Sickness, Disability and Work: Breaking the Barriers: A Synthesis of Findings across OECD Countries

Description

This report, the last in the OECD series Sickness, Disability and Work: Breaking the Barriers, synthesises the project’s findings and explores the possible factors behind the paradox described above. It highlights the roles of institutions and policies and concludes that higher expectations and better incentives for the main actors – workers, employers, doctors, public agencies and service providers – are crucial.




Table of Contents
Executive Summary and Policy Conclusions
Chapter 1. The Economic Context for Disability Policy
1.1. The importance of workers with disability to the economy and society
1.2. Workers with disability face greater barriers in the labour market
1.3. Trends in disability benefit rates, the business cycle and population ageing
1.4. Conclusion
Bibliography
Annex 1.A1. Defining and Measuring Disability
Annex 1.A2. Additional Supporting Evidence
Chapter 2. Key Trends and Outcomes in Sickness and Disability
2.1. Insufficient labour market integration of people with disability
2.2. Poor financial resources of people with disability
2.3. High costs of sickness and disability benefit schemes
2.4. Benefit system dynamics
2.5. Conclusion
Annex 2.A1. Additional Supporting Evidence
Chapter 3. The Direction of Recent Disability Policy Reforms
3.1. Key reform trends across the OECD
3.2. Policies converge despite continuing differences
3.3. The effect of policy changes on disability benefit rolls
3.4. The political economy of reform
3.5. Conclusion
Bibliography
Annex 3.A1. OECD Disability Policy Typology: Classification of the Indicator Scores
Annex 3.A2. OECD Disability Policy Typology: Country Scores Around 2007
Chapter 4. Transforming Disability Benefits into an Employment Instrument
4.1. From disability assessment to work-capacity assessment
4.2. Moving to an activation stance
4.3. Making work pay: reforming tax and benefit system
4.4. Conclusion
Bibliography
Chapter 5. Activating Employers and Medical Professionals
5.1. Strengthen incentives for employers to keep workers with health problems
5.2. Supporting measures to ensure employers can fulfil their responsibilities
5.3. Stronger employment focus by medical professionals
5.4. Conclusion
Bibliography
Chapter 6. Getting the Right Services to the Right People at the Right Time
6.1. Improving cross-agency co-ordination and co-operation
6.2. Engaging with clients systematically and in a tailored way
6.3. Addressing incentives for private service providers
6.4. Conclusion
Bibliography

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