Hodges Linda C, Harper Tricia Satkowski, Hall-Barrow Julie, Tatom Iris D
College of Nursing, University of Arkansas for Medical Sciences, Little Rock, USA.
AAOHN J. 2004 Jun;52(6):247-53.
City municipalities implementing health and wellness programs patterned after North Little Rock, Arkansas, can significantly reduce the cost of health care for employees, as well as reduce costs associated with workers' compensation claims and lost time caused by injury. In addition to primary care services, effective programs include health risk assessments through pre-placement physicals, employee physicals, drug screening, employee health and wellness promotion programs, and immunization and registry. In implementing the program, a team from the University of Arkansas for Medical Sciences College of Nursing worked with city officials to establish a steering committee, safety initiatives through first responders, systems for monitoring immunizations, criteria for pre-placement physicals, and an employee health and wellness program. While the benefits for the city are well documented, the contract also created opportunities for education, research, and services in a real life community based learning laboratory for students in the College of Nursing. In addition, it provided opportunities for faculty to participate in faculty practice and meet the College's service missions. The College's model program holds promise for use by other major health care centers across the region and nation.
效仿阿肯色州北小石城实施健康与保健项目的城市，能够显著降低员工的医疗保健成本，以及减少与工伤赔偿索赔和工伤导致的误工相关的成本。除了初级保健服务外，有效的项目还包括通过入职前体检、员工体检、药物筛查、员工健康与保健促进项目以及免疫接种和登记进行健康风险评估。在实施该项目过程中，阿肯色大学医学院护理学院的一个团队与市政府官员合作，成立了一个指导委员会，通过急救人员开展安全倡议，建立免疫接种监测系统、入职前体检标准以及员工健康与保健项目。虽然该项目给城市带来的益处有充分记录，但这份合同也为护理学院的学生在一个基于现实社区的学习实验室中提供了教育、研究和服务的机会。此外，它为教师提供了参与教师实践并履行学院服务使命的机会。该学院的示范项目有望被该地区及全国的其他主要医疗保健中心采用。
