Central to health promotion is the direct involvement of people in maintaining or improving their own health. The assessment of health promotion needs in an enterprise and the evaluation of work towards meeting them are the essential components of health promotion management. For the development of workplace health, it is important to recognize the central role of the empowerment of employees, in terms of competency and level of autonomy; to ensure an appropriate balance between the processes of rationalization and the capacities of the workforce; to include a comprehensive understanding of health in company policies and in all procedures involved in a continuous improvement process; to ensure the establishment of an enterprise-wide participatory infrastructure; and to enable all levels of employee to share their interests and expertise with the key players.
In most countries, the government divides the responsibility for developing and implementing policy to promote workers' health and make the work environment healthy and safe between different ministries, usually the ministries responsible for health and for labour. Other ministries are also concerned about occupational health, including the ministries responsible for: environment (such as through issuing environmental emission licences), economics, industry and finance (through fiscal incentives, taxation policy and measures affecting the attitudes and relationships of social partners) and education (vocational education and part-time jobs for young people). Coordination of government policy on health, environment and safety management in industrial and other enterprises would help in promoting worker's health.
The health of older workers is becoming an essential issue. Determining how to increase the age at which people typically stop working without damaging their health or productivity has great economic implications for Europe.