Golaszewski T
Department of Health Science, State University of New York-Brockport, 14420, USA.
Am J Health Promot. 2001 May-Jun;15(5):332-40. doi: 10.4278/0890-1171-15.5.332.
To examine the literature from the past 20 years and identify those studies that support the economic merit of health promotion.
A panel of experts was used to identify the top studies supporting the purpose of this article.
Studies were chosen based on the following criteria: the study (1) examined the relationship between health risks and financial outcomes, or health promotion programs and financial outcomes; (2) provided strong and compelling financial data supporting the worth of health promotion; (3) had a high-quality methodology; (4) answered an important question or replicated important findings with superior methodology; and (5) represented U.S.-based initiatives published since 1980. After initially nominating a group of studies for consideration, panelists rated each on a scale from 1 to 3 representing their opinion of importance. Studies rating the highest were included for this discussion.
Studies were analyzed by population characteristics, design, statistical tests, limitations, and results. This information was summarized for each identified article.
A relationship between modifiable health risk factors and health care costs is supported by research. Health promotion interventions appear to provide positive financial returns, most notably for health care costs and absenteeism reduction. Private sector initiatives seem to be driving economic-based research. Overall, health promotion shows promising results for providing financial advantages for its sponsors; however, if this discipline is to show its true worth, considerable funding is needed from government or philanthropic sources to cover the substantial costs of quality research.
回顾过去20年的文献，找出那些支持健康促进具有经济价值的研究。
由一组专家来确定支持本文目的的顶级研究。
根据以下标准选择研究：该研究（1）考察了健康风险与财务结果之间的关系，或健康促进项目与财务结果之间的关系；（2）提供了有力且令人信服的财务数据以支持健康促进的价值；（3）具有高质量的方法；（4）回答了一个重要问题，或用更优的方法重复了重要发现；（5）代表自1980年以来在美国开展的项目。在初步提名一组研究以供考虑后，小组成员对每项研究从1到3进行评分，以代表他们对其重要性的看法。评分最高的研究被纳入本次讨论。
根据人群特征、设计、统计检验、局限性和结果对研究进行分析。为每篇确定的文章总结了这些信息。
研究支持可改变的健康风险因素与医疗保健成本之间存在关联。健康促进干预措施似乎能带来积极的财务回报，最显著的是在医疗保健成本和减少旷工方面。私营部门的举措似乎推动了基于经济的研究。总体而言，健康促进在为其赞助商提供财务优势方面显示出有希望的结果；然而，如果该学科要展现其真正价值，政府或慈善机构需要提供大量资金，以支付高质量研究的巨额成本。
