数字经济和混合型工作要求对肌肉骨骼疾病的赔偿标准进行审查。

IF 2.4 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Medicina Del Lavoro Pub Date : 2024-06-21 DOI:10.23749/mdl.v115i3.16072
Yves Roquelaure, Julie Bodin, Florence Cros, Alexis Descatha, Marc Fadel
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引用次数: 0

摘要

在欧洲,与工作相关的肌肉骨骼疾病(WRMSD)对职业健康构成了重大挑战。经济的数字化极大地改变了工作的性质和组织形式。COVID-19大流行加速了以办公室工作和远程工作相结合为特征的混合工作方式的普及。本综述涉及混合工作形式、其对 WRMSD 的影响以及对 WRMSD 补偿的潜在影响。大约 30-40% 的欧洲劳动力有可能过渡到混合工作形式。混合工作安排会导致躯干、颈部和上肢长时间处于静态姿势,没有适当的休息时间,从而增加颈部和下背部疼痛的风险。随着远程工作和混合工作越来越普遍,预计工作人群中的非特异性 WRMSD 会增加。在许多国家,WRMSD 的索赔必须由医疗保健专业人员进行正式诊断。然而,非特异性 WRMSDs(如颈椎痛或慢性肩痛)--通常见于主要从事低强度、长时间静态工作的久坐工人,以及视觉和认知要求较高的任务--往往不符合职业病赔偿标准。必须对补偿制度和/或补偿标准进行调整,以适应远程工作的兴起,这就需要不断发展补偿标准,既要考虑医疗因素,又要考虑风险暴露因素。
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The Digital Economy and Hybrid Work Call for a Review of Compensation Criteria for Musculoskeletal Disorders.

Work-related musculoskeletal disorders (WRMSD) pose a significant occupational health challenge in Europe. The digitization of the economy substantially reshaped the nature and organization of work. The proliferation of hybrid working, characterized by a combination of office-based and remote work, has been accelerated by the COVID-19 pandemic. This review covers hybrid forms of work, their impact on WRMSDs, and the potential implications for WRMSD compensation. Approximately 30-40% of the European workforce could potentially transition to hybrid forms of work. Hybrid work arrangements can result in prolonged static postures of the trunk, neck, and upper limbs without adequate breaks, thereby increasing the risk of neck and lower back pain. As teleworking and hybrid working become more prevalent, an increase in non-specific WRMSDs is anticipated among the working population. In many countries, claims for WRMSDs necessitate a formal diagnosis by a healthcare professional. However, cases of non-specific WRMSDs, such as cervicalgia or chronic shoulder pain, - commonly observed in sedentary workers engaged in predominantly low-intensity, prolonged static work amid visually and cognitively demanding tasks - often do not meet the criteria for compensation as occupational diseases. The compensation system and/or the criteria for compensation must be adapted to accommodate the rise of telework, necessitating evolving criteria for compensation that address both medical and risk exposure considerations.

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来源期刊
Medicina Del Lavoro
Medicina Del Lavoro 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.70
自引率
7.40%
发文量
42
审稿时长
>12 weeks
期刊介绍: La Medicina del Lavoro is a bimonthly magazine founded in 1901 by L. Devoto, and then directed by L. Prieti, E. Vigliani, V. Foà, P.A. Bertazzi (Milan). Now directed by A. Mutti (Parma), the magazine is the official Journal of the Italian Society of Occupational Medicine (SIML), aimed at training and updating all professionals involved in prevention and cure of occupational diseases.
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