Citation

Fukuda H. Jpn. J. Health Educ. Promot. 2015; 23(3): 237-245.

Vernacular Title

企業レベルのアドボカシー：産業保健活動から，ヘルシーカンパニー・健康経営へのアドボカシー

Copyright

(Copyright © 2015, Japanese Society of Health Education and Promotion)

DOI

10.11260/kenkokyoiku.23.237

PMID

unavailable

Abstract

OBJECTIVES: We described the concept of advocacy at the enterprise (i.e., organizational) level from the practitioner's perspective, taking the implementation of occupational health activities within an enterprise as an example. More specifically, we clarified how factors related to international academic societies and findings from specific health screenings and guidance (which are state measures) are applied to the advocacy of healthy companies and healthy management through occupational health activities.Content: Participation in the International Union for Health Promotion and Education or other conferences or cooperation with policy-oriented occupational health and safety measures (e.g., specific health screenings and guidance or stress checks) are seemingly unconnected to occupational activities in actual settings. But we demonstrated these experiences provide considerable insight and relevant knowledge in actual settings from the perspective of "think globally, act locally." To successfully integrate these findings and put them into practice, it is important to constantly consider the best occupational health activities that can be implemented in one's work domain and to set workplace health goals. In this article, we examined advocacy at the enterprise level by presenting cases of workplace health promotion (WHP) based on needs assessment and development of healthy companies involving management and labor unions.

CONCLUSION: Based on the practice of two cases, it was revealed that time and effort are required to persuade key persons including management to comply with the transformation of the enterprise or organization. To reach this goal, it was necessary to "look for the key persons and form a group to engage in WHP together in good faith, stably, on the basis of evidence as much as possible, and taking the position of other parties into consideration." Advocacy is not separate from daily occupational health activities; rather, it is an extension of such activities.

Vernacular Abstract

目的：企業（組織）レベルのアドボカシーについて，企業における産業保健活動の展開を例に，国際学会からの刺激や，国の施策である特定健診・保健指導からの学びを，どう産業保健活動を通じたヘルシーカンパニー・健康経営へのアドボカシーに活かしているかを実践家の立場で記述した．
内容：一見現場の活動とは無関係に思えるIUHPE等への参加や，特定健診・保健指導やストレスチェックなど政策主導型の産業保健施策への協力にも，"Think globally, act locally"の観点から多くの学びや現場への関わりがある．これらをうまく結びつけ活かすには，自らの職域でできる最良の産業保健活動はなんであろうかと考え続け，その職場にとってのゴールを設定することが重要である．本稿では，ニーズアセスメントに基づく職域ヘルスプロモーション（WHP）及び，経営・労組を巻き込んだヘルシーカンパニーの事例を示し，企業レベルのアドボカシーについて検討した．
結論：2つの事例の検討から企業（組織）の変容では，経営層を含むキーパーソンの説得など時間と労力が必要であり，そのためには「誠実に，ブレずに，極力エビデンスに基づいて，相手の立場に立ち，一緒にWHPを推進するキーパーソンを探し，仲間を作ること」が必要と考えられた．アドボカシーは，日々の産業保健活動と別物ではなく，その延長線上にある．