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Canadian Experiences in Workers Health Promotion

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Health for All Framework ... Annual award to recognize good to best practices ... Annual conference and awards for workers' health programs ... – PowerPoint PPT presentation

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Title: Canadian Experiences in Workers Health Promotion


1
Canadian Experiences in Workers Health Promotion
  • Presented by Len Hong
  • Canadian Centre for Occupational
  • Health and Safety
  • March 2000

2
Background
  • 30 million people
  • 14 million workers
  • 700,000 workplaces
  • 6.4 unemployment

3
Demographics
  • 800 fatalities/year1 in 16 workers are injured
  • illnesses (disabilitiy claims 8 payroll costs)
  • 4 billion direct workers compensation costs
    (mostly safety-related)
  • 10 billion total impact of workers compensation
    costs
  • 20 billion for workers health direct and
    indirect costs
  • 12 stress related

4
Employment Trends
  • Increases in
  • service sector, knowledge work
  • health care, transportation
  • flex work, self employment
  • Decreases in
  • extracting natural resources
  • heavy manufacturing

5
Governments in Canada
  • 1 federal
  • 10 provincial
  • 3 territorial

6
Legal governmental authority
  • Resides with all 14 jurisdictions
  • Each jurisdiction sets their own standards and
    legislation
  • Education, training, health, workers compensation
  • Occupational health and safety
  • No uniform laws/standards

7
Workers Health Surveillance
  • Workers Compensation Boards (all public sector)
  • Departments of Health

8
Social Safety Network
  • National health care system
  • National pension system
  • Welfare system
  • Employment insurance and training programs

9
Occupational Health and Safety System
  • Internal responsibility system
  • Employee/employer are the stakeholders
  • Joint occupational health and safety committees
  • Hazard/ risk based
  • Clear responsibilities and duties

10
Occupational Health and Safety System (contd)
  • Government role of setting statutes, policy,
    enforcement
  • Support for prevention and training programs
  • Some support for research and education

11
Significant Barriers for Workers Health Promotion
  • Clear definition of workers health
  • Unified policy/legislation
  • Authority/accountability for workers health
  • Standards
  • Full stakeholder participation
  • National vision linked to results based on
    accountability

12
Health for All Framework
  • 1. creating health, at the roots of health and
    disease at work, including social and
    environmental determinants
  • 2. improving health over the entire working
    lifecycle
  • 3. improving health in the settings which give
    them context i.e. at work, and related to work

13
Health for All Framework (contd)
  • 4. taking action across sectors and in
    partnerships that go beyond those boundaries
  • 5. measuring the success of health strategies
    and actions at all levels, in terms of health
    outcomes

14
Health Considerations in Canadian Workplaces
  • 1. Physical
  • 2. Psychosocial
  • - Emotional, mental, social, spiritual,
    intellectual

15
Lifecycle considerations
  • Employee assistance programs
  • Family work balance
  • Family burden
  • Continuous learning

16
Leadership
  • Guidelines
  • Health Canada-Workplace Health System for small
    businesses, corporations and schools
  • Small business
  • needs assessment-employees health survey
  • Workplace health profile-general report
  • Special report stress, health and safety
    concerns at work, physical activity, weight,
    smoking, drinking, medication use

17
Leadership (contd)
  • Guidelines (contd)
  • Small Business (contd)
  • Health plan
  • one to three years involving a community (5)
  • Action plan
  • programs, policies and activities

18
National Quality Institute Canadian Healthy
Workplace Criteria
  • Annual award to recognize good to best practices
  • Partnership of Health Canada, health and safety
    professionals
  • Jointly sponsored by the Health, Work and
    Wellness Institute of Canada

19
Initiatives
  • Use of Canadian Healthy Workplace System
  • Community plan (5 provinces)
  • Issue based - pregnancy
  • School health program for students, staff and
    teachers

20
Partnerships
  • Multisectoral
  • eg Ottawa Carleton Workplace Health System
  • public health (regional government), safety
    association (NGO), community group, labour ,
    business (large and small), professional, federal
    and provincial government, health care,
    management/research

21
Partnerships (contd)
  • Safe Communities coalitions (gt 30)
  • Curriculum development
  • Resources for educating teachers
  • Teaching resources
  • Youth OSH Conference
  • Minerva Canada

22
Business Case
  • Annual conference and awards for workers health
    programs
  • Provincial best practices database in OSH

23
Resources
  • labour, management, government, NGO,
    professional, trade associations, business
    organizations, schools, academics, researchers
  • training/ training materials
  • staff
  • funding
  • case studies and reports
  • academic research
  • planning

24
Advocacy
  • Labour unions
  • Business leaders
  • Professional/health/injury prevention interest
    groups
  • Parents

25
Enhanced public profile
  • Social marketing
  • New Brunswick
  • Ontario
  • British Columbia

26
Evidence-based
  • Institute for Work and Health
  • Canadian Research Institutes
  • Workers Compensation Boards

27
Future
  • Accountability
  • Social policies
  • National programs
  • Redirect resources
  • Best evidence
  • Capacity and capability building
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