Hacker W, Rosenbrock R, Siegrist J
Wissenschaftszentrum Berlin für Sozialforschung GmbH Arbeitsgruppe Public Health, Berlin.
Gesundheitswesen. 1996 Sep;58 Suppl 2:152-4.
Associations between work and health can be found at many different levels. Work itself can have health hazardous as well as health promoting effects. Work defines status and life-style as well as social security and occupies a large proportion of time in our lives. Until now the process to integrate issues of worksite prevention and health promotion into Public Health proceeds slowly in contrast to other countries e.g. the USA. Weak connections between occupational medicine and Public Health as well as relative few projects focussing on work site in the Public Health Research Associations reflect this trend. Work site public health research according to the guidelines of the Ottawa Charta (WHO) could enhance the transition of approaches justified now in terms of risk and legal liability towards an orientation on health resources and preventive potentials. This transition is promising in regard to the science of public health. However, bottleneck facilities can be identified: the development of appropriate health reports in companies, the implementation and further development of new steering models for worksite interventions (especially the organizational development) and the implementation and further development of appropriate form of quality assurance which can be evaluated.
工作与健康之间的关联可以在许多不同层面上找到。工作本身既可能对健康有害，也可能具有促进健康的作用。工作决定了地位、生活方式以及社会保障，并且在我们的生活中占据了很大一部分时间。到目前为止，与其他国家（如美国）相比，将工作场所预防和健康促进问题纳入公共卫生的进程进展缓慢。职业医学与公共卫生之间联系薄弱，以及公共卫生研究协会中关注工作场所的项目相对较少，都反映了这一趋势。根据渥太华宪章（世界卫生组织）的指导方针进行工作场所公共卫生研究，可能会推动从目前基于风险和法律责任的方法，向以健康资源和预防潜力为导向的转变。就公共卫生科学而言，这种转变前景广阔。然而，可以确定存在一些瓶颈：公司中适当健康报告的制定、工作场所干预新指导模式（尤其是组织发展）的实施与进一步发展，以及可评估的适当质量保证形式的实施与进一步发展。
