Career interventions for people with non-communicable diseases in the European labour market: a scoping review
摘要
Non-communicable diseases (NCDs) are medical conditions associated with long duration and slow progress. Many working-age persons with chronic conditions face job-related difficulties. The aim of this scoping review is to provide evidence about career interventions implemented in Europe for people with non-communicable diseases.
Subject and methodsStudies were searched using PubMed and Scopus electronic databases and the selection process followed the Population Concept Context framework. The Mixed Methods Appraisal Tool was used to assess the quality of studies included. The search string was based on two main terms: “health condition” and “intervention in the labour setting”. Studies conducted in European countries and published in English between 2020 and 2024 were included.
ResultsA total of 830 studies were screened and five were finally included. Quality assessment score ranged from 40 to 100%. Most of the studies describe interventions provided in clinical settings involving mainly healthcare professionals. All included studies aimed to increase healthcare professionals’ knowledge on managing chronic diseases at work and/or to support patients’ return to work. However, no companies or employers were involved in the implementation strategies, highlighting an important gap in the application of interventions in a real-world context.
ConclusionThe evidence on workplace interventions for workers with NCDs in Europe is very limited. Existing initiatives focus largely on healthcare-based approaches and professional training but without translation into real-world workplace contexts. Strengthening communication between healthcare systems, occupational health services, and business organizations is essential to develop and implement feasible interventions. As the number of working-age persons with non-communicable diseases is increasing and will probably increase in the future, supporting this group’s work ability constitutes an urgent public health challenge.