Occupational Health Issues and Strategies: A View from Primary Health Care

  • Simon Pickvance


Continuing with the theme of political strategies to improve working conditions and health, the following chapter explores a number of policy areas from the vantage point of primary health care. It highlights the need for both local and global responses to problems of work-related ill health. At local level, primary health care offers a relatively underused source of support that could potentially enhance workers’ knowledge and control. It could also offer a much needed independent source of information and advice on occupational health issues, outside of the employer dominated services that currently exist. While local responses are important, the global nature of occupational health problems is increasingly apparent and this necessitates international collaboration between all those involved in promoting health at work.


Primary Health Care Occupational Health Compensation System Injured Worker Occupational Health Service 
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  1. Anon (1995) ‘Safety representatives survey’, Hazards Bulletin, 52: 8–9.Google Scholar
  2. Aldrich, P. (1993) Report on the Danish Occupational Health Services. Brussels: Trade Union Technical Bureau.Google Scholar
  3. Association of British Insurers (1996) Statistics Bulletin 1995 Results. London: ABI.Google Scholar
  4. Bacon, J. (1995) ‘Occupational health: the next 50 years.’ The 1995 Lane Lecture, 15 November, Centre for Occupational Health, University of Manchester.Google Scholar
  5. Ballard, J. (1996). ‘Occupational health nurses: an OHR survey’, Occupational Health Review, 59: 1–8 and 60: 21–17.Google Scholar
  6. Boleat, M. (1996) Paper delivered at the TUC Conference on preventing injury and ill-health: the role of insurance, December 1996.Google Scholar
  7. Breidensjo, M., Bolvie, P.-E. and Gustafsson, S. (1996) Evaluation of the Introduction of the EEC Display Screen Equipment Directive in Sweden. Sweden: TCO.Google Scholar
  8. Brewster, C., Mayne, L. and Tregarskis, O. (1997) ‘Flexible working in Europe: a review of the evidence’, Management International Review, Special Issue 1997/1: 85–103.Google Scholar
  9. Bunt, K. (1993) Occupational Health Provision at Work, Contract Research Report 57, Health and Safety Executive. London: HMSO.Google Scholar
  10. Davies, N.V. and Teasdale, P. (1993) The Costs to the British Economy of Work Accidents and Work-related Ill Health. London: HSE Books.Google Scholar
  11. Dawson, W, Willman, P., Bamford, M. and Clinton, A. (1988) Safety at Work: The Limits of Self-regulation. Cambridge: Cambridge University Press.Google Scholar
  12. Department of Trade and Industry (1994) Deregulation — Cutting Red Tape. London: DTI.Google Scholar
  13. European Commission Directorate for General Employment, Industrial Relations and Social Affairs (1994) Information Notices on Diagnosis of Occupational Diseases. (EUR 14768 EN). Luxembourg: European Commission.Google Scholar
  14. European Foundation for the Improvement of Living and Working Conditions (1996) Second European Survey on Working Conditions. Dublin: European Foundation for the Improvement of Living and Working Conditions.Google Scholar
  15. Finnish Institute of Occupational Health (1997) Work Health and Safety. Helsinki. FIOH.Google Scholar
  16. Gustaysen, B., Hofmaier, B., Ekman, Philips, M. and Wikman, A. (1996) Concept-driven Development and the Organisation of the Process of Change. Amsterdam: J. Benjamin.CrossRefGoogle Scholar
  17. Hazards Campaign (1996) Health and Safety Charter. Bradford: Hazards Campaign.Google Scholar
  18. Health and Safety Commission (1994) Review of Regulation: Main Report. London: HMSO.Google Scholar
  19. Hodgson, J.T., Jones, J.R., Elliott, R.C. and Osman, J. (1993) Self-reported Work-related Illness, Research Paper 33. London: HMSO.Google Scholar
  20. Hunt, G. (1995) Michigan Disability Prevention Study — Research Highlights. Kalamazoo, Michigan: WE Upjohn Institute of Employment Research.Google Scholar
  21. Institute of Professionals Managers and Specialists (1992) Health and Safety: An Alternative Report. London: IPMS.Google Scholar
  22. International Labour Organisation (1985) Convention and Recommendation concerning Occupational Health Services. Convention 161 and Recommendation 171. Geneva: ILO.Google Scholar
  23. Jarvholm, B. (ed.) (1996) Working Life and Health: A Swedish Survey. Sweden: National Institute for Working Life.Google Scholar
  24. Jones, J.R., Hodgson, J.T., Clegg, T.A. and Elliott, R.C. (1998) Self-reported Work-related Illness in 1995. London: Government Statistical Service.Google Scholar
  25. Karasek, R. and Theorell, T. (1990) Healthy Work; Stress, Productivity and the Transformation of Working Life. New York: Basic Books.Google Scholar
  26. Loewenson, R., Laurell, A.C. and Hogstedt, C. (1994) Participatory Approaches in Occupational Health Research, Arbete och Halsa, 38: 1–60.Google Scholar
  27. Moir, S. and Buchholz, B. (1996) ‘Emerging participatory approaches to ergonomic interventions in the construction industry,’ Amer. J. Ind. Med. 29: 425–30.CrossRefGoogle Scholar
  28. Murray, C.J.L. and Lopez, A.D. (1997) ‘Global mortality, disability and the contribution of risk factors: Global Burden of Disease Study’, The Lancet, 349: 1436–42.CrossRefGoogle Scholar
  29. National Occupational Health Forum (1997) Consensus Statement. London: NOHF.Google Scholar
  30. Pickvance, S. (1992) ‘An occupational health service in primary care’, Occup. Med., 42: 61–3CrossRefGoogle Scholar
  31. Pickvance, S. (1997) ‘Employers’ liability: a system out of balance’, Occupational Health Review, November/December 1997: 10–13.Google Scholar
  32. Rasanen, K., Notkola, V., Kankaanpaa, H., Peurala, M. and Husman, K. (1993) ‘Role of occupational health services as a part of illness-related primary care in Finland’, Occup. Med. 43(1) Suppl. 1: S23–S27.CrossRefGoogle Scholar
  33. Reilly, B., Paci, P. and Holl, P. (1995) ‘Unions, safety committees and workplace injuries’, Brit. Jlnd. Rel., 33 (2): 275–88.CrossRefGoogle Scholar
  34. Schilling, R.S.F. (1998) A Challenging Life. London: Canning Press.Google Scholar
  35. Sheffield Occupational Health Project (1998) Report 1996–8. Sheffield: SOHP.Google Scholar
  36. Trade Union Technical Bureau (1995) Risk Assessment. Brussels: TUTB.Google Scholar
  37. Vogel, L. (1993) Prevention at the workplace: an initial review of how the 1989 Community framework Directive is being implemented. Brussels: European Trade Union Technical Bureau.Google Scholar
  38. Watterson, A. (1994) ‘Whither lay epidemiology in UK? Public health in policy and practice’, J. Public Health Medicine, 16 (3).Google Scholar
  39. Wegman, D.H. (1995) ‘Investigations into the use of symptom reports for studying toxic epidemics’, New Epidemics in Occupational Health, Helsinki: Finnish Institute of Occupational Health.Google Scholar
  40. Wilkinson, R.G. (1996) Unhealthy Societies. London: Routledge.CrossRefGoogle Scholar
  41. Workers Health International Newsletter (1996) International Directory of Worker Health and Safety Contacts. Sheffield: Hazards Publications.Google Scholar

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© Simon Pickvance 1999

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  • Simon Pickvance

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