The impact of the introduction of market incentives on occupational health services and occupational health professionals: Experiences from The Netherlands

Health Policy ◽  
2008 ◽  
Vol 88 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Harmen Nico Plomp
2006 ◽  
Vol 13 (5) ◽  
pp. 515-530 ◽  
Author(s):  
Anne Heikkinen ◽  
Gustav Wickström ◽  
Helena Leino-Kilpi

The aim of this study was to gain a deeper understanding of privacy in occupational health services. Data were collected through in-depth theme interviews with occupational health professionals (n=15), employees (n=15) and employers (n=14). Our findings indicate that privacy, in this context, is a complex and multilayered concept, and that companies as well as individual employees have their own core secrets. Co-operation between the three groups proved challenging: occupational health professionals have to consider carefully in which situations and how much they are entitled to release private information on individual employees for the benefit of the whole company. Privacy is thus not an absolute right of an individual, but involves the idea of sharing responsibility. The findings open up useful new perspectives on ethical questions of privacy and on the development of occupational health practices.


2008 ◽  
Vol 59 (3) ◽  
pp. 171-181 ◽  
Author(s):  
Helena Palmgren ◽  
Päivi Jalonen ◽  
Simo Kaleva

Health Education and Communication in Occupational Health Services in FinlandThis article discusses health education and communication in Occupational Health Services (OHS) based on a questionnaire study conducted in Finnish OHS in 2005. The study focused on educational activities carried out by OH professionals and directed at individual employees, work communities and groups, and representatives of client organisations. The questionnaire was sent to 1132 OH professionals - physicians, nurses, physiotherapists and psychologists - working in 130 OHS units, and representing different OHS providers in Finland. 635 respondents (162 physicians, 342 nurses, 96 physiotherapists, 35 psychologists) returned the questionnaire. The overall response rate was 58 %. There were statistically significant differences in educational activities by different professional groups; differences were also related to the length of working experience in OHS. For all OH professionals, individual employees were the primary clients of health education and communication. Education was less often directed at work communities and representatives of client organisations. However, many issues related to health and well-being at work are not within the reach of individual employees. The impact of health education would be more evident if it also reached those organisational stakeholders with discretion in decision-making. Furthermore, OH personnel should pay attention to the social aspect of learning and work more with groups and work communities.


1980 ◽  
Vol 10 (2) ◽  
pp. 217-232 ◽  
Author(s):  
Giorgio Assennato ◽  
Vicente Navarro

This article sets forth a historical and current analysis of (a) the occupational health services in Italy; and (b) the political, economic, and social forces that determined them. Special focus is placed on the analysis of the events leading to the establishment in 1969 of forms of direct democracy at the workplace, i.e. workers' committees, and their consequences for the occupational health services. Also described and analyzed are the responsibilities and modus operandi of these committees in the creation and reproduction of scientific knowledge at the point of production. The relationship between the workers' committees, the “experts,” and the institutions of medicine, as well as that between the workers' committees, political parties, and the trade unions, is also discussed. An update on the impact that recent political developments have had on these workers' committees concludes the article.


1999 ◽  
Author(s):  
P. Kalliokoski ◽  
J. Kangas ◽  
M. Kotimaa ◽  
K. Louhelainen

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