School of Organisation and Management, University of New South Wales, Sydney.
Int J Health Serv. 2010;40(2):297-307. doi: 10.2190/HS.40.2.i.
The association between certain increasingly pervasive employment conditions and serious health inequalities presents a significant policy challenge. A critical starting point is the recognition that these problems have not arisen in a policy vacuum. Rather, policy frameworks implemented by governments over the past 35 years, in conjunction with corporate globalization (itself facilitated by neoliberal policies), have undermined preexisting social protection policies and encouraged the growth of health-damaging forms of work organization. After a brief description of the context in which recent developments should be viewed, this article describes how policies can be reconfigured to address health-damaging employment conditions. A number of key policy objectives and entry points are identified, with a summary of policies for each entry point, relating to particular employment conditions relevant to rich and poor countries. Rather than trying to elaborate these policy interventions in detail, the authors point to several critical issues in relation to these interventions, linking these to illustrative examples.
某些日益普遍的就业条件与严重健康不平等之间的关联,提出了一个重大的政策挑战。一个关键的起点是认识到这些问题并非出现在政策真空之中。相反,各国政府在过去 35 年实施的政策框架,加上企业全球化(本身得益于新自由主义政策),破坏了先前存在的社会保护政策,并助长了损害健康的工作组织形式的发展。本文简要介绍了应在何种背景下看待最近的事态发展,然后描述了如何重新构建政策以应对有损健康的就业条件。本文确定了若干关键政策目标和切入点,并对每个切入点的政策进行了总结,涉及富国和穷国相关的特定就业条件。作者没有试图详细阐述这些政策干预措施,而是指出了与这些干预措施相关的几个关键问题,并通过实例加以说明。