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1. Austria 13 1.1. Basic elements and principles of the Austrian social security system and the role of prevention and health promotion 13 1.2. Social Insurance 13 1.2.1. Historical development 18 1.2.2. Autonomy 19 1.2.3. Social Benefits 23 1.2.4. Social Assistance 24 1.3. The role of Prevention/Health Promotion including rehabilitation with regard to both community settings and workplaces 26 1.3.1. Social Insurance 27 1.3.2. Federal State 27 1.3.3. Linder and local authorities 27 1.3.4. Rehabilitation 28 1.3.5. Health examinations and health promotion in Social Insurance 29 1.3.6. Public health service 33 1.3.7. Health forums on the level of Land and municipality 35 1.3.8. Austrian Network for Workplace Health Promotion 36 1.3.9. Health and Safety Act 36 1.3.10. Labour Constitution Act 37 1.3.11. Health Promotion Act 37 1.3.12. Federal Ministry for Social Security, Generations and Consumer Protection 39 1.3.13. Labour Market Service 40 1.3.14. Maintaining work ability - for Individuals, organisations and enterprises 41 1.4. Future perspectives and challenges for health promotion and prevention 42 2. Finland 45 2.1. Historical introduction 45 2.2. Statutory income security 46 2.2.1. Health insurance 46 2.2.2. Accident insurance 47 2.2.3. Unemployment benefits 47 2.2.4. Pensions 48 2.2.5. Housing 49 2.2.6. Local government income support 49 2.2.7. Other subsidies (family grants, students, conscripts, immigrants) 50 2.3. Statutory services 50 2.3.1. Health services 50 2.3.2. Social services 53 2.3.3. Employment services 53 2.3.4. Organisation of rehabilitation services 53 2.3.5. Occupational safety and health inspectorate 54 2.4. Collective agreements related to social protection 55 2.5. Other welfare organisations 55 2.6. Private insurance as a supplement to statutory social protection 55 2.7. Financing social protection 56 2.8. Prevention and health promotion carried out by the Social Insurance Institution 60 2.8.1. Kela's statutory basis and strategy 61 2.8.2. Kela's benefit system and its funding 61 2.8.3. The decision-making process involved in the provision of benefits 63 2.8.4. An overview of the involvement of the benefit system with prevention and health promotion 64 2.8.5. Other activities related to prevention and health promotion 69 2.9. Impacts of investment in prevention and health promotion through benefits and other means 72 2.10. Kela strategy on investing in prevention and health promotion 73 2.11. Future perspectives of health promotion in general, health promotion by social insurance and health promotion by the Social Insurance Institution 73 2.11.1. Health promotion development in governmental programmes 74 2.11.2. Social Insurance Sector 75 2.11.3. Kela 76 3. Germany 79 3.1. Basic elements and principles of the German Social Insurance System 79 3.1.1. The German social insurance system 79 3.2. The role of the Prevention Concept and Health Promotion, including rehabilitation, within the SifH Member System with regard to both community settings and workplaces 90 3.2.1. The role and tasks of the prevention concept, health promotion and rehabilitation in the statutory health insurance (GKV) 90 3.2.2. Priority tasks of the Federal Association of Company Health Insurance Funds (BKK) in the fields of prevention, health promotion and rehabilitation 92 3.2.3. The role and tasks of accident prevention, health promotion and rehabilitation in the field of statutory accident insurance 95 3.2.4. Successful prevention with the aid of insurance-based prevention services 101 3.2.5. Principal tasks of the umbrella organization HVBG in the fields of prevention, health promotion and rehabilitation (HVBG = Hauptverband der gewerblichen Berufsgenossenschaften / Federation of institutions for statutory accident insurance and prevention) 104 3.3. Future perspectives and challenges for health promotion and the prevention concept in Germany 109 4. Poland 117 4.1. General Social Security Model - Main Features 117 4.2. Social and health insurance benefits in Poland 118 4.3. Supplementary, voluntary social I health insurance schemes 119 4.4. Workplace health promotion - general features 119 4.4.1. Workplace health promotion - Main responsibilities of employers and employees under WHP legislation 119 4.4.2. Workplace health promotion - Main responsibilities of employers and employees under social I health insurance legislation 119 4.4.3. Workplace health promotion - Main responsibilities of employers and employees regarding the workplace environment 120 4.4.4. Public supervision and sanctions 120 4.4.5. Main features of occupational health services 121 4.4.6. Main features of sickness cash benefits and work injury benefits 121 4.5. Workplace Health Promotion - specific roles of social insurance institutions 122 4.5.1. Legal basis for accident prevention carried out by the Social Insurance Institution 123 4.5.2. The implementation of the work accident prevention programme and the legal responsibilities of the Social Insurance Institution 123 4.6. Workplace health promotion - EfH Member - Zaklad Ubezpieczen Spolecznych (ZUS) (Social Insurance Institution) 124 4.7. Medical rehabilitation 124 4.8. Workplace Health Promotion - Strategies and Practices Applied by the Social/Health Insurance Institution 126 5. Sweden 127 5.1. Basic elements and principles of the Swedish social security system and the role of prevention and health promotion 127 5.1.1. Social insurance 128 5.1.2. Collective agreement-linked insurance schemes 131 5.1.3. Private insurance schemes 132 5.1.4. Health services 132 5.1.5. Occupational health and safety 133 5.1.6. Employment services and vocational rehabilitation 134 5.1.7. Municipalities 135 5.1.8. Charity organisations 136 5.1.9. Benefits-in-kind in health promotion, rehabilitation and return to work 136 5.2. The role of prevention/health promotion Including rehabilitation within the SIFH member system both with regards to community settings and workplaces 137 5.2.1. The Swedish Social Insurance Agency administers the public sickness and work injury insurance scheme 137 5.2.2. Health promotion and prevention - the role of Social Insurance Offices 140 5.3. Future perspectives and challenges for health promotion and prevention 146 5.3.1. New goals and a new strategy 149 5.3.2. Co-operation of authorities to promote return to work of unemployed on sick leave 150 5.3.3. Results so far 150