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espanolEl impacto negativo de los accidentes laborales es tanto sanitario como economico. Se calcula que cerca de 2,3 millones de muertes al ano se deben por trabajo. Existen factores de riesgo, como exposicion a riesgos fisicos, quimicos, biologicos, psicosociales y ergonomicos ocasionando desequilibrio de salud y causar accidentes, enfermedades. Para proteger la salud en estos campos existe la Medicina del Trabajo. El Objetivo de este estudio es describir el rol y condiciones estrategicas del medico dentro del sistema de gestion de seguridad y salud ocupacional. Materiales y Metodos: Revision bibliografica en BIREME, Scielo Peru, Espana, Colombia y publicaciones de la International Labour Organizacion (ILO). Conclusion: El Rol Estrategico del Medico dentro del Sistema de Gestion de Seguridad y Salud Ocupacional presenta los enfoques: humano, medico-legal, economico y social; con responsabilidad directa en la implementacion de politicas y programas de salud ocupacional, basado en los codigos de etica nacional e internacional. EnglishThe negative impact of occupational accidents is both health and economic. It is estimated that close to 2.3 million deaths a year are due for work. There are risk factors such as exposure to physical risks, chemical, biological, psychosocial, and ergonomic causing imbalance in health and cause accidents, diseases. To protect health in these fields there is a Occupational Medicine. The objective of this study is to describe the role and strategic conditions of the doctor within the occupational health and safety management system. Materials and methods: review of the literature in BIREME, Scielo Peru, Spain, Colombia, and publications of the International Labour Organization (ILO). Conclusion: The strategic role of the doctor within the Occupational Health and Safety Management System presents the approaches: human, medical-legal, economic and social; with direct responsibility for the implementation of policies and programs of occupational health, based on national and international ethical codes.

Rol y condiciones estratégicas del médico dentro del Sistema de Gestión de Seguridad y Salud Ocupacional