Managing Employability and Inclusion for Workers with Chronic Illness: Sustainable Work Participation
Lucía I Llinares-Insa1, Esther Gracia-Grau2, Amparo Caballer-Hernández2
1Department of Social Psychology, Universitat de València, Valencia, Spain.
Journal of Occupational Rehabilitation
|July 20, 2026
Summary
People with chronic illnesses face significant employment barriers due to pain and cognitive issues. Current workplace systems often fail to accommodate fluctuating health conditions, hindering inclusion and well-being.
Area of Science:
- Social Sciences
- Health Sciences
- Occupational Health
Background:
- Employment is crucial for social inclusion and well-being.
- Individuals with chronic illnesses encounter significant barriers to employment.
- There is a need for research on employment challenges for those with chronic conditions.
Purpose of the Study:
- To analyze barriers to employment access and maintenance for people with chronic illnesses.
- To investigate how inclusive employment policies affect labor market participation.
Main Methods:
- Study involved 98 Spanish adults with immune-mediated inflammatory diseases (IMIDs).
- Employed a mixed-methods approach combining quantitative surveys and qualitative data.
Main Results:
- Chronic pain, cognitive impairment, and poor workplace adjustments impact work stability.
- Participants experienced exhaustion, lack of understanding from colleagues, and reduced employability.
- Structural issues like rigid schedules and inadequate job adaptations increase exclusion.
Conclusions:
- Existing employment policies and practices need reevaluation for chronic illness inclusion.
- Employers and policymakers should foster flexible work, adapt job design, and raise awareness of fluctuating conditions.
- Sustainable and equitable labor market participation requires these changes.
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