Dana-Farber Cancer Institute, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Harvard T.H. Chan School of Public Health, Boston, MA, USA; Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA.
Soc Sci Med. 2021 Jan;269:113593. doi: 10.1016/j.socscimed.2020.113593. Epub 2020 Dec 8.
Work plays a central role in health. A conceptual model can help frame research priorities and questions to explore determinants of workers' safety, health, and wellbeing. A previous conceptual model focused on the workplace setting to emphasize the role of conditions of work in shaping workers' safety, health and wellbeing. These conditions of work include physical, organizational, and psychosocial factors. This manuscript presents and discusses an updated and expanded conceptual model, placing the workplace and the conditions of work within the broader context of socio-political-economic environments and consequent trends in employment and labor force patterns. Social, political and economic trends, such as growing reliance on technology, climate change, and globalization, have significant implications for workers' day-to-day experiences. These structural forces in turn shape employment and labor patterns, with implications for the availability and quality of jobs; the nature of relationships between employers and workers; and the benefits and protections available to workers. Understanding these patterns will be critical for anticipating the consequences of future changes in the conditions of work, and ultimately help inform decision-making around policies and practices intended to protect and promote worker safety, health, and wellbeing. This model provides a structure for anticipating research needs in response to the changing nature of work, including the formation of research priorities, the need for expanded research methods and measures, and attention to diverse populations of enterprises and workers. This approach anticipates changes in the way work is structured, managed, and experienced by workers and can effectively inform policies and practices needed to protect and promote worker safety, health and wellbeing.
工作在健康中起着核心作用。一个概念模型可以帮助确定研究重点和问题,以探索工人安全、健康和福利的决定因素。之前的概念模型侧重于工作场所,强调工作条件在塑造工人安全、健康和福利方面的作用。这些工作条件包括物理、组织和社会心理因素。本文介绍并讨论了一个经过更新和扩展的概念模型,将工作场所和工作条件置于更广泛的社会政治经济环境以及就业和劳动力模式的相应趋势背景下。社会、政治和经济趋势,如对技术的日益依赖、气候变化和全球化,对工人的日常体验有着重大影响。这些结构力量反过来又塑造了就业和劳动力模式,影响了工作的可获得性和质量、雇主和工人之间关系的性质,以及工人可获得的福利和保护。了解这些模式对于预测未来工作条件变化的后果至关重要,最终有助于围绕旨在保护和促进工人安全、健康和福利的政策和实践做出决策。该模型为应对工作性质的变化,包括确定研究优先事项、扩大研究方法和措施的必要性,以及关注企业和工人的不同群体,提供了一个预测研究需求的结构。这种方法预测了工作结构、管理和工人体验方式的变化,并可以有效地为保护和促进工人安全、健康和福利所需的政策和实践提供信息。