Documentos de Académico
Documentos de Profesional
Documentos de Cultura
OHS/The Netherlands development from a professional to a market market regime (Andr Weel & Nico Plomp)
First period 1920 1980 Medical OH services. Drive from large
industrial corporations and government to arrange medical services for workers Second period 1980 1994 Multidisciplinary OH services. Services became advisory bodies with an enlarged scope of tasks. Legal and economic experts on boards of management. Occupational physicians, occupational hygienists, safety engineers and organizational advisers on service teams. Third period 1994 1999 Commercial services. Service units transformed into business organizations. New commercial OH providers emerging and sharp competition on health market. Insurance companies and private investors enter stage as owners Fourth period 1999 2006 Lost monopolies Incentives to invest in rehabilitation and prevention strengthened. Return to work programmes and sickness absence management in demand by client companies.
OHS France on the rails from occupational medicine towards occupational health (Gabriel Paillereau)
Arrangement of access to OHS services at compulsory for employers (who pay the costs) Dominant role of OH physician as advisor in all OH matters and adaptation or development of working conditions. Heavy load of annual medical examinations of all employees for assessment of work ability Cardinal changes following a Government decree of July 2004: - medical examinations reduced to examinations every second year - OccupPhysicians dominance challenged in introducing a new professional category occupational hazard prevention operative - Occupational Health Plan 2005-2009 implying strengthening of surveillance and monitoring functions and establishing new administrative central and regional structures for these tasks - Planning of regional multidisciplinary research centres Transformation has caused and is still causing a good deal of heat
OHS Finland (Matti Lamberg, Kaj Husman & Timo Leino) - the cornerstones
Government development strategy for OHS during 2002 2015 OHS objectives to promote health and work capacity, to increase attractiveness of working life, to prevent and treat social exclusion and to provide functioning services and reasonable income security Employers obligation to organise and pay for preventive services for all workers. This may be done in different ways Employers are reimbursed for up to 50 % of approved OH service costs from sickness reimbursement funds OHS main tasks to prevent work-related illnesses and accidents, to raise level of health and safety at work, to improve health, working ability and functional capacity of employees at all stages of their work careers, to promote the functioning of the work community Legislative regulation of management and surveillance of national plan and subsidiary plans addressing vocational training, competence development matters and research Finnish OH system based on firm political determined commitment
OHS Denmark Rise and fall of preventive services (Anders Kabel, Peter Hasle and Hans-Jrgen Limborg)
Before 2001, OHS organisations/units provided services oriented towards OH needs of prevention. Basis: Employers legal obligation. Structure: Bipartite management of service units. Requirements of competencies and a quality system with programme for evaluations After 2001, consequent to post-election change of government : - obligation of employers to organise OHS affiliation annulled - OH surveillance to be enforced by Labour Inspectorate issueing notice for improvement. - Notices for improvement may include referral to OH service units for assistance in complying with requirements of Labour Insp. - Companies with a Danish certificate on work environment or British OHSAS 1800 are exempt from inspections Earlier OHS units may be authorised to provide consulting services on Working Environment issues. On market also others offering similar type of services. Consequences: Significant decrease of OHS service units in market and availability of OH professionals
OHS Sweden - Example of OHS unit Programme Document - Chief Occup. Physician Johnny Johnsson, StoraEnso Inc. Forss, Sweden)
Prevention of work-related disease and illness Promotion and restitution of health Development of the working environment Improvement of work capacity, motivation and performance of staff
Supplement jontly with company Safety Dept Support of business activities and strategies for Human Resource Management Client orientation and generation of added value for the company in general
Source: Chief Physician Carola Lemne MD Hospital Manager of Danderyds University Hospital Karolinska Institutet, Stockholm
Commitment and governance of the state with regard to OHS? Role models of OHS organisations. Agents of public health?, Commercially based organisations in a health market? Required competencies of OHS organisations in meeting expectations of the state or those of clients in the market? Conception of service quality and its development in OHS. Whose quality? Quality of customers/clients ? Quality as understood by health professionals? Quality implying cost-efficiency ? Implications of market mechanisms in OHS organizations operating as market actors? Strategies for evaluating the effectiveness and health impact of OHS?
This is it
Thank you for your attention !!! Peter Westerholm