Social Insurance Literacy of Dutch Workers Receiving Disability Benefits and its Associations with Socio-Economic Characteristics

Purpose This study explores the concept social insurance literacy (SIL) and corresponding questionnaire (SILQ) among workers receiving disability benefits and the comprehensibility of the social security institute (SSI), and examines associations with socio-economic characteristics. Methods 1753 panel members of the Dutch SSI were approached to complete the SILQ-NL37. This measure was based on the original SILQ. The SILQ-NL37 contains domains for obtaining, understanding and acting upon information for both individual SIL and system comprehensibility. A higher score means better SIL or comprehensibility. Data on age, gender, education, living situation, Dutch skills and time receiving disability benefits were also collected. With k-means clustering, groups with adequate and limited SIL were created. Associations with socio-economic characteristics were examined with independent t-tests and linear regression analyses for both the total scores and within domain scores. Cronbach α and Spearman rho’s indicated measurement properties were good to acceptable for the SILQ-NL37. Results Thirty-five percent of the 567 participants were in the group with limited SIL. Higher individual SILQ-NL37 scores were associated with having a partner (p = 0.018) and northeastern living region (p = 0.031). Higher scores for obtaining (p = 0.041) and understanding (p = 0.049) information were associated with female sex, and for acting on information with younger age (p = 0.020). People with limited Dutch skills (p = 0.063) and a partner (p = 0.085) rated system comprehensibility higher. Conclusions According to the SILQ-NL37 scores, about 35% of the panel members have limited ability to obtain, understand and act upon social insurance systems information. Limited SIL is associated with several socio-economic factors. Future researches should study the concept in a more representative sample, and in different countries and social insurance contexts.

Digital transition and public administration in Italy: the experience of the Italian National Social Security Institution − INPS

The innovation and modernization processes of national public administrations feature prominently in the process of digital transition that the whole Europe is going through. In Italy, the National Institute of Social Security (Istituto Nazionale della Previdenza Sociale, INPS) has historically always been at the forefront in terms of digital skills and the use of Information Technology for the provision of social security services, constituting a model of excellence in the landscape of public administrations both in Italy and Europe. INPS is currently facing a strategic challenge: that of constituting the driving force for the digital transition of the Italian public sector. To meet this challenge, the Italian Social Security Institute has equipped itself with an ICT Plan that represents a marked discontinuity with respect to past plans and which deserves, as a result of its innovative character, to be analyzed in detail. In particular, the ICT Strategic Plan of INPS for the three-year period of 2020−2022 aims to introduce a paradigm shift towards the digitization of the public services that the Social Security Institute offers to the whole country, planning a radical technological, organizational and cultural innovation, an enabling prerequisite for creating a new model service for citizens, businesses and other public administrations.

Efecto crítico de la pandemia por covid-19 en el empleo de México

The cycle of formal employment during 2020, following the Covid-19 pandemic, is analyzed in three stages: paralysis with destruction, interrupted recovery, and relapse. Likewise, using data from the Mexican Social Security Institute on monthly changes to the numbers of insured workers, it was possible to identify the impact of govern-ment management, and trace the history of infection provoked by the disease, in lost or gained employment at each stage. Changes to the numbers of those in employment are illustrated by the economic sector, state, size of economic unit, salary range, sex and age group of the workers. The highest rate of unemployment was in tourism and recre-ational services, the most populous states with dense metropolitan areas, medium and large economic units, among young workers, the very young and those over 60 years old, and those with the worst wages. It is estimated that it will take at least until 2022 for the quality of work to recover and the accumulated deficit to be restored

Infant feeding, appetite and satiety regulation, and adiposity during infancy: a study design and protocol of the ‘MAS-Lactancia’ birth cohort

IntroductionThe prevalence of childhood obesity has risen dramatically in recent years. A proportion of this burden has been attributed to factors that occur during the first 1000 days of life such as genetic predisposition, breast feeding and complementary feeding. Although the mechanisms by which these factors affect weight and adiposity are less well understood, appetite and satiety regulation may be a key to understanding them. This cohort study aims to investigate the role of appetite and satiety regulation as a mediator in the association between infant feeding practices and genetic polymorphisms with children’s growth, adiposity and metabolic risk factors.Methods and analysis‘MAS-Lactancia’ (the first word means ‘more’ and is also an acronym in Spanish for ‘Appetite and Satiety Mechanisms’, the second word is ‘breastfeeding’) is an open, ongoing, prospective birth cohort that began the enrolment in 2016 of mother–child pairs affiliated to the Mexican Social Security Institute and that live in the city of Cuernavaca, Mexico. Pregnant women between 16-week and 22-week gestation are followed during the second half of their pregnancies, at birth and throughout their infant’s first 48 months of life (at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months and 48 months) at the clinic and at-home visits that include questionnaires, anthropometric measurements and biospecimen collection. The main exposure variables are infant feeding (breast feeding and complementary feeding) and genetic polymorphisms (fat mass and obesity-associated, leptin and adiponectin genes). Outcome variables include infant’s growth, adiposity and metabolic risk factors. We will conduct longitudinal models and path analyses to identify the potential mediating role of satiety and appetite indicators (leptin, adiponectin, insulin concentrations, appetite and satiety perception).Ethics and disseminationThe study protocol, data collection instruments, consent forms and procedures were approved by the institutional review boards of the National Institute of Public Health and the Mexican Social Security Institute in Mexico. Findings will be disseminated through conferences, peer-reviewed publications and meetings with stakeholders.

JUDICIALIZAÇÃO DOS REQUERIMENTOS DE SALÁRIO MATERNIDADE DECAÍDOS EM DECORRÊNCIA DA MP871/2019

In this article we will discuss the judicialization of maternity wage requirements that fell due to MP871 / 2019. The adopted methodology is an applied, descriptive research, treating the subject in a quantitative way, through field research, news sites, articles, theses, statistical data from the National Social Security Institute (INSS) and other ways. Therefore, this article aims to analyze the judicialization of the cases reached by the amendment intended by Provisional Measure 871/2019, with regard to reducing the decadential term from 5 (five) years to 180 (one hundred and eighty) days for require the maternity wage, which is due to mothers after childbirth or adoption. In view of this, we can see how the reflexes of the aforementioned Provisional Measure have been of great importance and should be discussed, since at the time it causes damage it shows a setback in society.

O CRITÉRIO DA BAIXA RENDA NA CONCESSÃO DO BENEFÍCIO ASSISTENCIAL À PESSOA IDOSA OU DEFICIENTE

The theme is based mainly on the reality of many Brazilians who are not insured by the INSS (National Social Security Institute) who have some kind of disability or even reached the minimum age to retire. The purpose is to show the reality of many people who are unable to become insured and who depend on making their rights impossible. It deals with the Brazilian social assistance contained in article 203 of the Federal Constitution of 1988, with regard to the distribution of the value of income per capita of the minimum wage and shows that regardless of the situation of each family, there is a great discussion about this regularization in the our legal system. In this sense, the general objective of this study is related to the act of granting better living conditions to beneficiaries who have low income, through the application of the Organic Law on Social Assistance. In addition, the Continuous Payment Benefit will consist of a series of actions, measures designed to meet basic human needs, guaranteeing minimum social conditions for the necessary configuration of a dignified life, and providing health and protection (social security or social security) to prevent misfortunes caused by not working. Therefore, BPC (Continuing Benefit) found its identity in basic protection, as it aims to ensure that beneficiaries enjoy the right to family and community coexistence and social work with their families, contributing to meeting their needs and development your skills and competences.

asociación entre el grupo de profesionales de la salud con pensamiento sistémico y el logro de objetivos estratégicos

La articulación de la atención médica con los objetivos estratégicos en instituciones de salud requiere del pensamiento sistémico. El objetivo de esta investigación es determinar la influencia del pensamiento sistémico en el logro de objetivos estratégicos, el método empleado es cuasiexperimental y el estudio tuvo lugar en el Instituto Mexicano del Seguro Social (imss), Campeche, en donde se analizó la intervención con la metodología del pensamiento sistémico en el proceso de atención médica de diabetes mellitus tipo 2 (DM2) y el logro de objetivos estratégicos (control metabólico). Entre los resultados obtenidos se observó que los profesionales de la salud con pensamiento sistémico se asocian con el control metabólico de los pacientes con DM2. Por lo tanto, la organización de salud comprende el funcionamiento como un sistema que integra el pensamiento creativo, el estratégico y el control de líneas de acción. AbstractThe structural link of medical care with strategic objectives in healthcare institutes require systematic thinking. This research aims to determine the influence systematic thinking has in achieving strategic objectives. A quasi-experimental method was used, and research was performed in the Mexican Social Security Institute (Instituto Mexicano del Seguro Social – IMSS) in Campeche, where systematic thinking methodology intervened with the process of medical attention of Type 2 diabetes mellitus and the achievement of strategic objectives (metabolic control). Among the results obtained we observed that health professionals which present systematic thinking are associated to the metabolic control of patients with DM2. Consequently, the health organization comprehends its functionality as a system that integrates creative, strategic thinking and the control of strategic lines of action.

Retrospective Study of the Seroprevalence of HIV, HCV, and HBV in Blood Donors at a Blood Bank of Western Mexico

Obtaining blood which is safe for transfusions is one of the principal challenges in the health systems of developing countries. Supply of contaminated blood increases morbidity, mortality, and the costs of patient care. In Mexico, serological screening is mandatory, but only a few of the main blood banks routinely perform a nucleic acid test (NAT). Data from 80,391 blood donations processed between August 2018 and December 2019 at the Central Blood Bank of the Western National Medical Center of the Mexican Social Security Institute (IMSS) were analyzed. All donors were screened for serological markers and NAT was performed. Reactive donors were followed-up to confirm their results. The number of reactive donors and seroprevalence rates for HIV, HCV, and HBV were 152 (18.91/10,000), 385 (47.89/10,000), and 181 (22.51/10,000), respectively; however, these rates decreased when NAT-confirmed reactive results were considered. Male donors were found to have a higher seroprevalence than females, and younger donors higher than older donors. The present study shows that HIV, HCV, and HBV seroprevalence in blood donors in Western Mexico is low. We propose that Mexico should establish future strategies, including pathogen reduction technologies (PRTs), in order to improve blood safety and reduce transfusion-transmissible infections (TTIs).

Analysis of factors related to granting sickness benefits to industry workers on leave due to Work-related Musculoskeletal Disorders (WMSD)

Background: Sickness absence represents a serious problem for industry and Social Security, since many of these workers become beneficiaries by the National Social Security Institute. The relationship between the factors that lead to dismissal and granting benefits to workers in the industry has yet to be studied. Objective: To determine the relationship between social and occupational factors to granting sickness benefits to industrial workers affected by Work-related Musculoskeletal Disorders. Methods: This is a retrospective cross-sectional with quantitative approach study involving industrial workers. The data contained in the evaluation form of workers who were admitted between 2016 and 2020 in a Reference Centers in Occupational Health were used. The data were descriptively evaluated and a logistic regression model was used to estimate the factors which are related to the type of assistance granted to the workers. Results: 108 medical records of industry workers were evaluated and 56.5% received the accident-related sickness assistance benefit (B-91). Most are workers from industry with light demand (95.4%), who perform repetitive work (93.5%), intense work pace (83.3%), with the shoulder being the region most frequently affected (85.2%). The factors that were significantly related to grating accidental-related sickness benefit: time in the current occupation (OR = 1.01), work involving cervical spine flexion (OR = 4.68), participation in the rehabilitation program (OR = 31.27) and referral to specialist consultations (OR = 3.10). Conclusion: The creation of institutional programs in the industry and the implementation of public health and social security policies are necessary to manage these factors.