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Preventive care utilization: Association with individual- and workgroup-level policy and practice perceptions.

Erika L Sabbath1, Emily H Sparer2, Leslie I Boden3

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Area of Science:

  • Occupational Health
  • Health Services Research
  • Preventive Medicine

Background:

  • Preventive care reduces long-term medical costs and disease burden.
  • Determinants of preventive care utilization are well-studied, but workplace influence is less understood.
  • Organizational policies and practices (OPPs) may significantly impact employee health behaviors.

Purpose of the Study:

  • To examine the association between four types of organizational policies and practices (OPPs) and preventive care utilization among hospital patient care workers.
  • To investigate the roles of individual-level and workgroup-level perceptions of OPPs.

Main Methods:

  • Utilized survey data from 838 hospital patient care workers across 84 units in Boston (2012).
  • Assessed individual perceptions of four OPPs and linked to medical expenditure data.
  • Employed multilevel models to analyze associations between OPP perceptions and preventive care encounters over two years.

Main Results:

  • Higher individual perceptions of workplace flexibility were associated with increased preventive care utilization.
  • Greater unit-level perceptions of people-oriented culture, ergonomics, and flexibility correlated with higher preventive care use.
  • Both individual and workgroup-level factors within the workplace environment influenced preventive care-seeking behavior.

Conclusions:

  • Workplace policies promoting flexibility, ergonomics, and a people-oriented culture are linked to positive preventive care utilization.
  • Improving work environments can enhance employee health and potentially reduce employer healthcare expenditures.
  • Organizational support systems play a crucial role in encouraging proactive health behaviors among workers.