Hervé Rabec, Director General of SEST (Business Service for Occupational Health), wants the legislative transposition of the ANI on occupational health to provide for greater awareness of primary prevention, particularly in the world of education and education.
Are you satisfied with the forthcoming transposition of Ani on occupational health into law?
Hervé Rabec: In view of the tensions in the discussions between the social partners, I am satisfied that such an agreement could have been reached in mid-December! That said, some have interpreted the emphasis on primary prevention as a major breakthrough, and we have been doing this for years! Finally, beyond the good intentions enshrined in the Ani, the proposed law should be clearer, in order to make the various provisions really operational.
Can you give examples?
H. R. : Primary prevention must be done very early on, with initiatives that are easy to take and cost nothing. So why not train young people – whether they are in engineering school or apprenticeship in baking – in the right prevention reflexes, for them and for the teams they can lead in their careers? Why not introduce, in professional baccalaureate or elsewhere, awareness courses in ergonomics and the correct position in front of a screen? And why not include in management courses, in business schools, courses on what a caring manager is? The longer we delay in raising awareness about prevention, the more effectiveness we lose when we need it. However, none of that is in the bill. In addition, concerning the bridge between city doctors who would become correspondents of occupational medicine, why not suggest to interns who intend to be general practitioners to spend a week in our services, in order to find out about what we offer and what is a pre-return visit, after sick leave, or the efforts to be considered for job retention? For the time being, the debates on the training of town doctors mainly concern the occupational pathologies to be recognized.
Is the health passport provided for by the ANI a step forward?
H. R. : This is a good thing. But if all the departments concerned had a common platform that would allow the interoperability of the different software, in the different departments, that would be much better. We did not agree with all the recommendations of the report made by deputy Charlotte Parmentier-Lecocq in 2018, in particular on what was perceived as a nationalization of occupational health services, but we acknowledge this report from to have shaken up the profession and to have usefully advanced the debate.
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