工作场所卫生中心的经济评估:系统审查
Hanzi Jiang1, Tim Schwirtlich, Molly Beestrum
1From the Institute for Public Health and Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois (H.J., T.S., M.M.); Galter Health Sciences Library, Feinberg School of Medicine, Chicago, Illinois (M.B.); Departments of Ophthalmology and Medical Social Sciences, Feinberg School of Medicine, Chicago, Illinois (D.D.F.); and Department of Veterans Affairs Health System Research Service, Hines, Illinois (D.D.F.).
工地健康中心 (WHCs) 证明了美国雇主成本效益和投资回报率 (ROI) 的积极性. 影响ROI的关键因素包括公司规模,利用率和运营时间.
科学领域:
- 卫生经济学 卫生经济学
- 职业健康 职业健康 职业健康
- 工商管理 工商管理
背景情况:
- 越来越多地实施工地健康中心 (WHC),以改善员工福祉和管理医疗保健成本.
- 需要对WHC对雇主的经济影响进行系统的评估.
研究的目的:
- 系统地审查美国工地健康中心的成本效益和投资回报率 (ROI).
- 确定影响WHC经济结果的因素.
主要方法:
- 在四个数据库和灰色文献中进行了系统的文献搜索,用于对美国WHC的经济评估.
- 使用JBI经济评估批判性评估工具评估了质量和偏差风险.
主要成果:
- 十项研究符合纳入标准,其中九项报告了积极的经济结果.
- 每个WHC的成本节省在每年35,479美元至2,124,723美元之间.
- 投资回报率从每1美元投资1.09美元到15.88美元不等,受公司规模,利用率和运营持续时间的影响.
结论:
- 工地健康中心 (WHCs) 可以为大型雇主提供显著的经济利益.
- 进一步的研究应探讨临床有效性,服务质量以及雇主节省成本的具体驱动因素.
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