ПРОГРАММЫ ЗАНЯТОСТИ С УЧЕТОМ ЗДОРОВЬЯ: ЗАРУБЕЖНЫЙ ОПЫТ (НА МАТЕРИАЛЕ ПЯТИ СТРАН ЗАПАДНОЙ ЕВРОПЫ)

  • Канева Мария Александровна Институт экономики и организации промышленного производства СО РАН https://orcid.org/0000-0002-9540-2592
  • Зафаржонова Мохидилхон Равшанжон кизи Институт экономики и организации промышленного производства СО РАН https://orcid.org/0009-0007-7898-4125
  • Михеев Сергей Сергеевич Институт экономики и организации промышленного производства СО РАН; Новосибирский национальный исследовательский государственный университет https://orcid.org/0009-0004-5792-8974
Ключевые слова: занятость, здоровье, стратегия занятости, зарубежный опыт, политика, Российская Федерация

Аннотация

Эмпирические исследования демонстрируют взаимосвязь между состоянием здоровья и трудовой занятостью населения, и этим объясняется важность интеграции этих направлений в социальной политике. Цель настоящей статьи – выявить успешные международные практики по интеграции вопросов здоровья в политику занятости, а также сформулировать рекомендации по их адаптации в российский контекст.

На базе материалов научных исследований, нормативных актов и отчетной документации были изучены европейские подходы к реализации программ занятости с учетом состояния здоровья населения – как универсальные программы, так и программы, ориентированные на пожилых граждан. Результаты анализа выявили устойчивый тренд на межсекторальную интеграцию: программы трудоустройства реализуются в партнерстве с медицинскими учреждениями, страховыми фондами и бизнесом. Также отмечаются тенденции к децентрализации полномочий с передачей их на региональный уровень и индивидуализации поддержки. Программы, направленные на поддержку пожилого населения, сосредоточены на продлении трудовой активности пожилых граждан за счет адаптации рабочих мест, обучения и медико-социального сопровождения.

В качестве основного результата исследования были сформулированы прикладные меры по интеграции политики занятости и охраны здоровья. Предложенные меры могут лечь в основу пилотных программ в российских регионах.

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Биографии авторов

Канева Мария Александровна, Институт экономики и организации промышленного производства СО РАН

Доктор экономических наук

Зафаржонова Мохидилхон Равшанжон кизи, Институт экономики и организации промышленного производства СО РАН

Кандидат экономических наук

Михеев Сергей Сергеевич, Институт экономики и организации промышленного производства СО РАН; Новосибирский национальный исследовательский государственный университет

Инженер; магистрант экономического факультета

Литература

Aganbegyan, A.G. (2016) Demography and healthcare at the turn of the century. Moscow: Delo. (In Russian).

Alcan, S., and Ӧzsoy, O. (2020) ‘Relation between wage and health in Turkey’, Panoeconomicus, 67(1), pp. 111–126. DOI:10.2298/PAN170120011A

Batty, E., Crisp, R., Gilbertson, J., Martin, P., Pardoe, J., Parkes, S., Sanderson, E., Scullion, L., and Wilson, I. (2022) Working Well: Early Help. Final Annual Report 2022. Sheffield: Centre for Regional Economic and Social Research (CRESR), Sheffield Hallam University. DOI:10.7190/cresr.2022.6213791987

Black, C.D., and Frost, D. (2011) Health at work – an independent review of sickness absence. London: TSO. Available at: https://assets.publishing.service.gov.uk/media/5a7a1163e5274a319e7779eb/health-at-work.pdf (accessed 12 August 2025).

Black, C.M. (2008) Working for a healthier tomorrow: Dame Carol Black's review of the health of Britain's working age population. London: TSO. Available at: https://assets.publishing.service.gov.uk/media/5a7c55bee5274a1b0042313c/hwwb-working-for-a-healthier-tomorrow.pdf (accessed 12 August 2025).

Böckerman, P., and Ilmakunnas, P. (2009) ‘Unemployment and self-assessed health: evidence from panel data’, Health Economics, 18(2), pp. 161–179. DOI:10.1002/hec.1361

Bramwell, D., Coleman, A., Gartland, N., Clayson, A., Van Tongeren, M., and Carder, M. (2023) User research into referrals to expert work and health services: Final Report of Phase 2 research. Manchester: Policy Research Unit in Commissioning and the Healthcare System, Manchester Centre for Health Economics. Available at: https://pure.manchester.ac.uk/ws/portalfiles/portal/279400245/GP_WH_User_Research_Final_Report_August_2023.pdf (accessed 12 August 2025).

Brown, J., Demou, E., Tristram, M.A., Gilmour, H., Sanati, K.A., and Macdonald, E.B. (2012) ‘Employment status and health: understanding the health of the economically inactive population in Scotland’, BMC Public Health, (12), p. 327. DOI:10.1186/1471-2458-12-327

Carlier, B.E., Schuring, M., Lötters, F.J., Bakker, B., Borgers, N., and Burdorf, A. (2013) ‘The influence of re-employment on quality of life and self-rated health: a longitudinal study among unemployed persons in the Netherlands’, BMC Public Health, (13), p. 503. DOI:10.1186/1471-2458-13-503

Crawshaw, P., Gray, J., Haigthon, C., and Lloyd, S. (2024) ‘Health inequalities and health-related economic inactivity: Why good work needs good health’, Public Health in Practice, (8), p. 100555. DOI:10.1016/j.puhip.2023.100555

Drydakis, N. (2015) ‘The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: A Longitudinal study before and during the financial crisis’, Social Science & Medicine, 128, pp. 43–51. DOI:10.1016/J.SOCSCIMED.2014.12.025

Freiler, A. et al. (2013) ‘Glossary for the implementation of Health in All Policies (HiAP)’, Journal of Epidemiology and Community Health, 67, pp. 1068–1072.

Gebel, M., and Voßemer, J. (2014) ‘The impact of employment transitions on health in Germany: A difference-in-differences propensity score matching approach’, Social Science & Medicine, 108, pp. 128–136. DOI:10.1016/J.SOCSCIMED.2014.02.039

Gloster, R., Marvell, R., and Huxley, C. (2018) Fit for Work: Final Report of a Process Evaluation. Research Report 959. Available at: https://assets.publishing.service.gov.uk/media/5b23ca4940f0b634b73dbf5b/fit-for-work-final-report-of-a-process-evaluation.pdf (accessed 12 August 2025).

Grossman, M. (1972) ‘On the concept of health capital and the demand for health’, Journal of Political Economy, 80(2), pp. 223–255.

Hasmanova Marhankova, J., and Fries-Tersch, E. (2016) Safer and healthier at work at any age: Country inventory Czech Republic. European Agency for Safety and Health at Work.

Hinrichs, S., Bromberg, T., and Fries-Tersch, E. (2016) Safer and healthier at work at any age: Country inventory Germany. European Agency for Safety and Health at Work.

Hitchcock, A., Pickles, C., and Riggs, A. (2016) The Work and Health Programme: Levelling the playing field. Reform. Available at: https://bigsocietycapital.fra1.cdn.digitaloceanspaces.com/media/documents/The_Work_and_Health_Programme_-_levelling_the_playing_field_-_Reform_-_2016.pdf (accessed 12 August 2025).

Jahoda, M. (1982) Employment and unemployment: a social-psychological analysis. Cambridge: Cambridge University Press.

Johansson, E., Böckerman, P, and Lundqvist, A. (2020) ‘Self-reported health versus biomarkers: does unemployment lead to worse health?’, Public Health, 179, pp. 127–134. DOI:10.1016/J.PUHE.2019.10.005

Kaneva, M. (2024) ‘The application of quasi-experimental approaches to the analysis of the relationship between employment and health’, Panoeconomicus, pp. 1–27. DOI:10.2298/PAN230130018K

Kaneva, M. and Zafarjonova, M. (2026) ‘The impact of employment transition on self-reported health in Russia (2015–2022)’, Population and Economics (in print). (In Russian).

Kisareva, S.V. (2023) ‘Japan: measures in the field of employment of elderly workers’, Young Scientist, 32(479), pp. 54–58. Available at: https://moluch.ru/archive/479/105385/ (accessed 12 August 2025). (In Russian).

Kolybashkina, N., Sukhova, A., Ustinova, M., Demianova, A. and Shubina, D. (2021) Barriers and Opportunities to Employment for Persons with Disabilities in the Russian Federation. Washington, DC: International Bank for Reconstruction and Development. The World Bank. Available at: https://documents1.worldbank.org/curated/en/099320005122221061/pdf/P176669056fc9602008a55032965cb683b9.pdf (accessed 16 August 2025).

Kuchmaeva, O.V. (2020) ‘Employment of persons with disabilities in Russian regions: state, differentiation, factors’, Statistics and Economics, 17(5), pp. 27–37. (In Russian).

Kulagina, E.V. (2025) ‘Employment of persons with disabilities: opportunities, priorities and results in welfare states. Part two’, Sociological Science and Social Practice, 13(1), pp. 117–141. (In Russian).

Lelliott, P., Tulloch, S., Boardman, J., Harvey, S., Henderson, M., and Knapp, M. (2008) Health, work and wellbeing. London: The Royal College of Psychiatrists. Available at: https://assets.publishing.service.gov.uk/media/5a7c194640f0b645ba3c6af5/hwwb-mental-health-and-work.pdf (accessed 12 August 2025).

Leppo, K. et al. (eds) (2013) Health in All Policies: Seizing opportunities, implementing strategies. Helsinki: Ministry of Social Affairs and Health of Finland. (In Russian).

Magnavita, N. et al. (2017) ‘Workplace health promotion programs in different areas of Europe’, Epidemiology Biostatistics and Public Health, 14(2), pp. e12439-1 – e12439-8.

Marmont, M. and Bell, R. (2012) ‘Fair society, healthy lives’, Public Health, 126 (Suppl. 1), pp. S4–S10. DOI:10.1016/j.puhe.2012.05.014

Marshall, T., Goldberg, R.W., Braude, L., Dougherty, R.H., Daniels, A.S., Ghose, S.S., George, P., and Delphin-Rittmon, M.E. (2014) ‘Supported employment: assessing the evidence’, Psychiatric Services (Washington, D.C.), 65(1), pp. 16–23. DOI:10.1176/appi.ps.201300262

McGee, R., Bevan, S., and Quadrello, T. (2009) Fit for work? Musculoskeletal disorders and the Dutch labour market. London: The Work Foundation.

Melkas, T. (2013) ‘Health in all policies as a priority in Finnish health policy’, Scandinavian Journal of Public Health, 41(Suppl. 11), pp. 3–28.

Mincer, J. (1958) ‘Investment in human capital and personal income distribution’, Journal of Political Economy, 66(4), pp. 281–302.

Newton, B., and Gloster, R. (2023) Summary: Evaluation of the Health-led Employment Trials. Research and analysis. Available at: https://www.gov.uk/government/publications/health-led-employment-trials-evaluation/summary-evaluation-of-the-health-led-employment-trials (accessed 12 August 2025).

OECD (2023) ‘Organisation of public employment services at the local level in Sweden’, OECD Local Economic and Employment Development (LEED) Papers, No. 2023/03. Paris.

Pinto, A.D., Hassen, N., and Craig-Neil, A. (2018) ‘Employment intervention in health settings: a systematic review and synthesis’, Annals of Family Medicine, 16(5), pp. 447–460.

Puska, P., and Stahl, T. (2010) ‘Health in All Policies – The Finnish initiative: Background, principles and other issues’, The Annual Review of Public Health, 31, pp. 315–328.

Reeves, A., and Stuckler, D. (2016) ‘Labour market policy and health: structured review of the bidirectional relationship’, Public Health Panorama, 2(2), pp. 117–247.

Ronchetti, J., and Terriau, A. (2019) ‘Impact of unemployment on self-perceived health’, European Journal Health Economics, 20, pp. 879–89. DOI:10.1007/s10198-019-01050-5

Schultz, I., Stowell, A., Feuerstein, M., and Gatchell, R. (2007) ‘Models of return to work for musculoskeletal disorders’, Journal of Occupational Rehabilitation, 17, pp. 327–352.

Schuring, M., Mackenbach, J., Voorham, T., and Burdorf, A. (2011). ‘The effect of re-employment on perceived health’, Journal of Epidemiology & Community Health, 65(7), pp. 639–644. DOI:10.1136/JECH.2009.103838

Skriabikova, O., Cavaco, Y., and Fries-Tersch, E. (2016) Safer and healthier at work at any age: Country inventory the Netherlands. European Agency for Safety and Health at Work.

Stauder, J. (2019) ‘Unemployment, unemployment duration, and health: selection or causation?’, The European Journal of Health Economics, 20, pp. 59–73. DOI:10.1007/s10198-018-0982-2

Vaalavuo, M. (2016) ‘Deterioration in health: What is the role of unemployment and poverty?’, Scandinavian Journal of Public Health, 44(4), pp. 347–353. DOI:10.1177/1403494815623654

Van Rijn, R.M., Carlier, B.E., Schuring, M., and Burdorf, A. (2016) ‘Work as treatment? The effectiveness of re-employment programs for unemployed persons with severe mental health problems on health and quality of life: A systematic review and meta-analysis’, Occupational and Environmental Medicine, 73(1), pp. 1–5. DOI:10.1136/oemed-2015-103121

Waddell, G., and Burton, A.K. (2006) Is work good for your health and well-being? London: TSO.

Waddell, G., Burton, A.K., and Kendall, N. (2008) Vocational Rehabilitation: What works, for whom, and when? London: TSO. Available at: https://assets.publishing.service.gov.uk/media/5a7ccd8bed915d6b29fa8c2b/hwwb-vocational-rehabilitation.pdf (accessed 12 August 2025).

Опубликован
2025-12-05
Как цитировать
Мария АлександровнаК., Мохидилхон Равшанжон кизиЗ., & Сергей СергеевичМ. (2025). ПРОГРАММЫ ЗАНЯТОСТИ С УЧЕТОМ ЗДОРОВЬЯ: ЗАРУБЕЖНЫЙ ОПЫТ (НА МАТЕРИАЛЕ ПЯТИ СТРАН ЗАПАДНОЙ ЕВРОПЫ). Вопросы государственного и муниципального управления, (4), 182-210. https://doi.org/10.17323/1999-5431-2025-0-4-182-210
Выпуск
Раздел
ТЕОРИЯ И ПРАКТИКА ГОСУДАРСТВЕННОГО УПРАВЛЕНИЯ