York University, Ontario, Canada.
Int J Health Serv. 2013;43(3):473-82. doi: 10.2190/HS.43.3.f.
Flexicurity, or the integration of labor market flexibility with social security and active labor market policies, has figured prominently in economic and social policy discussions in Europe since the mid-1990s. Such policies are designed to transcend traditional labor-capital conflicts and to form a mutually supportive nexus of flexibility and security within a climate of intensified competition and rapid technological change. International bodies have marketed flexicurity as an innovative win-win strategy for employers and workers alike, commonly citing Denmark and The Netherlands as exemplars of best practice. In this article, we apply a social determinants of health framework to conduct a scoping review of the academic and gray literature to: (a) better understand the empirical associations between flexicurity practices and population health in Denmark and (b) assess the relevance and feasibility of implementing such policies to improve health and reduce health inequalities in Ontario, Canada. Based on 39 studies meeting our full inclusion criteria, preliminary findings suggest that flexicurity is limited as a potential health promotion strategy in Ontario, offers more risks to workers' health than benefits, and requires the strengthening of other social protections before it could be realistically implemented within a Canadian context.
灵活保障，或劳动力市场灵活性与社会保障和积极劳动力市场政策的融合，自 20 世纪 90 年代中期以来，在欧洲的经济和社会政策讨论中占据了重要地位。这些政策旨在超越传统的劳资冲突，并在竞争加剧和技术快速变革的背景下，形成灵活性和安全性的相互支持关系。国际机构将灵活保障作为一种为雇主和工人双赢的创新策略进行推广，通常将丹麦和荷兰作为最佳实践的典范。在本文中，我们应用健康的社会决定因素框架，对丹麦的学术和灰色文献进行了范围综述，以：（a）更好地了解灵活保障实践与丹麦人口健康之间的经验关联；（b）评估在安大略省实施此类政策以改善健康和减少健康不平等的相关性和可行性。基于符合我们全部纳入标准的 39 项研究，初步结果表明，灵活保障作为安大略省的潜在健康促进策略是有限的，对工人健康的风险大于收益，并且需要在加拿大背景下加强其他社会保护措施，才能切实实施。
