van Dijk F J, Prins R
Academic Medical Center, University of Amsterdam, The Netherlands.
Occup Med (Lond). 1995 Jun;45(3):159-66. doi: 10.1093/occmed/45.3.159.
Due to political priorities and benefit arrangements, prevention of work incapacity has played a minor role in employers' policies in the Netherlands. However, the comparatively high sickness absence rates and large numbers of disability benefit recipients in the Netherlands have fostered preventive policies and measures regarding unfavourable working conditions. Corresponding to recent changes in legislation, the role of occupational health and safety services will substantially increase in the coming years. Part of the new orientation will be a multi-disciplinary staff structure and more attention to tailor-made services and effectiveness. There is much debate about the precise role for occupational physicians in the control of sickness absenteeism in companies. This paper presents several instruments which are now being applied or which are still in a developmental stage. The issues of prevention of sickness absence and monitoring of long-term sick employees will remain a substantial part of the responsibilities of occupational health and safety services.
由于政治优先事项和福利安排，预防工作能力丧失在荷兰雇主政策中所起的作用较小。然而，荷兰相对较高的病假率和大量领取残疾福利的人数促使出台了针对不利工作条件的预防政策和措施。与近期立法变化相一致，职业健康与安全服务的作用在未来几年将大幅增强。新方向的一部分将是多学科人员结构，并更加注重量身定制的服务和有效性。关于职业医生在控制公司病假方面的确切作用存在很多争论。本文介绍了目前正在应用或仍处于发展阶段的几种手段。预防病假和监测长期患病员工的问题仍将是职业健康与安全服务职责的重要组成部分。
