Occupational Medicine in Germany - UEMS Section of occupational

Transcription

Institut für Arbeits-, Sozial- und
Umweltmedizin
Umweltmedizin
Outline
Occupational Medicine in
Germany
Occupational Medicine at Universities
DGAUM – German society for occupational and environmental
medicine
Univ.-Prof. Dr. med. Thomas Kraus
Legal framework of OM in Germany
[email protected]
OM at Universities in Germany
Umweltmedizin
Organisation
- 36 universities with a Medical Faculty
DGAUM
- 26 institutes for OM, two vacant chairs
Scientific society:
Deutsche Gesellschaft für
Arbeitsmedizin und Umweltmedizin e.V.
www.dgaum.de
- Broad variety of research topics
- Very small institutes
- Therefore research activities sometimes limited
VDBW
Berufsverband:
Verband Deutscher Betriebsund Werksärzte
www.vdbw.de
1
Umweltmedizin
Umweltmedizin
DGAUM
Aims of the DGAUM
Founded in 1962.
- education and training in OM and EM
- creating a scientific basis for prevention
about 1.000 members, physicians and scientists in the field of
occupational medicine and environmental medicine
by analysing the causes of work related diseases and
- giving evidence based recommendations for preventive
measures for
close cooperation with the VDBW
- work related hazards
- work related diseases
- and occupational diseases and work accidents
DGAUM März 2004
Umweltmedizin
Aims of the DGAUM
Umweltmedizin
Physicians with a qualification in OM
14000
12776 13033
11585
12000
12209 12236 12267 12266
12034
10704
10000
8052
8000
6645
6000
measures for
4000
2000
?
?
20
15
20
07
20
05
20
03
20
01
19
99
19
97
19
95
19
93
19
91
19
89
19
87
19
86
0
DGAUM März 2004
2
Umweltmedizin
Education and training
Umweltmedizin
Aims of the DGAUM
Curriculum for medical students (with examination)
Specialist for occupational medicine (5ys of training)
Physicians with special knowledge in OM (3ys of training)
measures for
Continuous medical education
DGAUM März 2004
Umweltmedizin
Umweltmedizin
Guidelines Occupational Medicine
www.dgaum.de
www.dgaum.de
3
Umweltmedizin
Umweltmedizin
www.dgaum.de
www.dgaum.de
Umweltmedizin
Responsibilities on occupational health
and safety
Umweltmedizin
Employer
Employer…
 … is responsible for health and safety at workplace
 … has the duty to take care for the employee
Occ. Health and safety
 … mandates occ. health physicians and specialists for occ. safety
 … has to cover all costs for safety and health
employer
4
Umweltmedizin
Umweltmedizin
Statutory accident
insurance
State
State…
 … adopts acts and regulations and rules on occupational safety:




Arbeitsschutzgesetz
Arbeitssicherheitsgesetz
Verordnung zur arbeitsmedizinischen Vorsorge
u.a.
Employers` accident insurance…
 … is part of the obligatory social security system
 … controls acts and adherence of acts, and safety rules …
Umweltmedizin
Statutory accident insurance
statutory accident insurance
Umweltmedizin
tasks:

prevention at workplace

information on hazard and risks

consulting on occupational safety
members:
•
compulsory membership of all enterprises
insured:
•
all employed persons, students, pupils ...

creation of rules and regulations
financing:
•
100% by employer

controlling occupational safety at the workplace

compensation of occupational diseases and work accidents:
therapy

fee:
•
1,6 % of the aggregate wages (depending on accident
risk)
costs:
•
2008: 13.3 billion €




decision-making body: • employers and employees 50/50

medical rehabilitation
occupational rehabilitation
compensation of loss of salary
pensions as compensation for impairments
research…
5
Occupational diseases in Germany
Umweltmedizin
Occupational diseases in Germany 2010
(recognized and newly compensated)
Quelle: Nowak, Drexler, Kraus, Letzel, DMW 138 (2013)
(Main)Tasks of the occupational physician in
Germany
Umweltmedizin
OM in Germany
Umweltmedizin
81 million inhabitants
50% of employees don`t know their OHP
(role of OHP or do they have no OHP?)
examinations
Giving advice to
employer and employee
risk
assessment
40 million workforce
Problems:
- Added value of OM is not recognized by many employers
- neither state nor insurances fulfil their control
function sufficiently
6
Changing work environment
Umweltmedizin
Main challenges for the future
Umweltmedizin
100%
14
80%
60%
Ageing workforces
11
52
37
40%
20%
20
38
Dienstleistung
Services
Handel und Verkehr
Commerce and traffic
Bergbau, Industrie, Bau
Mining, industry, construction
Agriculture
Land‐
und Fortrswirtschaft
26
Improvement of individual case management with chronic diseases at
the workplace
Improvement of Return to work management
2
0%
1895
year
2010
Psychosocial aspects at the workplace
Lack of OHPs
[email protected]
Thank you for your attention!
Institute of Occupational and Social Medicine of the RWTH Aachen University
www.arbeitsmedizin.ukaachen.de
7

Occupational Medicine in Germany - UEMS Section of occupational

Transcription

Similar documents

10. Nordbayerisches Forum „Gesundheit und Sicherheit bei

als PDF

Hitzeroth - Lebenslauf