The Influence of Worksite Health Promotion Program Management and Implementation Structure Variables on Medical Care Costs at PPG Industries (original) (raw)
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A benefit-to-cost analysis of a work-site health promotion program
Journal of occupational medicine. : official publication of the Industrial Medical Association, 1992
An analysis of the benefit-to-cost ratio of a major health promotion program was conducted for the years 1986 through 1990, with projections to the year 2000. Program costs for personnel, capital expenses, materials, and rent were determined and compared with program benefits (discounted to account for increasing pension liability) for heath care cost savings, increased productivity, decreased absenteeism, decreased life insurance claims, and program-generated income. After adjusting future monies to net present value, a benefit-to-cost ratio of 3.4 was estimated for the program. Despite the limitations of the study design, the authors concluded that the program realizes a positive return on its investment. Several program recommendations are presented to increase the probability of achieving positive benefit-to-cost ratios in future program offerings.
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 2015
We explored associations between organizational factors (size, sector, leadership support, and organizational capacity) and implementation of occupational safety and health (OSH) and worksite health promotion (WHP) programs in smaller businesses. We conducted a web-based survey of human resource managers of 117 smaller businesses (<750 employees) and analyzed factors associated with implementation of OSH and WHP among these sites using multivariate analyses. Implementation of OSH, but not WHP activities, was related to industry sector (P = 0.003). Leadership support was positively associated with OSH activities (P < 0.001), but negatively associated with WHP implementation. Organizational capacity (budgets, staffing, and committee involvement) was associated with implementation of both OSH and WHP. Size was related to neither. Leadership support and specifically allocated resources reflecting that support are important factors for implementing OSH and WHP in smaller organizati...
Journal of Occupational and Environmental Medicine, 2009
To conduct the seventh periodic review and analysis of the clinical and cost-effectiveness research conducted in worksite/corporate environments between 2004 and 2008. Methods: A literature search of US-based research was conducted using a multistage process including MEDLINE, ADI, EDGAR, CARL, Inform, Lexis-Nexis, as well as direct inquiries to key researchers in this area of expertise. Results: From 2004 to 2008, there were 16 new studies that met the Inclusion/ Exclusion criteria. These studies are critiqued and entered into a data table consisting of 13 variables and citations of the 16 new studies. Conclusions: Clinical and cost-effectiveness research in the worksite/ corporate environment continues to evolve although there was only one randomized clinical trial conducted during the most recent interval. There are innovations in pilot studies, quasi-experimental methodologies, and econometric modeling as indicative of future trends.
Journal of Occupational and Environmental Medicine, 2011
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
American Journal of Health Promotion, 1999
Objective: This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research.
The Health and Cost Benefits of Work Site Health-Promotion Programs
Annual Review of Public Health, 2008
We review the state of the art in work site health promotion (WHP), focusing on factors that influence the health and productivity of workers. We begin by defining WHP, then review the literature that addresses the business rationale for it, as well as the objections and barriers that may prevent sufficient investment in WHP. Despite methodological limitations in many available studies, the results in the literature suggest that, when properly designed, WHP can increase employees' health and productivity. We describe the characteristics of effective programs including their ability to assess the need for services, attract participants, use behavioral theory as a foundation, incorporate multiple ways to reach people, and make efforts to measure program impact. Promising practices are noted including senior management support for and participation in these programs. A very important challenge is widespread dissemination of information regarding success factors because only ∼7% of employers use all the program components required for successful interventions. The need for more and better science when evaluating program outcomes is highlighted. Federal initiatives that support cost-benefit or cost-effectiveness analyses are stressed, as is the need to invest in healthy work environments, to complement individual based interventions. 303 Annu. Rev. Public. Health. 2008.29:303-323. Downloaded from arjournals.annualreviews.org by 198.91.4.14 on 04/02/08. For personal use only.
Journal of Occupational and Environmental Medicine, 2005
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
Implementation and outcomes of a comprehensive worksite health promotion program
Canadian journal of public health = Revue canadienne de santé publique
This paper reports on the implementation and results of a three-year comprehensive worksite health promotion program called Take care of your health!, delivered at a single branch of a large financial organization with 656 employees at the beginning of the implementation period and 905 at the end. The program included six educational modules delivered over a three-year period. A global health profile was part of the first and last modules. The decision to implement the program coincided with an overall program of organizational renewal. The data for this evaluation come from four sources: analysis of changes in employee health profiles between the first and last program sessions (n=270); questionnaires completed by participating employees at the end of the program (n=169); organizational data on employee absenteeism and turnover; and qualitative interviews with company managers (n=9). Employee participation rates in the six modules varied between 39% and 76%. The assessment of healt...