Ill health retirement

2019 ◽  
pp. 262-274
Author(s):  
Jon Poole ◽  
Glyn Evans
Keyword(s):  
Health Status ◽  
Working Conditions ◽  
Perceived Health ◽  
Perceived Health Status ◽  
Pension Schemes ◽  
The Uk ◽  
Over Time ◽  
Pensions Ombudsman

This chapter gives advice to doctors who provide reports for pension schemes about the merits of a patient’s application for ill health retirement. This is a challenging area of practice in which the structure and wording of the report is important if difficulties are to be reduced. An overview of pension provision in the UK is included as well as advice contained in determinations by the Pensions Ombudsman. Rates of ill health retirement for national schemes are shown against which doctors should audit their practice. In general, a retiree’s perceived health status tends to improve after retirement, although the improvement will attenuate over time. Heavy manual workers are more likely to retire on the grounds of ill health than non-manual workers, which has been attributed to their poorer health and less favourable working conditions.

Association Between Informal Employment and Health Status and the Role of the Working Conditions in Spain

2020 ◽  
Vol 50 (2) ◽  
pp. 199-208
Author(s):  
Jose M. Montero-Moraga ◽  
Fernando G. Benavides ◽  
Maria Lopez-Ruiz
Keyword(s):  
Risk Factors ◽  
Health Status ◽  
Working Conditions ◽  
Low Income ◽  
Perceived Health ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Informal Employment ◽  
Perceived Health Status

Informal employment is an employment condition in which workers are not protected by labor regulations. It has been associated with poor health status in middle- and low-income countries, but it is still a neglected issue in high-income countries. Our aim was to estimate the association between health status and employment profiles in Spain, attending to the role of workplace risk factors. We conducted a cross-sectional study of 8,060 workers from the Seventh Spanish Working Conditions Survey (2011). We defined 4 employment profiles and estimated the associations between them and poor self-perceived health using Poisson regression models. All analyses were stratified by sex. The prevalence of the informal profile was 4% for women and 1.5% for men. Differences in self-perceived health status among employment profiles were negligible. Only women engaged in informal employment had poorer self-perceived health than those in the reference profile. This difference disappeared after adjusting models for psychosocial risk factors. In conclusion, we did not find differences in self-perceived health status between employment profiles, except for women in informal employment. Efforts should be made to improve the psychosocial risk factors in women in informal employment.

scholarly journals Health service use by adults with depression: community survey in five European countries

2006 ◽  
Vol 189 (2) ◽  
pp. 161-167 ◽  
Author(s):  
Cherie McCracken ◽  
Odd Steffen Dalgard ◽  
Jose Luis Ayuso-Mateos ◽  
Patricia Casey ◽  
Greg Wilkinson ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
Health Service ◽  
Service Use ◽  
Perceived Health ◽  
European Countries ◽  
Health Service Use ◽  
Adjustment Disorders ◽  
Perceived Health Status ◽  
The Uk

BackgroundLittle is known about patterns of healthcare use by people with depression in Europe.AimsTo examine the use and cost of services by adults with depressive or adjustment disorders in five European countries, and predictive factors.MethodPeople aged 18–65 years with depressive or adjustment disorders (n=427) in Ireland, Finland, Norway, Spain and the UK provided information on predisposition (demographics, social support), enablement (country, urban/rural, social function) and need (symptom severity, perceived health status) for services. Outcome measures were self-reported use Client Services Receipt Interview and costs of general practice, generic, psychiatric or social services in the past 6 months.ResultsLess frequent use was made of generic services in Norway and psychiatric services in the UK. Severity of depression, perceived health status, social functioning and level of social support were significant predictors of use; the number of people able to provide support was positively associated with greater health service use.ConclusionsIndividual participant factors provided greater explanatory power than national differences in healthcare delivery. The association between social support and service use suggests that interventions may be needed for those who lack social support.

scholarly journals BOMET-QoL-10 questionnaire for breast cancer patients with bone metastasis: the prospective MABOMET GEICAM study

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
A. Barnadas ◽  
◽  
M. Muñoz ◽  
M. Margelí ◽  
J. I. Chacón ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Health Status ◽  
Bone Metastasis ◽  
Assessment Tool ◽  
Metastatic Breast ◽  
Perceived Health ◽  
Perceived Health Status ◽  
Patient Reported

Abstract Background Bone metastasis (BM) is the most common site of disease in metastatic breast cancer (MBC) patients. BM impacts health-related quality of life (HRQoL). We tested prospectively the psychometric properties of the Bone Metastasis Quality of Life (BOMET-QoL-10) measure on MBC patients with BM. Methods Patients completed the BOMET-QoL-10 questionnaire, the Visual Analogue Scale (VAS) for pain, and a self-perceived health status item at baseline and at follow-up visits. We performed psychometric tests and calculated the effect size of specific BM treatment on patients´ HRQoL. Results Almost 70% of the 172 patients reported symptoms, 23.3% experienced irruptive pain, and over half were receiving chemotherapy. BOMET-QoL-10 proved to be a quick assessment tool performing well in readability and completion time (about 10 min) with 0–1.2% of missing/invalid data. Although BOMET-QoL-10 scores remained fairly stable during study visits, differences were observed for patient subgroups (e.g., with or without skeletal-related events or adverse effects). Scores were significantly correlated with physician-reported patient status, patient-reported pain, symptoms, and perceived health status. BOMET-QoL-10 scores also varied prospectively according to changes in pain intensity. Conclusions BOMET-QoL-10 performed well as a brief, easy-to-administer, useful, and sensitive HRQoL measure for potential use for clinical practice with MBC patients. Trial registration NCT03847220. Retrospectively registered on clinicaltrials.gov (February the 20th 2019).

scholarly journals Polypharmacy And Self-Perceived Health Status In Older Patients

2013 ◽  
Vol 16 (3) ◽  
pp. A251
Author(s):  
W. Agbor Bawa ◽  
N. Rianon ◽  
R. Rasu
Keyword(s):  
Health Status ◽  
Older Patients ◽  
Perceived Health ◽  
Perceived Health Status
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