Shephard R J
School of Physical & Health Education, University of Toronto, Ontario, Canada.
Ann Acad Med Singap. 1992 Jan;21(1):63-8.
Information gathered over twelve years operation of the Canada Life Assurance fitness programme is reviewed. Motives leading to programme initiation included sale of a health-related product, managerial interest, and government and university support. Participation is now a little under capacity, at about 13% of eligible staff. Except in a small minority of members, the impact upon physical condition and lipid profile has been marginal. The reported community exercise participation of employees has increased since initiation of the programme. An early reduction of employee turnover has been sustained in programme participants. A reduction of absenteeism is limited to enthusiastic participants, with a 0.13% payroll saving for the company as a whole. An early analysis suggested a substantial Hawthorne effect, but a 2.7% gain of productivity relative to a matched control company. Medical insurance claims were also lowered in the first year after introduction of the programme, probably because of gains in perceived health. The Canadian Health Hazard Appraisal instrument showed a two-year reduction of appraised age in male participants. The gymnasium area was developed at a cost of about $175,000, or $700/m2 1990 Canadian dollars, and the current operating budget is about $110,000/year. The 400 members each pay $55/year, and the company provides an operating subsidy of about $200/member. Overall findings suggest the programme remains cost-effective and cost-beneficial.
回顾了加拿大人寿保险公司健身计划十二年运营所收集的信息。该计划启动的动机包括销售与健康相关的产品、管理层的兴趣以及政府和大学的支持。目前参与人数略低于满员状态，约占符合条件员工的13%。除了少数成员外，该计划对身体状况和血脂水平的影响微乎其微。自该计划启动以来，员工参与社区锻炼的报告有所增加。计划参与者保持了早期员工流失率的降低。旷工减少仅限于热情的参与者，为公司整体节省了0.13%的工资成本。早期分析表明存在显著的霍桑效应，但相对于匹配的对照公司，生产率提高了2.7%。该计划实施后的第一年医疗保险索赔也有所降低，可能是因为人们感觉健康状况有所改善。加拿大健康危害评估工具显示男性参与者的评估年龄降低了两岁。健身房区域的建设成本约为17.5万加元，即每平方米700加元（1990年加拿大元），目前的运营预算约为每年11万加元。400名成员每人每年支付55加元，公司为每位成员提供约200加元的运营补贴。总体研究结果表明该计划仍然具有成本效益和成本收益。
