Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health).
Int J Occup Med Environ Health. 2019 Jun 14;32(3):353-361. doi: 10.13075/ijomeh.1896.01384. Epub 2018 Oct 25.
In the contemporary Western culture, working population health issues, stressed in various publications, have been perceived as a crucial part of public health. To deal with occupational health issues properly, occupational health services (OHS), aiming at the protection of the workers' health, are organized in many countries. The survey was to find the differences in occupational health systems that the European Economic Area countries use in order to execute prophylactic activities focused on diseases of affluence and how the OHS are used for health promotion actions.
The survey was conducted with the use of an on-line expert questionnaire. No deep statistical analysis was performed as for the designed aims of the study simple statistics were sufficient.
All the reviewed countries have organized OHS. The funding mechanisms are based mainly on the financial involvement of employers. In the majority of countries, the main goal of the OHS is certification of the ability to work. Workplace surveillance aiming at the occupational risk assessment and health promotion activities that focus on work-related and/or occupational diseases are the most popular services provided within national systems.
Occupational health professionals are well placed to perform actions directed at health promotion and prophylactics of a wide range of diseases - not only occupational/work-related, but also non-communicable, particularly life-style-related diseases of affluence. The engagement of the occupational medical services (OMS) in prevention of the non-work-related health issues would be valuable. However, it would be inevitable for employers to finance a wider range of services to a greater extent. Int J Occup Med Environ Health. 2019;32(3):353-61.
在当代西方文化中，各种出版物强调的工作人群健康问题已被视为公共卫生的重要组成部分。为了妥善处理职业健康问题，许多国家都组织了职业健康服务（OHS），旨在保护工人的健康。该调查旨在发现欧洲经济区国家使用的职业健康系统在执行以富裕病为重点的预防活动方面的差异，以及 OHS 如何用于促进健康的行动。
该调查是使用在线专家问卷进行的。由于研究的设计目的只需简单的统计分析，因此没有进行深入的统计分析。
所有审查的国家都已经建立了 OHS。资金机制主要基于雇主的财务参与。在大多数国家，OHS 的主要目标是认证工作能力。以职业风险评估为目的的工作场所监测以及以工作相关和/或职业疾病为重点的健康促进活动是各国系统内提供的最受欢迎的服务。
职业健康专业人员非常适合开展针对广泛疾病的促进健康和预防措施的行动，不仅是职业/工作相关的疾病，还包括非传染性的、特别是与生活方式相关的富裕病。让职业医疗服务（OMS）参与预防非工作相关的健康问题将是有价值的。然而，雇主将不可避免地需要更多地为更广泛的服务提供资金。国际职业医学与环境卫生杂志。2019;32(3):353-61.
