Occupational Health Care - dasam.dk · A licensed physician working part-time in occupational...

Occupational Health Care- Qualifications and pathways to eligibility- Education and continuous training for psychologists

in Finland

Owe Österbacka Heli HannonenSenior Specialist Occupational Health Psychologist

Finnish Institute ofOccupational Health, FIOH, is a

specialist inwell-being at work. FIOH carries

out research, and providesservices and training.

19.3.2019© FIOH |

An independentpublic law institution

A research institute in theadministrative sector of theMinistr y of Social Affairs and Health

Foundedin 1945

19.3.2019© FIOH |

FIOHSTRATEGICRESEARCH

• T R A N S F O R M I N GO C C U PAT I O N A LH E A LT H S E R V I C E S

• SMEs ANDGROWTH

• DIGITALIZATION

• WORK ABILITYAND WORKINGCAREERS

19.3.2019© FIOH | 19.3.2019© FIOH |

The occupational health service systemin Finland

- the short course…

19.3.2019 FIOH | Owe Österbacka Heli Hannonen

Evolution of the Finnish OH system Health, safety and work ability

Social insurance/Labour market service

Specialised medical careRehabilitation

EmployeeEmployer

Primary health care

Nee

dfo

rmul

tidis

cipl

inar

ity

Dem

and

ofpr

ofes

sion

alco

mpe

tenc

e

The objectives• The development of a healthy and safe work environment

• Promoting a well-functioning work community

• The prevention of occupational and work-related diseases and injuries

• Promotion and maintenance of workers’ work ability.


Obligations• The employer is obligated by law to organize occupational health services

for the employees

• Occupational health care shall be organized and implemented to the extentrequired by the work, working arrangements, personnel and workplaceconditions, and any changes in these

• Entrepreneurs and other self-employed persons shall comply with theprovisions as applicable = voluntary

• Municipalities are obligated to arrange services


Services• The OHS must contain preventive services, but also curative

services can be arranged


Service providers• Employers’ own OH

• Acquiring the services he needs from a health centre (municipality/publicutility)

• Arranging the occupational health care services he needs himself ortogether with other employers (non-profit registered association)

• Acquiring the services he needs from another unit or person entitled toprovide occupational health care services (private medical center)

90%


Covered byOHS

OHS Costs Reimbursed Costs/person

Curative carevisits

Preventivecare medical

exams

4.7

1.2

MillionService ProviderPrivate medical centre

Health center/Public utility

Employers own OH

Employers joint OH

Provided by otheremployers OH

Other

Statistics

Kela, the Social Insurance Institution of Finland

19.3.2019© FIOH | 19.3.2019© FIOH |

Funding and reimbursement


Labour incomeinsurance

~70,6%

~29,0%

~0,6%

Health Insurance Act

347Million

Reimbursement forthe cost of OH care

804Million

19,8Billion

€

19.3.2019© FIOH | 19.3.2019© FIOH |

Professionals and experts in OH

19.3.2019

Professionals and experts in Occupational Health

FIOH | Owe Österbacka Heli Hannonen

Prof

essio

nals

OH Physician

OH Nurse

19.3.2019



Prof

essio

nals

OH Physician A licensed physician working full-time in occupational health caremust be a specialist in occupational health care. A person whoworks in occupational health care for an average of 20 ormore hours per week is considered to be working full-time.

A licensed physician working part-time in occupational health care

- must have taken a minimum of fifteen credits in occupationalhealth care studies- within two years of starting work in occupational health care.

A person who works in occupational health care for less than anaverage of 20 hours per week is considered to be workingpart-time.

OH Nurse A licensed public health nurse working in occupational health caremust be a qualified public health nurse

- and must have taken, in addition, a minimum of fifteen credits inoccupational health care studies- within two years of starting work in occupational health care.

19.3.2019



Expe

rts

OHPhysiotherapist

OHPsychologist

in addition to an appli-cable university degree inoccupational hygiene,social services, ergono-mics, a technical subject,agriculture, occupationalvision, nutrition, speechtherapy or physical edu-cation

19.3.2019



Expe

rts

OHPhysiotherapist

besides being qualified as a licensed physiotherapist

- has taken a minimum of fifteen credits in occupational health carestudies- within two years of starting work as an expert

OHPsychologist

besides being qualified as a licensed psychologist

- has taken a minimum of fifteen credits in occupational health carestudies- within two years of starting work as an expert

in addition to an appli-cable university degree inoccupational hygiene,social services, ergono-mics, a technical subject,agriculture, occupationalvision, nutrition, speechtherapy or physical edu-cation

in addition to an applicable university degree, or other equivalentearlier vocational qualification in the field,

- taken a minimum of two credits in occupational health carestudies.

Those health care professionals and experts employed in occupational health care who were qualified to be employed inoccupational health care when this Decree (708/2013) entered into force are notwithstanding the provisions of this Decree stillqualified to have the present or equivalent jobs in occupational health care.


Workplace

OHPhysician

OH Nurse

OHPsychologist

OHPhysio-

therapist

FIOH – Training professionals and experts in Occupational Health

Physician, specialist in OH


Five universities in Finland

Helsinki, Tampere, Kuopio, Oulu and Turku

Occupational Health Care Occupational medicine


Two Pathways for Reaching the EligibilityWorking in OH-field• FIOH, as Owe described, 15 credits

• OH-courses (20 credits) as a part of the specialization in work- andorganization or health psychology (total 70 credits).• This is organized by universities.

19.3.2019 | © Työterveyslaitos |

Psychological Topics in FIOH-education

• Topics for the whole multidisciplinary group:• Psychosocial work risk and wellbeing factors• Occupational health services that enhance work community wellbeing• The threat of violence as an occupational health factor• Cognitive ergonomics


Psychological topics in FIOH-education, forpsychologists

• Stress Theories

• The Psychosocial Occupational Health Assessment, session includes case-based exercises

• How to Assess Work Community Functionality and Wellbeing


Psychological topics in FIOH-education, forpsychologists

• Assessing Work Ability within three Appointments

• Conflict Resolution; session includes case-based exercises

• Supporting Individuals and Work Communities during OrganizationalChange Processes

• Assessing Cognitive Ability

• Developing professional identity: Guided discussions


OH-topics as a part of the specialization inwork- and organization or health psychology

• Theoritical Bases of Work and Organization Psychology (5 credits)

• Analyzing and Developing Work (5 credits)

• Work Stress and Enhancing Work Wellbeing (5 credits)

• Occupational Health Services in Comprehensive Personnel WorkWellbeing Schemes (5 credits)


Guidelines for Continuing Training

• Everyone working in OH should have seven days of training / year after theeligibility.• In 2017 only 16% of psychologists had at least 7 days of continuous training• 11% had 5-6 days• 30% had 3-4 days• 20% had 1-2 days• 11% had none


@tyoterveys@fioh

Tyoterveyslaitostyoterveysttl.fi tyoterveyslaitos

Mange tak!Det er morsomt at samarbejde med naboer!

[email protected] [email protected]

+358 43 824 3768 +358 50 430 0166@

Occupational Health Care - dasam.dk · A licensed physician working part-time in occupational...

Documents

Transcript of Occupational Health Care - dasam.dk · A licensed physician working part-time in occupational...