Ilmarinen J
Finnish Institute of Occupational Health, Helsinki, Finland.
Med Lav. 2006 Mar-Apr;97(2):143-7.
The aim of this overview is to describe the background of work force ageing and its consequences in the society, to introduce concepts for the solutions, to emphasize the actions needed, to point out the new challenges for occupational health, to review the targets of work life improvements, and to highlight the new innovations needed. Work life must be lengthened for the sake of society. Early retirement and low employment rates of 55-64-years old employees make the dependency ratios an increasingly heavy burden. New innovations and concepts like promotion of work ability and age management training have been effective tools for the increase of employment rates and decrease of age discrimination in Finland. The increase of the prevalence and incidence rates of work-related symptoms and diseases during ageing is a serious challenge for occupational health experts. The better adjustments of the working life with the individual health is a crucial element for a longer career. The European working life has not improved markedly for workers over 45 years between 1996 and 2000. Therefore, evidence based concepts should be widely and effectively implemented and new innovations created. A better co-operation between macro-, meso and micro levels is necessary, social partners should create mutual programmes in work places and a new deal is needed between the generations. Life course approach combines the needs and possibilities of different generations. Age management takes into consideration the different strengths of the diverse work force.
本综述的目的是描述劳动力老龄化的背景及其在社会中的后果,介绍解决办法的概念,强调所需采取的行动,指出职业健康面临的新挑战,审视改善工作生活的目标,并突出所需的新创新。为了社会的利益,必须延长工作寿命。55至64岁员工的提前退休和低就业率使抚养比率成为日益沉重的负担。在芬兰,诸如促进工作能力和年龄管理培训等新创新和概念已成为提高就业率和减少年龄歧视的有效工具。老龄化过程中与工作相关的症状和疾病患病率及发病率的上升,对职业健康专家来说是一项严峻挑战。使工作生活与个人健康更好地相适应,是延长职业生涯的关键因素。1996年至2000年间,欧洲45岁以上劳动者的工作生活并未显著改善。因此,应以证据为基础的概念应得到广泛有效实施,并创造新的创新。宏观、中观和微观层面之间需要更好地合作,社会伙伴应在工作场所制定共同方案,各代人之间需要达成新的协议。生命历程方法将不同代人的需求和可能性结合起来。年龄管理考虑到不同劳动力的不同优势。