| WORKERS (DIRCECT & INDIRECT)- MEDICAL, NURSES, OS, ADMINISTRATIVE STAFF, CONTRACTORS |
Occupational Health and Safety |
Exposure to biological, chemical or physical risks |
How will this investment affect workers’ exposure to biological, chemical or physical risks ? |
The level of exposure to biological, chemical or physical risks remains substantially unchanged compared to the current situation. |
The investment significantly reduces or eliminates exposure to key risks (e.g. substitution of hazardous substances, full automation, advanced containment systems). |
The investment introduces improved engineering controls, safer processes or better risk segregation, reducing workers’ exposure. Hazardous tasks are partially automated or redesigned. |
Risks exposure slightly increases, or existing risks remain insufficiently mitigated; control measures are planned but not fully implemented or enforced. |
The investment increases exposure to hazardous substances or biological agents without introducing adequate control measures; new tasks or processes involve higher physical risks compared to the current situation. |
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Workload, shift patterns and fatigue |
How will this investment affect workload, shift patterns and fatigue |
Workload, shift patterns and fatigue levels remain broadly comparable to the current situation. |
The investment significantly improves work-life balance through optimized staffing, reduced overtime, shorter or more predictable shifts, and active fatigue management. |
The investment allows for improved shift organization, better staffing levels or workload redistribution. Measures are introduced to reduce excessive overtime or improve rest periods. |
Workload or shift patterns become more demanding, with limited mitigation measures. Staffing levels do not fully match the increased operational demands. |
The investment leads to longer working hours, increased overtime or more frequent night shifts without adequate staffing. Work intensity increases significantly, leading to higher fatigue or burnout risks. |
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Employment Conditions & Labor Rights |
Employment stability |
How will this investment affect the stability and security of employment contracts for direct workers? |
The structure and security of employment contracts will remain broadly unchanged. |
The investment significantly strengthens employment stability, converting temporary roles into permanent positions and reinforcing contractual protections. |
The investment increases the share of permanent or long-term contracts and improves job security for existing workers. |
Employment becomes less stable, with a higher share of temporary or fixed-term contracts and limited job security. |
The investment increases the use of informal contracts, or leads to layoffs of permanent staff without adequate protection. |
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Fair wages and benefits |
How will this investment affect wages and employment benefits for direct workers? |
Wage levels and benefits will remain broadly unchanged as before the investment. |
The investment significantly raises wages and benefits, ensuring fair pay, improved social protection and equitable treatment across the workforce. |
The investment improves wages or benefits for part of the workforce or introduces additional non-wage benefits. |
Wages or benefits do not keep pace with increased responsibilities or cost of living, or benefits are reduced for some workers. |
The investment leads to wage reductions, loss of benefits, or increased wage inequality among workers. |
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Working hours and overtime |
How will this investment affect working hours, overtime and compliance with legal limits? |
Working hours, overtime practices and legal compliance will remain broadly unchanged |
The investment optimizes staffing and scheduling, significantly reducing overtime and fully ensuring legal and contractual compliance. |
The investment improves compliance with working hour limits and reduces excessive overtime. |
Working hours increase or overtime becomes more frequent, with limited controls or compensation. |
The investment results in excessive working hours, systematic overtime or non-compliance with legal limits. |
| HEALTHCARE USERS / BENEFICIARIES - PATIENTS, CLIENTS, RELATIVES |
Access & Quality to Health Services |
Accessibility |
How will this investment affect users’ access to health services? |
Users’ access to health services will remain broadly unchanged compared to the current situation. |
The investment significantly improves equitable access to health services, especially for vulnerable or underserved groups, by reducing financial, physical or informational barriers. |
The investment improves access for part of the population, for example through extended opening hours, improved physical access, or reduced waiting times. |
Access becomes more difficult for some users due to moderate increases in cost, distance, waiting times, or administrative complexity. |
The investment creates new barriers to access, such as higher costs, reduced service availability, longer waiting times, or exclusion of vulnerable groups. |
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Quality of services |
How will this investment affect the quality of health services provided to users? |
The quality of health services will remain broadly unchanged compared to the current situation. |
The investment significantly enhances quality and safety of care, including improved standards, continuity, and patient outcomes. |
The investment improves service quality in specific areas, such as better infrastructure, equipment, or service organization. |
Service quality is negatively affected in some areas, for example due to increased workload, insufficient staffing, or reduced standards. |
The investment leads to a deterioration in service quality, safety, or continuity of care. |
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Users's rights and Privacy |
How will this investment affect the protection of users’ rights and privacy? |
Protection of users’ rights and privacy will remain broadly unchanged compared to the current situation. |
The investment significantly enhances users’ rights and privacy, ensuring robust data protection, transparency, informed consent and dignity in service delivery. |
The investment strengthens respect for users’ rights and privacy, for example through clearer consent procedures or improved data protection measures. |
Users’ rights or privacy protections are partially compromised or insufficiently addressed under the new investment. |
The investment weakens protection of users’ rights or privacy, increasing risks of misuse of personal or health data, or limiting informed consent. |
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Family Impacts |
Time burden for caregivers/family |
How will this investment affect the time burden for caregivers or family members? |
The time burden for caregivers and family members will remain broadly unchanged compared to the current situation. |
The investment significantly reduces the time burden for caregivers and family members through systemic improvements, such as highly accessible services, integrated care models, digitalization of procedures, or comprehensive support mechanisms that substantially decrease caregiving time and effort. |
The investment reduces the time burden for caregivers, for example through improved service availability, proximity, efficiency, or the introduction of support and respite measures. |
Caregivers experience a moderate increase in time commitments, with limited mitigation measures such as flexible schedules or support services. |
The investment increases the time burden for caregivers or family members, for example due to longer care needs, reduced availability of services, or increased administrative requirements, without adequate support measures. |
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Travel/financial cost for caregivers |
How will this investment affect travel time and financial costs for caregivers or family members? |
Travel requirements and financial costs for caregivers remain broadly unchanged compared to the current situation. |
The investment substantially reduces travel time and financial costs for caregivers and family members, for example through decentralized or home-based services, full cost coverage or subsidies, and optimized service location and transport solutions. |
The investment reduces travel time or financial costs for caregivers, for example through decentralized services, subsidies, or improved transport and affordability measures. |
Travel time or costs moderately increase, with limited compensation or affordability measures in place. |
The investment significantly increases travel time or financial costs for caregivers or family members, for example due to service centralization, higher fees, or lack of financial support. |
| LOCAL COMMUNITIES |
Community health and safety |
Health risk, security, adverse enviornmental exposure |
How will this investment affect community health and safety, including health risks, security, and exposure to environmental hazards? |
Community health and safety conditions remain broadly unchanged compared to the current situation. |
The investment leads to a substantial improvement in community health and safety by significantly reducing exposure to environmental hazards, improving security conditions, and introducing comprehensive prevention and mitigation measures that result in a net positive impact on community health outcomes. |
The investment reduces community health or safety risks, for example through improved infrastructure, environmental controls, traffic management, or enhanced security measures. |
Community health or safety risks moderately increase, or mitigation measures are insufficient or inconsistently applied. |
The investment increases health or safety risks for the community, including higher exposure to pollution, hazardous materials, traffic, noise, or security risks, without adequate mitigation measures. |
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Community wellbeing and social cohesion |
impact on life quality, worklife-balance, social coehsion |
How will this investment affect community wellbeing, quality of life, work–life balance, and social cohesion? |
Quality of life, work–life balance, and social cohesion remain broadly unchanged compared to the current situation. |
The investment generates a significant positive transformation in community wellbeing and social cohesion, improving quality of life, strengthening social networks, reducing inequalities or stress factors, and supporting sustainable work–life balance at a community-wide level. |
The investment contributes positively to community wellbeing and social cohesion, for example by improving services, reducing stress factors, supporting work–life balance, or strengthening social interactions. |
Community wellbeing or social cohesion is negatively affected in some areas, with limited measures to mitigate social impacts. |
The investment significantly undermines quality of life or social cohesion, for example by increasing stress, inequalities, social tensions, or disrupting community networks and daily life. |
