Abstract
Health issues in the workplace have become increasingly diverse and complex with social and economic changes. The implementation of occupational health management in small and medium-sized enterprises (SMEs) is insufficient, and the performance gap is widening between SMEs and large companies. It is urgently necessary to activate and raise the level of occupational health management in SMEs, which employ a large share of workers. The Ministry of Health, Labor and Welfare of Japan is considering feasible and practical measures for this purpose.