DOI: https://doi.org/10.22263/2312-4156.2024.3.18
А.I. Razuvanau1, N.А. Dziarzhynskaya2, А.I. Patsko1
Working capacity of people with disabilities: the place of performance in the integrative assessment
1National Science and Practice Centre of Medical Assessment and Rehabilitation, village Yukhnovka, Minsk region, Republic of Belarus
2Belarusian State Medical University, Minsk, Republic of Belarus
Vestnik VGMU. 2024;23(3):18-27.
Abstract.
In modern society, the issues of assessing the health and working capacity of persons with disabilities are essential. The concept of “disability” includes various impairments that impede learning, self-care, employment and social interaction. The study of working capacity in this context is extremely important from the point of view of the integrative and objectifying nature of this concept and the changes concerning persons engaged in labor. An additional impetus for the development of this area is the fact that in recent times the global working environment has witnessed certain trends related not only to the labor force aging, but also to new forms of employment (part-time and remote employment, freelancing, platform employment, outsourcing, employee sharing), as well as to the increased turnover and intensity of work, which noticeably affects the psychophysical strain and well-being of a worker. All this emphasizes the need for an integrated approach to human resource management aimed at creating a safe and productive working environment. Such measures contribute to improving the quality of life of individuals and society as a whole, enhancing economic well-being.
Keywords: disability, working capacity, performance, integrative assessment, social integration, workplace, adaptation, accessibility, employment.
References
1. On the rights of persons with disabilities and their social inclusion: Zakon Respubliki Belarus', 30 iyunya 2022 g, № 183-Z. V: OOO «YurSpektr», Nats tsentr pravovoi inform Resp Belarus'. Ilex. Belarus' [Elektronnyi resurs]. Minsk, RB; 2024. (In Russ.)
2. Albrecht GL, Seelman KD, Bury M. Handbook of disability studies. London: SAGE Publications; 2001. 852 p.
3. Smychek VB. Rehabilitation of the sick and disabled. Moscow, RF: Med lit; 2009. 560 р. (In Russ.)
4. Smychek VB. ICF Fundamentals. Minsk, RB; 2015. 431 р. (In Russ.)
5. Convention on the Rights of Persons with Disabilities. V: Organizatsiya Ob"edinennykh Natsii [Internet]. 2006. Available from: https://www.un.org/ru/documents/decl_conv/conventions/disability.shtml. [Accessed 19th June 2024]. (In Russ.)
6. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: VOZ; 2001. 346 р. (In Russ.)
7. World report on disability. V: Vsemirnaya organizatsiya zdravookhraneniya. Vsemirnyi bank [Internet]. 2011. Available from: https://apps.who.int/iris/bitstream/handle/10665/87365/WHO_NMH_VIP_11.04_rus.pdf?sequence=1&isAllowed=y. [Accessed 19th June 2024]. (In Russ.)
8. Roelfs DJ, Shor E, Davidson KW, Schwartz JE. Losing life and livelihood: a systematic review and meta-analysis of unemployment and all-cause mortality. Soc Sci Med. 2011 Mar;72(6):840-54. doi: http://dx.doi.org/10.1016/j.socscimed.2011.01.005
9. Ali M, Schur L, Blanck P. What Types of Jobs Do People with Disabilities Want? J Occup Rehabil. 2011 Jun;21(2):199-210. doi: http://dx.doi.org/10.1007/s10926-010-9266-0
10. Kuchmaeva OV. Employment of the Disabled in Russian Regions: Status, Differentiation, Factors. Statistika Ekonomika. 2020;17(5):27-37. (In Russ.)
11. Annual Report 2013 [Internet]. 2013. Available from: https://osha.europa.eu/sites/default/files/Annual%20Report%202013.pdf. [Accessed 19th June 2024].
12. Annual Report 2017 [Internet]. 2017. Available from: https://osha.europa.eu/sites/default/files/Annual_report_2017.pdf. [Accessed 19th June 2024].
13. Madsen IEH, Nyberg ST, Hanson LLM, Ferrie JE, Ahola K, Alfredsson L, Batty GD, et al. Job strain as a risk factor for clinical depression: systematic review and meta-analysis with additional individual participant data. Psychol Med. 2017 Jun;47(8):1342-56. doi: http://dx.doi.org/10.1017/S003329171600355X
14. Tengland PA. The concept of work ability. J Occup Rehabil. 2011 Jun;21(2):275-85. doi: http://dx.doi.org/10.1007/s10926-010-9269-x
15. Palmer KT, Cox RAF, Brown I. Fitness for work: the medical aspects. New York: Oxford university press; 2007. 729 p.
16. Ilmarinen J, Tuomi K. Past, Present and Future of Work Ability [Internet]. 2004. Available from: https://www.researchgate.net/publication/284893305_Past_Present_and_Future_of_Work_Ability. [Accessed 19th June 2024].
17. Ilmarinen J. Towards a longer worklife: Ageing and the quality of worklife in the European Union. Helsinki: Finnish Institute of Occupational Health; 2006. 468 p.
18. Talmage JB, Melhorn JM, Hyman MH, ed. AMA Guides™ to the Evaluation of Work Ability and Return to Work. 2nd ed. Chicago: American Medical Association; 2011. 510 p.
19. Smychek VB, Khulup GYa, Milkamanovich VK. Medical and social expertise and rehabilitation. Minsk, RB: Yunipak; 2005. 417 р. (In Russ.)
20. On Insurance Activities (together with "Regulations on Insurance Activities in the Republic of Belarus"): ukaz Prezidenta Resp Belarus', 25 avg 2006 g, № 530. V: OOO «YurSpektr», Nats tsentr pravovoi inform Resp Belarus'. Ilex. Belarus' [Elektronnyi resurs]. Minsk, RB; 2024. (In Russ.)
21. On medical and rehabilitation expert commissions and medical expertise: postanovlenie Soveta Ministrov Resp Belarus', 03 iyulya 2021 g, № 304. V: OOO «YurSpektr», Nats tsentr pravovoi inform Resp Belarus'. Ilex. Belarus' [Elektronnyi resurs]. Minsk, RB; 2024. (In Russ.)
22. On Approval of the Instruction on the Procedure for the Examination of Temporary Inability to Work: postanovlenie M-va zdravookhraneniya Resp Belarus', 24 dek 2014 g, № 104. V: OOO «YurSpektr», Nats tsentr pravovoi inform Resp Belarus'. Ilex. Belarus' [Elektronnyi resurs]. Minsk, RB; 2024. (In Russ.)
23. On Approval of Sanitary Norms and Rules "Hygienic Classification of Working Conditions": postanovlenie M-va zdravookhraneniya Resp Belarus', 28 dek 2012 g, № 211. V: OOO «YurSpektr», Nats tsentr pravovoi inform Resp Belarus'. Ilex. Belarus' [Elektronnyi resurs]. Minsk, RB; 2024. (In Russ.)
24. Solonin YuG, Boyko ER, Velichkovskiy BT. Physiological norms of body tension during physical labor in high latitudes. Zhurn Mediko-biol Issled. 2017;(1):25-36. (In Russ.)
25. Matyukhin VV, Elizarova VV, Shardakova EF, Yampolskaya EG. Risk factors in the development of functional disorders in physical labor workers. Meditsina Truda Prom Ekologiya. 2009;(6):1-6. (In Russ.)
26. Belozerova LM. Physical performance and biological age in men. Klin Gerontologiya. 2008;14(5):21-4. (In Russ.)
27. Suvorova IV, Kosyachenko GE, Semenov IP, Madeksha IV, Klebanov RD, Nikolaeva EA, i dr. Hygienic assessment of the nature of work activity in terms of severity and intensity of work [Internet]: instruktsiya po primeneniyu. 2013. Available from: https://rspch.by/sites/default/files/ann-instr-027-1212.pdf. [Accessed 19th June 2024]. (In Russ.)
28. Quinn TD, Kline CE, Nagle E, Radonovich LJ, Alansare A, Gibbs BB. Cardiovascular responses to physical activity during work and leisure. Occup Environ Med. 2022 Feb;79(2):94-101. doi: http://dx.doi.org/10.1136/oemed-2021-107551
29. Garbuzov VV, Kuralikov DV. Study of the functional state of the visual analyzer in mental workers. V: Gomel gos med un-t; Stoma IO, i dr, redkol. Problemy i perspektivy razvitiya sovremennoi meditsiny: sb nauch st XV Resp nauch-prakt konf s mezhdunar uchastiem studentov i molodykh uchenykh, Gomel', 4-5 maya 2023 g: v 9 t. Gomel', RB: GomGMU; 2023. Т 1. Р. 120-3. (In Russ.)
30. Yushkova OI, Poroshenko AS, Kapustina AV, Kalinina SA, Oniani KhT. Prevention of adverse effects of labor activity on the functional state of mental workers. Meditsina Truda Prom Ekologiya. 2012;(4):13-9. (In Russ.)
31. Bukhtiyarov IV, Yushkova OI, Matyukhin VV, Kuzmina LP, Kapustina AV, Poroshenko AS, i dr. Physiological peculiarities of psychoemotional overstrain formation in mental labor workers and its prevention. Ros Fiziol Zhurn im IM Sechenova. 2014;100(11):1324-34. (In Russ.)
32. Shiri R, Bergbom B. Work Ability and Well-Being Management and Its Barriers and Facilitators in Multinational Organizations: A Scoping Review. Healthcare (Basel). 2023 Mar;11(7):978.
33. Fukuura Y, Shigematsu Y. The Work Ability of People with Mental Illnesses: A Conceptual Analysis. Int J Environ Res Public Health. 2021 Sep;18(19):10172. doi: http://dx.doi.org/10.3390/ijerph181910172
34. Skinnes MN, Moe RH, Johansen T, Lyby PS, Dahl K, Eid I, et al. Work Ability in the Year after Rehabilitation - Results from the RehabNytte Cohort [Internet]. 2023. Available from: https://www.mdpi.com/2077-0383/12/23/7391. [Accessed 19th June 2024]. doi: http://dx.doi.org/10.3390/jcm12237391
35. Mokarami H, Cousins R, Kalteh HO. Comparison of the work ability index and the work ability score for predicting health-related quality of life. Int Arch Occup Environ Health. 2022 Jan;95(1):213-21. doi: http://dx.doi.org/10.1007/s00420-021-01740-9
36. Žmauc T, Železnik D, Težak O. Work ability index in Slovenian hospital nurses aged over fifty years [Internet]. 2019. Available from: https://www.almamater.si/upload/userfiles/files/Dr_clanki/022.pdf. [Accessed 19th June 2024].
37. Freyer M, Formazin M, Rose1 U. Factorial Validity of the Work Ability Index Among Employees in Germany [Internet]. 2019. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531402/pdf/10926_2018_Article_9803.pdf. [Accessed 19th June 2024].
38. Santos J, Ramos C, Silva A, Amorim S, Winwood P, Carvalhais C. Psychometric properties of the Portuguese version of the occupational fatigue exhaustion/recovery (OFER) scale among industrial shift workers. Arch Environ Occup Health. 2022;77(7):554-60. doi: http://dx.doi.org/10.1080/19338244.2021.1967842
39. Yamaguchi S, Sato M, Sumi N, Ito YM, Winwood PC, Yano R. Psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery Scale among shift-work nurses [Internet]. 2022. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9176737/pdf/JOH2-64-e12325.pdf. [Accessed 19th June 2024].
40. Lee S, Seong S, Park S, Lim J, Hong S, Cho Y, et al. Korean Version of the Swedish Occupational Fatigue Inventory among Construction Workers: Cultural Adaptation and Psychometric Evaluation [Internet]. 2021. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073179/pdf/ijerph-18-04302.pdf. [Accessed 19th June 2024].
41. Bukhtiyarov IV, Khamitov TN, Smagulov NK, Kostenko NA, Salnikov AA. Assessment of the informativeness of the level of work ability according to the questionnaire "Work Ability Index". Meditsina Truda Prom Ekologiya. 2019;59(1):4-8. (In Russ.). doi: http://dx.doi.org/10.31089/1026-9428-2019-1-4-8
42. Bethge M, Spanier K, Köhn S, Schlumbohm A. Self reported work ability predicts health related exit and absence from work, work participation, and death: longitudinal fndings from a sample of German employees. Int Arch Occup Environ Health. 2021 May;94(4):591-9. doi: http://dx.doi.org/10.1007/s00420-020-01608-4
43. Trubetskov AD, Kameneva AD. Use of the Work Ability Index in occupational medicine (literature review). Gigiena Sanitariya. 2022;101(6):645-8. (In Russ.). doi: http://dx.doi.org/10.47470/0016-9900-2022-101-6-645-648
44. Troshin VV, Umnyagina IA, Orlov AL. Risk factors for the labor capacity of workers and the use of the labor capacity index for its assessment. Meditsina Truda Prom Ekologiya. 2019;59(10):882-6. (In Russ.). doi: http://dx.doi.org/10.31089/1026-9428-2019-59-10-882-886
45. Novozhilova AA, Geregey AM, Merkulova AG. Peculiarities of the study of occupational fatigue in labor physiology. Meditsina Truda Prom Ekologiya. 2022;62(4):238-46. (In Russ.). doi: http://dx.doi.org/10.31089/1026-9428-2022-62-4-238-246
Submitted 08.05.2024
Accepted 14.06.2024
Information about authors:
А.I. Razuvanau – Candidate of Medical Sciences, scientific secretary, National Science and Practice Centre of Medical Assessment and Rehabilitation, https://orcid.org/0000-0001-5033-2933
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Aliaksei I. Razuvanau;
N.А. Dziarzhynskaya – Candidate of Medical Sciences, associate professor of the Chair of Occupational Hygiene, Belarusian State Medical University, https://orcid.org/0000-0002-5990-1749
А.I. Patsko – physiologist of the department of professional fitness for work assessment, National Science and Practice Centre of Medical Assessment and Rehabilitation.