Presentation by dr Caroline Jara of the University of Chile at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012

1. WHO Connecting Health and Labour
29th 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

2. 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

4. What do we need to meet their needs?
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.

5. 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.

6. 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 casual
workers.
When?
 Permanently
 In continuosly mode throughout the person´s life

7. Relations between occupational health and
primary care providers.
Occupational health training for experts on PHC
(Primary Health Care) teams.
Permanent and speedy coordination.

8. 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.

9. 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.

10. 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.

11. Elements for research and action agenda.
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?