WHO Connecting Health and Labour29th Nov 1ST Dec 2011 The Hague The Netherlands People Centred Care Round Table 2 Carolina Jara Family Doctor Assistant Professor University of Chile Staff Medical Center East Metropolitan Health Services Santiago Chile WHO Connecting Health and Labour 29 Nov 1 Dec 2011 The Hague Neetherland
Moving from workplace health services centred on providers to services matching workers´ health needs.Who are our patients?What do they need? Health diagnosis Population Diagnosis Individual Diagnosis
What do we need to meet their needs?What do we need to meet their needs? Human resourcesEquipmentModern management: needs-centred managementHow do we meet their needs?We need a cultural change in the management. Integrated Health Services (with biosychosocial model withfamily focus and labour focus) Emphasis on promotion and prevention Curative care Rehabilitation and reintegration into the workplace.
Who can respond to them ?Multidisciplinary teams with training in occupation health: Family doctors. Risk prevention tecniques. Nurses, psychologists, physiotherapists, health technicians(paramedics) assistants and administrative staff. To coordinate with:• physicians with specialties in occupational health• traumatologists• psychiatrists• dermatologists• pulmonologists• risk prevention engineers. other sectors.
Where? and When?Where?Near the people: Internal health centres in the big enterprises In PHC to small and medium –size enterprises and independent and casualworkers.When? Permanently In continuosly mode throughout the person´s life
Relations between occupational health and primary care providers. Occupational health training for experts on PHC (Primary Health Care) teams. Permanent and speedy coordination.
Empowerment to self care in occupational health. Permanent education Individually on each visit to the center In group according to the risk in their workplace Participation of workers in peer groups where they make decisions about their working and health conditions.
Barriers / obstacles and how to overcome them. The tendency to keep on doing the same thing even though it doesn´t work. Training in modern management: people centred, on their demands and needs, and not on the offers of providers. New members at PHC (Primary Health care) teams and review of human resources of PHC.
Barriers / obstacles and how to overcome them. New leadership styles, better bosses who: •are committed to workers. •promote participation. •are capable of listening, understanding and being empathetic. •are more humanistic and reflective. •are capable of seeing people’s skills and bringing out the best in people. •are capable of motivating workers. •are not only efficient at doing but are able to think about why they do what they do.
Elements for research and action agenda.New qualitative indicators of Integrated health care, so public health and privatedsistem.Evaluation of patient satisfaction and workers satisfaction.Better and qualitative standars of work conditions.Identifying health problems by asking the workers, for example, casual workers,freelance workers.Asking workers what health problems they associate to their work. How they resolve them. How much they know about adequate health care and the laws thatprotect them. Women who work all day:• Only at home• At work and at home: double work What does work mean to them? How do they relate their work to their health?