European Agency for Safety and Health at Work
Paul Vroonhof, Martin Clarke, Jacqueline Snijders, Jan de Kok, Marijke Beulen, Peter van Scheijndel, Pim van Dorst, Iñigo Isusi, Jessica Duran
OSH in figures in the health and social care sector
Report
Table of Contents
Executive Summary
Introduction
Characterisation of the HeSCare sector
Main working conditions and work-related health risks in the HeSCare sector
OSH management in the HeSCare sector
Main drivers and barriers for OSH management in the HeSCare sector
Additional elements influencing OSH management practices
Worker participation in OSH management practices in the HeSCare sector
Economic costs and burdens
Policy pointers
1. Introduction
1.1 Objectives and goals of this report
1.1.1 Scope of the report and terminology
1.1.2 Objectives and relevant policy context
1.2 Research questions
1.3 Conceptual framework used in the context of this research
1.4 Methodology used
Review of studies and literature
Data processing and analysis
Fieldwork research: key informant interviews
1.5 Overview of the structure of the report
2. Characterisation of the HeSCare sector
2.1 Characteristics of HeSCare sector establishments
2.1.1 The healthcare subsector
2.1.2 Residential care
2.1.3 Social work
2.2 Enterprises and employment in the HeSCare sector
2.2.1 Enterprises
2.2.2 Employment
2.3 Characteristics of the HeSCare sector workforce
2.3.1 Characteristics of occupations in the sector
2.3.2 Precarious nature of work in the HeSCare sector
2.3.3 Characteristics of workers in the HeSCare sector
2.3.4 Working conditions in the HeSCare sector
2.3.5 The share and role of women in the HeSCare sector
2.3.6 Age profile of the sector
2.3.7 Migrant workers
3. Main working conditions and work-related health risks in the HeSCare sector
3.1 Main OSH risks in the HeSCare sector
3.1.1 Musculoskeletal risks
3.1.2 Psychosocial risks
3.1.3 Co-exposure for MSK risk factors and psychosocial risk factors
3.1.4 Physical, chemical and biological risks
3.1.5 Organisational risk factors
3.1.6 Evolution of risks over time
3.2 Health and safety outcomes in the HeSCare sector
3.2.1 Work-related health and safety problems
3.2.2 Accidents in the HeSCare sector
4. OSH Management in the HeSCare sector
4.1 Introduction
4.2 Presence and characterisation of risk assessments
4.2.1 Presence of risk assessments
4.2.2 Characterisation of risk assessments
4.2.3 Reasons for a lack of risk assessments in the HeSCare sector
4.3 Presence of preventive measures to cope with OSH-related risks, including OSH-related training activities
4.3.1 Measures for reducing/coping with musculoskeletal risks
4.3.2 Measures to reduce and cope with psychosocial risks
4.3.3 General health promotion measures
4.4 Use of health and safety services and other external providers, access to external sources of OSH information
4.4.1 Arrangement of regular medical examinations to monitor the health of employees
4.4.2 Use of health and safety services
4.4.3 Use of OSH information from other organisations
4.5 Discussion on OSH issues at different levels
4.5.1 Management commitment: Discussion on OSH issues by top management
4.5.2 Discussion of OSH in staff or team meetings
4.6 Training on health and safety issues
4.6.1 Management training
4.6.2 Employee training on OSH issues
5. Main drivers and barriers for OSH management in the HeSCare sector
5.1 Drivers for OSH management
5.1.1 Reasons that motivate enterprises to address OSH issues
5.1.2 Visits of labour inspectorates
5.2 Barriers for OSH management
5.2.1 Difficulties for engaging in OSH management practices
5.2.2 Main obstacles to dealing with psychosocial risks
5.2.3 Evolution in the reasons to address OSH and difficulties encountered when doing so
5.3 Additional elements influencing OSH management practices
5.3.1 The impact of COVID-19 pandemic on OSH management practices
5.3.2 Digitalisation and OSH management practices
5.3.3 Other emerging contextual factors and drivers of change influencing OSH management practices
5.3.4 Evolution of relevant technical, economic, social, and organisational factors on OSH management over time
6. Worker participation in OSH management practices in the HeSCare sector
6.1 Extent and forms of worker participation in OSH management practices
6.2 Discussion of OSH between employee representatives and the management
6.2.1 Discussion between employee representatives and management
6.2.2 Employee involvement in the design and implementation of OSH related measures
7. Economic costs and burdens
7.1 Absenteeism and presenteeism
7.1.1 Absenteeism
7.1.2 Presenteeism
7.2 Accidents at work
8. Conclusions and policy pointers
8.1 Main conclusions from the research
8.2 Policy pointers
References
Appendices
A. Methodological appendix 1 — Logistic regression analysis of EWCTS on OSH risks in the HeSCare sector
Overview
Tables
B. Methodological appendix 2 — Regression analysis of ESENER on factors impacting OSH management
Overview
Research question 1 and 2
Research question 3
Tables
General OSH-management
OSH management for psychosocial risks
Fonte: osha.europa.eu
© European Agency for Safety and Health at Work, 2024
Reproduction is authorised provided the source is acknowledged.