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Last updated: 7 July 2026

Disability and chronic disease

A disability or chronic disease is broadly defined as a continuing health condition that limits a person’s daily activities or their ability to interact with the world around them on an equal basis with others. As the EU’s population is ageing, the number of those living with disabilities or chronic health conditions is rising. For the many Europeans with a disability or chronic disease, there are many obstacles that prevent them from participating fully in everyday life, and access to the labour market remains one of the main challenges. Promoting the active inclusion and rights of persons with disabilities or chronic diseases in society is a priority for the EU agenda.

Find the latest content on this topic below.

7 July 2026
Disability employment policy tools for engaging employers - Background paper
This background paper looks at the EU policy context regarding the labour market participation of persons with disabilities, reviews the main barriers behind the disability employment gap and outlines policy tools and workplace practices supporting their employment, retention and career development.
Daphne Ahrendt+2
Customised report
12 November 2025
Paths towards independent living and social inclusion in Europe for people with a disability - Background paper
This background paper looks at the EU policy context regarding deinstitutionalisation for people with long-term care needs, analyses trends and outlines strategies supporting independent living.
Marie Hyland+2
Customised report
4 February 2025
Respondents with disabilities hit harder by unmet medical needs
Eurofound’s 2024 e-survey shows that people with disabilities in Europe are more than twice as likely as others to face unmet medical needs, with 40% reporting barriers in accessing healthcare. Financial situation, age, employment status and limited transport, especially in rural areas, are among the main reasons, underscoring persistent inequalities despite EU commitments to equal treatment.
Daphné Chédorge-Farnier+1
Article

Poor mental health affects a large proportion of people with disabilities and requires urgent attention to reduce the widespread risk of depression among this group of citizens.

People with disabilities report more difficulty in making ends meet, greater financial fragility and higher arrears than people without disabilities. Boosting their labour market participation is critical to address this large gap in financial situation.

Labour market participation remains a challenge for people with disabilities – and this was compounded by COVID-19. A variety of obstacles – ranging from disability-related stereotypes to a lack of a strategic vision in governance – make employment in the open labour market more difficult for people with disabilities.

Labour market support measures must take account of disability and tailor policy responses to support the inclusion of people with disabilities in employment. All actors – governments, employers and NGOs representing the voices of people with disabilities – play an important role in the provision of support.

While supporting and promoting the labour market participation of people with disabilities is crucial, adequate and inclusive social protection mechanisms also need to be put in place to ensure support is available for all people with disabilities, irrespective of their employment status.

Health and income inequality are closely linked, with people in the lowest income quintile almost three times as likely to have a disability as people in the top 20%. During the pandemic, inequality in access to health services by income also increased: in 2020, the risk of having an unmet medical need for people in the lowest income quintile was 5.4 times higher than those in the top 20%, highlighting how policies focusing on reducing income inequalities can also reduce health inequalities.

Drawing on data from the European Quality of Life Survey (EQLS) and the European Working Conditions Survey (EWCS), alongside other research, Eurofound studies the inequalities and challenges people with disabilities face and the policy approaches that could be explored. 

Data from the Living and Working in the EU e-survey puts light on the situation of people with disabilities during the pandemic, comparing their situation in relation to access to healthcare, mental well-being, financial situation and optimism about the future. 

Research also examines the policy developments in EU Member States aimed at supporting the inclusion of people with disabilities in the open labour market, with a particular focus on the three stages of entering into employment, staying in the job and returning to work after an absence. It explores the mechanisms and effectiveness of policy measures in place before the pandemic, and provides an updated analysis of early policy measures created in the wake of the pandemic. 

 

Other research has covered a range of topics: 

  • Long-term care workforce, mapping the working conditions and the nature of employment and role of collective bargaining in the sector, and highlighting the importance of the workforce in improving the quality of life and employment prospects of older people and people with disabilities

  • Access to care services such as early childhood education and care, healthcare and long-term care, covers the issue of access to these services for people with disabilities and also focuses on early childhood education and care for children with disabilities and special educational needs

  • How to respond to chronic health problems in the workplace, examining the prevalence of chronic disease, the impact on ability to work, the extent that workplaces are making adjustments for workers and the effect of that on job quality and sustainability of work

  • Social and employment situation of people with disabilities, looking at changes over time in employment, education and training, participation in society, social protection and healthcare, all priority areas of the European Disability Strategy

  • Employment opportunities for economically inactive people, who find it difficult to enter or re-enter the labour market and the reasons why

  • Employment opportunities for people with chronic diseases, such as cardiovascular disease, cancer, chronic respiratory disease, diabetes, multiple sclerosis, arthritis and mental health problems

  • Active inclusion of young people with disabilities or health problems, a group facing particular difficulties in accessing employment, with an emphasis on assessing the implementation of active inclusion policy at national level

On 3 March 2021, the European Commission presented its Strategy for the Rights of Persons with Disabilities 2021–2030. Building on the previous 10-year strategy 2010–2020, it aims to ensure that persons with disabilities can fully participate in society on an equal basis with others. While there has been progress in past decades in access to healthcare, education, employment, recreation activities and participation in political life, a lot remains to be done to remove barriers. It sets out key initiatives under three main themes: EU rights; independent living and autonomy; non-discrimination and equal opportunities. As a flagship initiative in 2022, the Commission presented a package to improve labour market outcomes of persons with disabilities. And in 2024, political agreement was reached on the Commission’s proposal for a Directive establishing the European Disability Card and the European Parking Card for persons with disabilities.

The disability strategy contributes to the European Pillar of Social Rights Action Plan, presented by the Commission on 4 March 2021. The Pillar, formally proclaimed by the EU institutions in November 2017, reflects a joint commitment to providing a healthy, safe and well-adapted work environment for workers in the EU. It emphasises the right to equal treatment and opportunities regarding employment, social protection, education, and access to goods and services available to the public, regardless of disability. 

The 10-year strategy provides the framework to support actions at EU and Member State level to implement the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), adopted by the UN in 2006.

This is a selection of the most important outputs for this topic.

Researchers at Eurofound provide expert insights and can be contacted for questions or media requests.

Daphne Ahrendt

Senior research manager
Social policies research

Daphne Ahrendt is a senior research manager in the Social Policies unit at Eurofound. She is the coordinator of the survey management and development activity. In 2020, she initiated Eurofound’s Living and Working in the EU e-survey and now leads the 2026 European Quality of Life Survey, which she has worked on since the survey started in 2003. With over 30 years of experience in international survey research, she is also a member of the GESIS Scientific Advisory Board. Beyond surveys, her substantive research focuses on social cohesion, trust and the inclusion of persons with disabilities. Daphne started her career at the National Centre for Social Research in London where she worked on the International Social Survey Programme before moving to the Eurobarometer Unit at the European Commission. She holds a Master's degree in Criminal Justice Policies from the London School of Economics and a Bachelor's degree in Political Science from San Francisco State University.

Oscar Vargas Llave

Senior research manager
Working life research

Oscar Vargas Llave is a senior research manager in the Working Life unit at Eurofound and manages projects on changes in the world of work and the impact on working conditions and related policies: organisation of working time, remote work, the right to disconnect, health and well-being and ageing. Before joining Eurofound in December 2009, he worked as project coordinator in the field of health and safety and was responsible for the Professional Card Scheme for the Construction Sector in Spain at the non-profit Fundación Laboral de la Construcción in Madrid. He has a background in industrial sociology (Universidad Pontificia de Salamanca), and also holds a Diploma in Social Science Research Methods from the University of Cardiff and a Master’s degree in Health and Safety from the Autonomous University of Madrid.

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