title: [Participation to improve working conditions: evidence and experience].
abstract: Participation of stakeholders is a key requirement for the success of public health programmes. Working and employment conditions are major determinants for people's health and wellbeing, and workplaces are ideal environments to implement programmes with a very direct level of participation. In Spain, the main regulatory framework for occupational health and safety, Law 31/1995, establishes the principles of "efficiency, coordination and participation" as a necessary basis for workers' health protection. This same Law establishes the role of the health and safety workers' representative, responsible for occupational risk prevention, and the occupational health and safety committee, a body with equal representation and the same objectives at the heart of the company. Among recent experiences of participation in occupational health, participatory ergonomics programmes have stood out. The aim of these programmes is to improve working conditions with a view to reducing musculoskeletal disorders, which is a very common and highly prevalent work-related injury in Spain. This study describes the characteristics and results of some experiences of participatory ergonomics carried out recently in Spain, from which relevant learning can be extrapolated about processes, facilitators and barriers in order to extend such programmes to other areas of occupational and public health.
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universitat de València, València, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Centro de Investigación en Salud Laboral (CiSAL), Universitat Pompeu Fabra, Barcelona. Electronic address: garcia_anagarf@gva.es.
authors.forename: Ana M
authors.initials: AM
authors.lastname: García
authors.affiliation: Centro de Investigación en Salud Laboral (CiSAL), Universitat Pompeu Fabra, Barcelona.
authors.forename: Pere
authors.initials: P
authors.lastname: Boix
authors.affiliation: CIBER de Epidemiología y Salud Pública (CIBERESP), España; Centro de Investigación en Salud Laboral (CiSAL), Universitat Pompeu Fabra, Barcelona; Instituto Municipal de Investigación Médica-Hospital del Mar (IMIM), Barcelona, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: G Benavides
authors.affiliation: Centro de Salud Pública de Valencia, Dirección General de Salud Pública, Consellería de Sanidad Universal y Salud Pública, Generalitat Valenciana, València, España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Gadea
authors.affiliation: Consellería de Agricultura, Medio Ambiente, Cambio Climático y Desarrollo Rural, Generalitat Valenciana, València, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Rodrigo
authors.affiliation: CIBER de Epidemiología y Salud Pública (CIBERESP), España; Centro de Investigación en Salud Laboral (CiSAL), Universitat Pompeu Fabra, Barcelona; Instituto Municipal de Investigación Médica-Hospital del Mar (IMIM), Barcelona, España.
authors.forename: Consol
authors.initials: C
authors.lastname: Serra
mesh_terms: D006804:Ergonomics; D006801:Humans; D009140:Musculoskeletal Diseases / Q000517:prevention & control*; D009784:Occupational Diseases / Q000517:prevention & control*; D016272:Occupational Health; D013030:Spain; D017132:Workplace
keywords: Ergonomía participativa; Musculoskeletal disorders; Occupational health; Participación; Participation; Participatory ergonomics; Salud laboral; Trastornos musculoesqueléticos