Medical Surveillance, Continuous Health Promotion and a Participatory Intervention in a Small Company

Nicola Magnavita

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

16 Citazioni (Scopus)


The workplace is an ideal setting for health promotion. The regular medical examination of workers enables us to screen for numerous diseases, spread good practices and correct lifestyles, and obtain a favourable risk/benefit ratio. The continuous monitoring of the level of workers’ wellbeing using a holistic approach during medical surveillance enables us to promptly identify problems in work organisation and the company climate. Problems of this kind can be adequately managed by using a participatory approach. The aim of this paper is twofold: to signal this way of proceeding with medical surveillance, and to describe an organisational development intervention. Participatory groups were used to improve occupational life in a small company. After intervention we observed a reduction in levels of perceived occupational stress measured with the Effort/Reward Imbalance questionnaire, and an improvement in psychological wellbeing assessed by means of the Goldberg Anxiety/Depression scale. Although the limited size of the sample and the lack of a control group call for a cautious evaluation of this study, the participatory strategy proved to be a useful tool due to its cost-effectiveness.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
Numero di pagine13
RivistaInternational Journal of Environmental Research and Public Health
Stato di pubblicazionePubblicato - 2018


  • anxiety
  • depression
  • health promotion
  • medical surveillance
  • organisational development
  • participatory ergonomics
  • wellbeing
  • work-related stress
  • workplace


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