ICF from a Population Health Perspective: The Impact of Chronic Disease on Work Participation and Its Consequences for Intervention and Treatment

  • Alex BurdorfEmail author
Part of the Handbooks in Health, Work, and Disability book series (SHHDW)


Ill health is an important determinant of displacement from the labour force due to disability and becoming or staying unemployed. In an ageing workforce, more workers will be faced with health problems that may hamper their ability to be productive at work. For particular chronic diseases, such as arthritis and mental disorders, it is known that individuals with disease may lose a substantial number of years in paid employment. It is a societal challenge to support sustainable employability of persons with temporary or chronic health problems. This requires legislation and support schemes to make the workplace more ‘disability friendly’. Professionals in vocational rehabilitation should pay much more attention in medical treatment and guidance to the impact of disease on paid employment.


Sickness Absence Labour Force Participation Vocational Rehabilitation Work Participation Chronic Health Problem 
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  1. 1.
    Huber M, Knottnerus A, Green L, et al. How should we define health. BMJ. 2011;343:d4163.PubMedCrossRefGoogle Scholar
  2. 2.
    Hazes JMW, Geuskens GA, Burdorf A. Work limitations in the outcome assessment of rheumatoid arthritis. J Rheumatol. 2005;32:980–2.PubMedGoogle Scholar
  3. 3.
    Burdorf A. The importance of solid employment for health. Scand J Work Environ Health. 2008;34:81–2.PubMedCrossRefGoogle Scholar
  4. 4.
    Van den Berg T, Schuring M, Avendano M, Mackenbach J, Burdorf A. The impact of ill health on exit from paid employment in Europe among older workers. Occup Environ Med. 2010;67:845–52.PubMedCrossRefGoogle Scholar
  5. 5.
    Survey on Health and Ageing in Europe (SHARE). (2013). Accessed Dec 2013.
  6. 6.
    Knudsen AK, Øverland S, Hotopf M, Mykletun A. Lost working years due to mental disorders: an analysis of the Norwegian disability pension registry. PLoS One. 2012;7:e42567.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Lacaille D, Hogg RS. The effect of arthritis on working life expectancy. J Rheumatol. 2001;28:2315–9.PubMedGoogle Scholar
  8. 8.
    Burdorf A, van den Berg T, Avendano M, Kunst A, Mackenbach J. The effects of ill health on displacement from the labour market and potential impact of prevention. In: Börsch-Supan A, editor. Health, ageing and retirement in Europe (2004–2007). Starting the longitudinal dimension. Mannheim: SHARE; 2008.Google Scholar
  9. 9.
    Koopmanschap M, Burdorf A, Jacob K, Meerding JW, Brouwer W, Severens H. Measuring productivity changes in economic evaluation; setting the research agenda. PharmacoEconomics. 2005;23:47–54.PubMedCrossRefGoogle Scholar
  10. 10.
    Leineweber C, Westerlund H, Hagberg J, Svedberg P, Alexanderson K. Sickness presenteeism is more than an alternative to sickness absence: results from the population-based SLOSH study. Int Arch Occup Environ Health. 2012;85:905–14.PubMedCrossRefGoogle Scholar
  11. 11.
    Geuskens GA, Burdorf A, Hazes JMW. Consequences of rheumatoid arthritis for performance of social roles – a literature review. J Rheumatol. 2007;34:1248–60.PubMedGoogle Scholar
  12. 12.
    Lenssinck MB, Burdorf A, Boonen A, Gignac MA, Hazes JMW, Luime JL. Consequences of inflammatory arthritis for workplace productivity loss and sick leave: a systematic review. Ann Rheum Dis. 2013;72:493–505.PubMedCrossRefGoogle Scholar
  13. 13.
    de Vries HJ, Brouwer S, Groothoff JW, Geertzen JHB, Reneman MF. Staying at work with chronic nonspecific musculoskeletal pain: a qualitative study of workers’ experiences. BMC Musculoskelet Disord. 2011;12:126.PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Detaille SI, Haafkens JA, van Dijk FJ. What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work. Scand J Work Environ Health. 2003;29:134–42.PubMedCrossRefGoogle Scholar
  15. 15.
    Leijten FRM, Van den Heuvel SG, Ybema JF, Robroek SJW, Burdorf A. Do work factors modify the association between chronic health problems and sickness absence among older employees? Scand J Work Environ Health. 2013;39:477–85.PubMedCrossRefGoogle Scholar
  16. 16.
    Johansson G, Lundberg I. Components of the illness flexibility model as explanations of socioeconomic differences in sickness absence. Int J Health Serv. 2009;39:123–38.PubMedCrossRefGoogle Scholar
  17. 17.
    Reneman MF, Beemster TT, Edelaar MJ, van Velzen JM, van Bennekom C, Escorpizo R. Towards an ICF- and IMMPACT-based pain vocational rehabilitation core set in the Netherlands. J Occup Rehabil. 2013;23:576–84.PubMedCrossRefGoogle Scholar
  18. 18.
    Henry AD, Lucca AM. Facilitators and barriers to employment: the perspectives of people with psychiatric disabilities and employment service providers. Work. 2004;22:169–82.PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of Public HealthErasmus MC, University Medical Center RotterdamRotterdamThe Netherlands

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