Procurement and implementation processes for Occupational Health Services in Sweden.


Journal

Work (Reading, Mass.)
ISSN: 1875-9270
Titre abrégé: Work
Pays: Netherlands
ID NLM: 9204382

Informations de publication

Date de publication:
2020
Historique:
pubmed: 3 3 2020
medline: 22 10 2020
entrez: 3 3 2020
Statut: ppublish

Résumé

Employers are required to get expert advice whenever needed to ensure a safe work environment. Providers of Occupational Health Services (OHS) could be such experts, but their services are usually used to provide health-related support to individuals, not preventive Occupational Health and Safety Management (OHSM) or other group-focused interventions. To investigate how contracts with OHS providers in Sweden are established and implemented. Written OHS contracts were reviewed, and follow-up interviews were conducted with Human Resource (HR) managers, management, safety representatives, and OHS professionals in seven organizations. Generally, the HR departments drew up the contracts with the OHS providers. The contracts were not integrated with the companies' occupational health and safety management. Managers lacked knowledge on how to utilize services offered by their OHS provider. Terms and conditions of contracts were found to be inconsistent with services actually utilized. The procurement and implementation process promotes reactive rather than preventive interventions. Employers should include managers and safety representatives in procurement- and implementation processes and define relevant and measurable goals regarding the collaboration.

Sections du résumé

BACKGROUND BACKGROUND
Employers are required to get expert advice whenever needed to ensure a safe work environment. Providers of Occupational Health Services (OHS) could be such experts, but their services are usually used to provide health-related support to individuals, not preventive Occupational Health and Safety Management (OHSM) or other group-focused interventions.
OBJECTIVE OBJECTIVE
To investigate how contracts with OHS providers in Sweden are established and implemented.
METHODS METHODS
Written OHS contracts were reviewed, and follow-up interviews were conducted with Human Resource (HR) managers, management, safety representatives, and OHS professionals in seven organizations.
RESULTS RESULTS
Generally, the HR departments drew up the contracts with the OHS providers. The contracts were not integrated with the companies' occupational health and safety management. Managers lacked knowledge on how to utilize services offered by their OHS provider. Terms and conditions of contracts were found to be inconsistent with services actually utilized.
CONCLUSIONS CONCLUSIONS
The procurement and implementation process promotes reactive rather than preventive interventions. Employers should include managers and safety representatives in procurement- and implementation processes and define relevant and measurable goals regarding the collaboration.

Identifiants

pubmed: 32116279
pii: WOR203115
doi: 10.3233/WOR-203115
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

607-615

Auteurs

Sofia Åström Paulsson (SÅ)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Lisa Schmidt (L)

IVL Swedish Environmental Research Institute & KTH, School of Technology and Health, Stockholm, Sweden.

Tomas Eriksson (T)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Teresia Nyman (T)

Occupational and Environmental Medicine, Uppsala University Hospital, Uppsala, Sweden.

Marianne Parmsund (M)

Center for Occupational and Environmental Medicine, Stockholm, Sweden.

Margareta Torgén (M)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Magnus Svartengren (M)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

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Classifications MeSH