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Workplace Health Promotion
Chapter 4.
Content
•Advance organizer•Definitions•Background to workplace health promotion•The European Reference Model for Workplace Health Promotion
Case study – The FAG Hospital
–Introduction in the case-study–Situation description–Staff data–Workplace characteristics
An Ecological Model of Health
Ottawa Charter for Health Promotion
•The Charter for Health Promotion which was adopted in Ottawa in 1986 identified five health promotion action areas:
1.build Healthy Public Policy,2.create supportive environments,3.develop personal skills,4.strengthen community action,5.reorient health services
Luxemburg Declaration document (2005) Definition of WHP
Workplace health promotion (WHP) is the combined efforts of employers, employees and society to improve the health and wellbeing of people at work.
1.This is achieved through a combination of: 2.improving the work organization and working environment;3.promoting the participation of workers in the whole process of WHP;4.enabling healthy choices,5.encouraging personal development
Health promoting organizations have major advantages
• Development and better quality of human resources
• Financial savings• Improved internal social relations• Creation of a positive social image• Support for marketing activities
Implementing WHP Programs - accomplished with simple, low-cost strategies
• Provide incentives for participation.• Establish a wellness informational campaign.• Schedule wellness seminars on diabetes, nutrition, physical fitness and
cholesterol, etc.• Establish initiatives such as fitness, sleep diary, tobacco use cessation
and injury prevention.• Provide onsite chair massages or simple stretching exercises to do at
the desk.• Change vending machine options to offer healthier, low-fat snacks and
drinks.• Actively promote employee participation in all Workplace Health
Promotion Program
Implementation, WHP characteristics
• It is health linked activity, which is NOT legal obligation
• It is voluntary activity for employers and employees
• It is about workplace health activity, based on– Risks– Needs– Preferences
The European Reference Model for Workplace Health Promotion
The generic environment for WHP
The European Reference Model for WHP - Scope
• Promote good practices of WHP, in according with the European reference model
• It is an action model for practitioners• To inform practitioners about field policies
The European Reference Model for Workplace Health Promotion
Main Elements:
The processActors and actionsEnabling and constraining factorsOutcomes
General model of workplace health promotion
The principal actors and actions in the WHP implementation process
Internal to the enterprise External to the enterpriseActors Actors
WorkersOccupational health staffHuman resource managementHealth and safety representativesLine managementTrade Union representativesWorks CouncilsTraining departments
InsurersWHP suppliersMultiplier organisationsPublic health agenciesHealth promotion agenciesOccupational health services
Actions ActionsMarketing health promotionSetting up structuresAssessing needsDeveloping a planImplementing the planEvaluating the initiativeConsolidating the initiative
Marketing WHPProviding WHP servicesMaking policy on WHPSupporting WHPFunding WHP
Enabling and constraining factors for WHPEnabling factors Constraining factorsInternal factors Internal factors
Health policyHealth budgetOccupational health serviceBroad absenteeism policy Quality management practices Trained personnelParticipatory practicesGood industrial relations
atmosphereProgressive training policiesOlder workers
Negative industrial relations atmosphereSmall size of enterpriseNarrowly defined Occupational Health ServicesWHP Policy vacuumIll defined responsibilities for WHPLow motivation for WHPLack of comprehensive illness absenteeism recordsYounger workersNewer enterprises
External factors External factorsIntegrated servicesMultiplier/intermediary
organisationsNational/regional WHP policyActive involvement of Insurers
Narrowly defined Occupational Health ServicesWHP Policy vacuumIll defined responsibilities for WHPLack of proven methodologies for WHPLack of trained personnel
Outcomes of WHP implementationDirect effects Indirect effectsHealth benefits Health benefits
Improved health awarenessImproved health statusImproved health related behavioursImproved mental wellbeingReduced psychosocial stress at workImproved fitnessImproved social support at work
Reduced accident ratesImproved occupational healthImproved general health
Organisational benefits Organisational benefitsReduced health related absenteeismReturn on investment
Improved industrial relations atmosphereImproved corporate imageImproved productivityImproved product/service quality Improved workforce skill levelsImproved morale
Conclusions
•WHP in Europe has been a relatively recent phenomenon, but in its short history it has developed a strong record of practice and achievement.
•It faces difficulties of acceptance because it does not have a statutory basis, but in many countries it is seen as a significant part of workplace health management.
WHP Program Pictures, Romania
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