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Journal of Occupational Medicine and Toxicology

, 11:47

First Online: 12 October 2016Received: 02 February 2016Accepted: 24 September 2016DOI: 10.1186-s12995-016-0136-3

Cite this article as: Gyo, C., Boll, M., Brüggmann, D. et al. J Occup Med Toxicol 2016 11: 47. doi:10.1186-s12995-016-0136-3

Abstract

BackgroundState-certified occupational physicians who work as civil servants in the Federal Republic of Germany are key players in the German Public Health system. They control i.e. the legal compliance in occupational health and participate in the occupational disease procedures. Despite the role model function of the German Public health system for many developing countries, this area of Public health is debated to have been hampered in the past years by a disregard concerning structural developments.

MethodsDifferent databases were screened for occupational health benchmarks. Obtained data were compared to socioeconomic data and indices were calculated.

ResultsThe overall numbers of State-certified occupational physicians decreased in Germany between 1992 and 2012 from 136 to 86 63 %. On the single state level, the ratios of State-certified occupational physicians per 1 Mio. working population ranged from 8 for the state of Saarland to 0.8 for the state of North Rhine Westphalia. A general difference was found for old versus new German states. Also, large differences were present for the ratios of State-certified occupational physicians per 10 employees towards public debt per capita € and the ratios of State-certified occupational physicians per Gross Domestic Product GDP in the 16 German states in 2012.

ConclusionsIn striking contrast to the WHO document on the Occupational safety and health OSH system that states in its executive summary that the human and institutional capacities of the German occupational health system are very strong in both quantity and quality, we here show extreme imbalances present at the single state levels that developed over the past 20 years. With a regard to the increasing complexity of the economic system a reversal of this trend should be demanded.

KeywordsPublic health administration Occupational health AbbreviationsGDPGross domestic product

OSHOccupational safety and health

ILOInternational Labour Organization

BMASFederal ministry for Labour and Social Affairs

approx.Approximately

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Autor: Christoph Gyo - Michael Boll - Dörthe Brüggmann - Doris Klingelhöfer - David Quarcoo - David A. Groneberg

Fuente: https://link.springer.com/







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