。此外，第二波次研究附设受访者自主填写的心理问题调研模块，涵盖抑郁、神经症性障碍、效能感与无力感自评。研究的背景变量包括：基础特征、居住地、住房状况、家庭特征、职业/就业情况、收入与资本资产、教育水平、政治倾向、宗教信仰、读物与大众媒体接触情况、"文化"接触情况、组织会员身份。