工作场所健康计划对员工健康和经济结果的影响:随机临床试验
Zirui Song1, Katherine Baicker2,3
1Harvard Medical School, Massachusetts General Hospital, Boston.
JAMA
|April 17, 2019
概括
工作场所健康计划改善了员工自我报告的运动和体重管理行为. 然而,18个月后,临床健康措施,医疗保健成本或就业结果没有显著变化.
科学领域:
- 职业健康问题
- 医疗服务研究
- 行为科学
背景情况:
- 雇主越来越多地投资于工作场所健康计划,
- 很少有实验证据评估这些举措的有效性.
研究的目的:
- 评估一项类似于美国雇主提供的全面工作场所健康计划.
- 提供实验证据证明这些计划的影响.
主要方法:
- 一个集群随机试验涉及160个工作场所 (超过32,000名员工) 进行了18个月.
- 干预工作场所接受了8个模块计划,重点是营养,体力活动和减轻压力.
- 结果包括自我报告的健康行为,临床健康标志物,医疗保健支出和就业数据.
主要成果:
- 与对照组相比,干预组的员工经常运动 (69.8% vs 61.9%) 和积极控制体重 (69.2% vs 54.7%).
- 在其他27个自我报告的健康行为,10个临床健康标志物,38个医疗保健支出/利用措施或3个就业结果中没有发现显著差异.
结论:
- 这项工作场所健康计划改善了自我报告的健康行为,但没有显著影响临床健康,医疗费用或就业结果.
- 调查结果表明,此类计划的短期投资回报可能有限,因此需要进一步调查.
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