Ewan B Macdonald1, Kaveh A Sanati. 1. Healthy Working Lives Group, Public Health and Health Policy Section, University of Glasgow, Glasgow, Scotland. ewan.macdonald@glasgow.ac.uk
Abstract
OBJECTIVE: Occupational health services (OHS) evolved in response to the needs of hazardous industries and on the premise that work was harmful. In the developed world, most of these industries have disappeared, and classical occupational diseases are uncommon. EVIDENCE: The evidence now is that most work is safe and safe work is good for health. Access to OHS is inconsistent, and there is no continuity of care for workers who move to another employer or leave work because of ill health. CONSENSUS PROCESS: OHS therefore care for survivor populations and generally those in large enterprises who need OHS the least. From a societal viewpoint, OHS are not fit for purpose. They have not adapted to the evolving small business and more informal work sector. The health impact of long-term worklessness is large and the workless need access to the competencies of OHS. CONCLUSION: In the future, OHS should develop to meet the needs of the working-age population and to maximize the functional capacity.
OBJECTIVE: Occupational health services (OHS) evolved in response to the needs of hazardous industries and on the premise that work was harmful. In the developed world, most of these industries have disappeared, and classical occupational diseases are uncommon. EVIDENCE: The evidence now is that most work is safe and safe work is good for health. Access to OHS is inconsistent, and there is no continuity of care for workers who move to another employer or leave work because of ill health. CONSENSUS PROCESS: OHS therefore care for survivor populations and generally those in large enterprises who need OHS the least. From a societal viewpoint, OHS are not fit for purpose. They have not adapted to the evolving small business and more informal work sector. The health impact of long-term worklessness is large and the workless need access to the competencies of OHS. CONCLUSION: In the future, OHS should develop to meet the needs of the working-age population and to maximize the functional capacity.
Authors: Jose M Ramada; Consol Serra; Benjamin C Amick; Femke I Abma; Juan R Castaño; Gemma Pidemunt; Ute Bültmann; George L Delclos Journal: J Occup Rehabil Date: 2014-12
Authors: Judith Brown; Evangelia Demou; Madeleine Ann Tristram; Harper Gilmour; Kaveh A Sanati; Ewan B Macdonald Journal: BMC Public Health Date: 2012-05-03 Impact factor: 3.295
Authors: Leena Ala-Mursula; Jessica L Buxton; Ellen Ek; Markku Koiranen; Anja Taanila; Alexandra I F Blakemore; Marjo-Riitta Järvelin Journal: PLoS One Date: 2013-11-20 Impact factor: 3.240
Authors: Jantien van Berkel; Agnes Meershoek; Rien M J P A Janssens; Cécile R L Boot; Karin I Proper; Allard J van der Beek Journal: BMC Public Health Date: 2014-05-16 Impact factor: 3.295