Department of Medicine, Epidemiology, Occupational and Environmental Hygiene, Inail, 00143 Rome, Italy.
Int J Environ Res Public Health. 2023 Dec 5;20(24):7142. doi: 10.3390/ijerph20247142.
This work deals with a systematic review of the literature data concerning the theme of integrated approaches to occupational health and safety management, with particular reference to the programming of assistance plans, which guide companies' organizational choices by also addressing the principles of Total Worker Health. In the current regulatory framework on this issue, the UNI ISO 45001: 2018 standard "Occupational health and safety management systems-Requirements and guidance for use" (published on 12 March 2018)" assumes relevance, defining dynamic approaches to occupational health and safety management systems-paying particular attention to external contextual factors that may influence corporate organizational decisions. The adoption of these systems is not mandatory but allows companies to fulfill their duties in terms of health and safety at work through an organizational approach aimed at the awareness, involvement, and participation of all subjects of the company prevention system, progressing past the phase of mere technological and prescriptive approaches towards a holistic vision of prevention that places the person at the center of preventive actions. In this context, the role of institutional networks and socio-economic partnerships assumes particular importance via the activation of territorial assistance interventions to support companies aimed at improving risk management levels. To this end, the importance of verifying the effectiveness of assistance interventions emerges from the scientific debate using indicators such as quantitative indicators aimed at measuring the performance of all phases of an intervention, with particular attention to their effects in terms of the improved solutions developed.
这项工作涉及对有关职业健康和安全管理综合方法主题的文献数据进行系统回顾,特别提到援助计划的规划,这些计划通过解决全面工人健康原则来指导公司的组织选择。在当前关于这个问题的法规框架中,UNI ISO 45001:2018 标准“职业健康和安全管理体系-要求和使用指南”(2018 年 3 月 12 日发布)具有相关性,定义了职业健康和安全管理系统的动态方法-特别关注可能影响公司组织决策的外部环境因素。这些系统的采用不是强制性的,但允许公司通过旨在提高公司预防系统所有主体的意识、参与和参与的组织方法来履行其在工作场所健康和安全方面的职责,超越仅仅针对技术和规范性方法的阶段,朝着将人置于预防行动中心的整体预防愿景发展。在这种情况下,通过激活针对支持公司的领土援助干预措施,机构网络和社会经济伙伴关系的作用显得尤为重要,旨在提高风险管理水平。为此,从科学辩论中出现了验证援助干预措施效果的重要性,使用旨在衡量干预所有阶段绩效的定量指标等指标,特别关注其在开发的改进解决方案方面的效果。