Myers J E, Macun I
Department of Community Health, University of Cape Town.
S Afr Med J. 1991 Nov 16;80(10):504-7.
Recent events in South Africa have spurred policy thinking in many areas, including occupational health. Strategic thinking needs to take account of current and likely future economic and political conditions in the new South Africa. The present occupational health system, considered as a network of health services, educational and research facilities along with a mechanism of legal regulation of workplace conditions, and compensation for occupationally-related disability, is reviewed and found to be inadequate in several respects. A possible structure for an integrated occupational health system is outlined at national, regional and local levels. Both service provision and financing arrangements are addressed. The interrelation between occupational health services and general health services for workers and their dependants is approached from the point of view of the desirability of comprehensive primary health care services catering to all health needs of all workers and their dependants. Appropriate linkages between levels of care (primary, secondary and tertiary), and between relevant institutions required for an efficient occupational health system are outlined.
南非最近发生的事件激发了许多领域的政策思考，包括职业健康领域。战略思考需要考虑新南非当前以及未来可能出现的经济和政治状况。现有的职业健康体系，被视作由健康服务、教育和研究设施网络，以及工作场所条件法律监管机制和职业相关残疾补偿机制所构成的体系，经过审查发现存在若干不足之处。本文概述了一个在国家、区域和地方层面整合职业健康体系的可能架构。同时探讨了服务提供和融资安排。从提供全面初级卫生保健服务以满足所有工人及其家属所有健康需求的可取性角度，探讨了职业健康服务与工人及其家属的一般健康服务之间的相互关系。概述了不同护理级别（初级、二级和三级）之间以及高效职业健康体系所需相关机构之间的适当联系。
