Present principles of workers' health care organization in Poland and directions of future changes.

L Dawydzik, J Izycki, J Kopias
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Abstract

The present-day legal regulations on workers' health care are far from satisfactory. The work on the modification of the occupational health service has been carried out for the last two years although the preparatory activities started much earlier. In May 1991, under the initiative of the Nofer Institute of Occupational Medicine in Lodz, the bill on the Labor Code has been amended so that it would regulate the employer's responsibilities with respect to providing health care for workers and to participating in respective costs. These activities have overrun the more general ones pertaining to the reform of the national health service in Poland. Under conditions of the growing free market economy the previously operated organizational system of health care for workers has become out-of-date and needs immediate modification to adjust it to the new economic situation. Evidently, the trends and rate of the policy in this respect have been considerably influenced by the more general activities to make Poland associated with the European Community and hence to develop an occupational health care system which would take into consideration the principles of the Charter of Social Rights of the EEC as well as of the ILO Conventions.

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目前波兰工人保健组织的原则和未来变化的方向。
目前关于工人保健的法律规定远不能令人满意。改革职业保健服务的工作在过去两年中一直在进行,尽管筹备活动开始得早得多。1991年5月,在罗兹诺弗职业医学研究所的倡议下,修订了《劳动法》法案,以便规定雇主在为工人提供保健和承担相应费用方面的责任。这些活动超过了与改革波兰国家保健服务有关的更一般的活动。在日益发展的自由市场经济条件下,以前运作的工人保健组织制度已经过时,需要立即进行修改以使其适应新的经济形势。显然,这方面政策的趋势和速度受到使波兰与欧洲共同体建立联系的更普遍的活动的很大影响,从而发展一个职业保健系统,该系统将考虑到欧洲经济共同体《社会权利宪章》以及劳工组织各项公约的原则。
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