WHO Connecting Health and Labour 29 Nov 1 Dec 2011 The Hague Neetherland

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 29th Nov 1ST Dec 2011 The Hague The Netherlands

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? Human resources

Equipment

Modern management: needs-centred management

How do we meet their needs? We need a cultural change in the management.

Integrated Health Services (with biosychosocial model with

family focus and labour focus)

Emphasis on promotion and prevention

Curative care

Rehabilitation and reintegration into the workplace.

What do we need to meet their needs?

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.

Who can respond to them ?

Where? Near the people:

Internal health centres in the big enterprises

In PHC to small and medium –size enterprises and independent and casual workers.

When? Permanently

In continuosly mode throughout the person´s life

Where? and When?

Occupational health training for experts on PHC

(Primary Health Care) teams.

Permanent and speedy coordination.

Relations between occupational health and primary care providers.

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.

Empowerment to self care in occupational health.

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.

Barriers / obstacles and how to overcome them.

New qualitative indicators of Integrated health care, so public health and privated sistem.

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 that protect 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?

Elements for research and action agenda.