DOI QR코드

DOI QR Code

Occupational Health: Meeting the Challenges of the Next 20 Years

  • Harrison, John (National School of Occupational Health, Health Education England) ;
  • Dawson, Leonie (National School of Occupational Health, Health Education England)
  • Received : 2015.07.08
  • Accepted : 2015.12.08
  • Published : 2016.06.30

Abstract

Background: The industrial revolution that took place in the United Kingdom (UK) between 1760 and 1830 led to profound social change. Occupational medicine was concerned with the diagnosis, treatment, and prevention of occupational diseases, that is, diseases directly caused by exposure to workplace hazards. A similar pattern of development has occurred globally. Methods: A review of relevant literature. Results: The international conceptualization and development of occupational health occurred during the 20th century. A new paradigm for occupational health has emerged that extends the classical focus on what might be termed "health risk management" that is, the focus on workplace hazards and risk to health to include the medical aspects of sickness absence and rehabilitation, the support and management of chronic noncommunicable diseases, and workplace health promotion. Conclusion: The future strategic direction for occupational health will be informed by a needs analysis and a consideration of where it should be positioned within future healthcare provision. What are the occupational health workforce implications of the vision for occupational health provision? New challenges and new ways of working will necessitate a review of the competence and capacity of the occupational health workforce, with implications for future workforce planning.

Keywords

References

  1. Harrison J. Occupational safety and health in the United Kingdom: securing future workplace health and wellbeing. Ind Health 2012;50:261-6. https://doi.org/10.2486/indhealth.MS1376
  2. Meiklejohn A. Charles Turner Thackrah: the effect of arts, trades and professions on health and longevity, with an introductory essay on his life, work and times. Edinburgh (Scotland): E and S Livingstone; 1957.
  3. International Labour Organisation (ILO). C161 Occupational Health Services Convention (No. 161) [Internet]. Geneva (Switzerland): ILO. 1985 [cited 2015 Jan 10]. Available from: http://www.ilo.org/dyn/normlex/en/f? p=NORMLEXPUB:12100:0::NO::P12100_ILO_CODE: C161.
  4. World Health Organisation (WHO). WHO definition of health [Internet]. 1948 [cited 2015 Apr 1]. Available from: http://who.int/about/definition/en/print.html.
  5. World Health Organisation (WHO). Workplace health protection and promotion in the policy and practice of social and health insurance institutions. [Internet]. Report on a WHO Meeting, 1999 Oct 21-22. Bilthoven (Netherlands). 1999 [cited 2015 Apr 1]. Available from: http://www.who.int/ occupational_health/regions/en/oeheurworkplaceprotect.pdf.
  6. World Health Organisation (WHO). 5 Keys to Healthy Workplaces. WHO global model for action [Internet]. 2011 [cited 2015 Feb 25]. Available from: http://www.who.int/occupational_health/5_keys_EN_web.pdf?ua=1.
  7. MacLeod D, Clarke N. Engaging for success: enhancing performance through employee engagement. A report to Government. Department for Business, Innovation and Skills, UK Government [Internet]. 2009 [cited 2015 Apr 1]. Available from: http://webarchive.nationalarchives.gov.uk/20090609003228/ http://www.berr.gov.uk/files/file52215.pdf.
  8. Kivimaki M, Head J, Ferrie JE, Shipley MJ, Vahtera J, Marmot MG. Sickness absence as a global measure of health: evidence from mortality in the Whitehall II prospective cohort study. BMJ 2003;327:364. https://doi.org/10.1136/bmj.327.7411.364
  9. Organisation for Economic Cooperation and Development. Sickness, disability and work-keeping on track in the economic downturn [Internet]. Background paper for the high level forum. Stockholm (Sweden): 2009 May 14-15. 2009 [cited 2015 Feb 23]. Available from: http://www.oecd.org/employment/ emp/42699911.pdf.
  10. Black F, Frost D. Health at work-an independent review of sickness absence. Department of Work and Pensions [Internet]. 2011 [cited 2015 Feb 25]. Available from: https://www.gov.uk/government/uploads/system/uploads/ attachment_data/file/181060/health-at-work.pdf.
  11. Waddell G, Burton KA, Kendall NAS. Vocational rehabilitation-what works for whom and when? [Internet]. London (UK): The Stationary Office. 2008 [cited 2015 Feb 25]. Available from: https://www.gov.uk/government/ uploads/system/uploads/attachment_data/file/181060/health-at-work.pdf.
  12. Aging in the American Workforce. Wikipedia [Internet]. 2016 [cited 2015 Feb 25]. Available from: http://en.wikipedia.org/wiki/Aging_in_the_American_ workforce.
  13. Meeting the challenge of Europe's ageing workforcedThe Public Employment Service response [Internet]. 2011 [cited 2015 Feb 25]. Available from: file:///C:/Users/John%20Harrison/Downloads/HoPES_Meeting_Challenges_Aging_ Workforce_EN[1][1]%20(1).pdf.
  14. Vernon K. Ageing: impact on companies in Asia. Community Business [Internet]. 2010 [cited 2015 Apr 4]. Available from: http://www. communitybusiness.org/images/cb/publications/2010/Ageing.pdf.
  15. World Health Organisation (WHO). Active ageingdA policy framework [Internet]. Madrid (Spain): WHO. 2002 [cited 2015 Feb 25]. Available from: http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf?ua=1.
  16. Healthy workplacesda global model for action [Internet]. 2011 [cited 2015 Feb 25]. Available from: http://www.who.int/occupational_health/ healthy_workplaces/en/.
  17. World Health Organisation. Workers' health: global plan of action. World Health Organisation, Sixtieth World Health Assembly [Internet]. 2007 May 23 [cited 2015 Mar 02]. Available from: http://www.who.int/occupational_ health/WHO_health_assembly_en_web.pdf?ua=1.
  18. World Health Organisation (WHO). Global health risks: mortality and burden of disease attributable to major risks. [Internet]. Geneva (Switzerland): WHO. 2009 [cited 2015 Mar 02]. Available from: http://www.who.int/healthinfo/ global_burden_disease/GlobalHealthRisks_report_Front.pdf?ua=1.
  19. Harnois G, Gabriel P. Mental health and work: impact, issues and good practices. In: [Internet]. In: Nations for Mental Health [Internet]. Geneva (Switzerland): World Health Organisation and International Labour Organisation; 2000 [cited 2015 Mar 02]. Available from: http://www.who.int/ mental_health/media/en/712.pdf.
  20. International Labour Organisation. The prevention of occupational diseases: world day for safety and health at work. [Internet]. 2013 Apr 28 [cited 2015 Mar 02]. Available from: http://www.ilo.org/wcmsp5/groups/public/-ed_ protect/-protrav/-safework/documents/ presentation/wcms_207663.pdf.
  21. Neira M. Healthy workplaces: a model for action [Internet]. 2011 [cited 2015 Apr 04]. Available from: http://www.who.int/occupational_health/ publications/launch_hwp_22april.pdf.
  22. Declaration of Alma-Ata International Conference on Primary Health Care [Internet]. 1978 Sep 6-12; Alma-Ata, USSR; 1978 [cited 2015 Apr 04]. Available from: http://www.who.int/publications/almaata_declaration_en.pdf.
  23. Rantanen J. Basic occupational health services [Internet]. 2007 [cited 2015 Apr 04]. Available from: http://www.ttl.fi/en/publications/Electronic_ publications/Documents/BOHS3Edition28Sept2007_3_.pdf.
  24. Global strategy on occupational health for all: the way to health at work: recommendation of the second meeting of the WHO Collaborating Centres in Occupational Health, Beijing, China, 1994 Oct 11-14 [Internet]. Geneva (Switzerland): World Health Organisation. [cited 2015 Mar 27]. Available from: http://www.who.int/occupational_health/publications/globstrategy/en/ index6.html.
  25. Diamond J, Somers A, Garreau M, Martin D. New health professionals network: the future face of medicine. Nurs Leadership 2005;18:44-6. https://doi.org/10.12927/cjnl.2005.17833
  26. Rantanen J. BOHS 5; Risk assessment. Finnish Institute of Occupational Health [Internet]. 2009 [cited 2015 Apr 10]. Available from: http://www.ttl.fi/en/ publications/Electronic_publications/Documents/BOHS_5_FIII%20indd.pdf.
  27. Westerholm P. Occupational health services in eleven countries. In: presentation to Institution of Occupational Safety and Health (IOSH) conference, Cardiff, 2007. Thereafter published as Supporting health at work: an international perspectives on occupational health services [Internet]. IOSH. 2007 [cited 2015 Apr 10]. Available from: www.cardiff.ac.uk/cwerc/events/ seminar1/Peter%20Westerholm.ppt.
  28. Hoefsmit N, Houkes I, Nijhuis F. Intervention characteristics that facilitate return to work after sickness absence: a systematic literature review. J Occup Med 2012;22:462-77.
  29. Auty A. BackCare and work. BackCare J 2009:18-22.
  30. Graeve C, McGovern P, Nachreiner NM, Ayers L. Establishing the value of occupational health nurses' contribution to worker health and safety: a pilot test of a user-friendly estimation tool. Workplace Health Saf 2014;62:36-41.
  31. Business in the Community. Workwell model [Internet]. 2011 [cited 2015 Apr 4]. Available from: http://www.bitc.org.uk/programmes/wellbeing/workwellmodel.
  32. Weinger M. Guidelines for human resources planning in environmental and occupational health. Geneva (Switzerland): World Health Organization; 1997.
  33. The Council for Work and Health. Planning the future: delivering a vision of good work and health in the UK for the next 5e20 years and the professional resources to deliver it [Internet]. 2014 [cited 2015 Mar 31]. Available from: https://www.som.org.uk/fileadmin/user_upload/Office/docs/Planning_the_ Future-OH_and_its_Workforce-April_2014.pdf.
  34. Macdonald EB, Sanati KA. Occupational health services now and in the future: the need for a paradigm shift. J Occup Environ Med 2010;52:1273-7. https://doi.org/10.1097/JOM.0b013e3181f7cbf0

Cited by

  1. Ethics and Occupational Health in the Contemporary World of Work vol.15, pp.8, 2016, https://doi.org/10.3390/ijerph15081713
  2. The importance of chronic pain education and awareness amongst occupational safety and health professionals vol.12, pp.None, 2016, https://doi.org/10.2147/jpr.s202041
  3. Applying a longitudinal tracer methodology to evaluate complex interventions in complex settings vol.28, pp.4, 2016, https://doi.org/10.1080/1359432x.2019.1598973
  4. Environmental monitoring and the developmental origins of health and disease vol.10, pp.6, 2019, https://doi.org/10.1017/s2040174419000151
  5. Effects of Occupational Hazards on Job Stress and Mental Health of Factory Workers and Miners: A Propensity Score Analysis vol.2020, pp.None, 2016, https://doi.org/10.1155/2020/1754897
  6. Carbamazepine, cadmium chloride and polybrominated diphenyl ether-47, synergistically modulate the expression of antioxidants and cell cycle biomarkers, in the marine fish cell line SAF-1 vol.154, pp.None, 2016, https://doi.org/10.1016/j.marenvres.2019.104844
  7. Evaluation and comparison of the Chinese policy context for safety-related psychological health in the workplace: Realities, gaps and challenges vol.67, pp.None, 2016, https://doi.org/10.1016/j.jlp.2020.104217
  8. Potential Scenarios and Hazards in the Work of the Future: A Systematic Review of the Peer-Reviewed and Gray Literatures vol.64, pp.8, 2016, https://doi.org/10.1093/annweh/wxaa051
  9. Prevalence and predictors of work-related musculoskeletal disorders among workers of a gold mine in south Kivu, Democratic Republic of Congo vol.21, pp.1, 2016, https://doi.org/10.1186/s12891-020-03828-8
  10. Development of a Conceptual Framework for Occupational Safety and Health in Palestinian Manufacturing Industries vol.18, pp.3, 2021, https://doi.org/10.3390/ijerph18031338
  11. State of science: the future of work - ergonomics and human factors contributions to the field vol.64, pp.4, 2016, https://doi.org/10.1080/00140139.2020.1841308
  12. Examining Organizational, Cultural, and Individual-Level Factors Related to Workplace Safety and Health: A Systematic Review and Metric Analysis vol.36, pp.5, 2016, https://doi.org/10.1080/10410236.2020.1731913
  13. Unemployment and mental health in a community population from a border city in Mexico vol.69, pp.3, 2021, https://doi.org/10.3233/wor-213527