Bondi Maris Ann, Harris Jeffrey R, Atkins David, French Molly E, Umland Beth
Health Promotion Research Center, University of Washington School of Public Health and Community Medicine, Seattle, WA 98105, USA.
Am J Health Promot. 2006 Jan-Feb;20(3):214-22. doi: 10.4278/0890-1171-20.3.214.
To characterize employers' coverage of clinical preventive services.
Mercer Human Resource Consulting Inc. included questions on clinical preventive services as part of its National Survey of Employer-Sponsored Health Plans, 2001.
A national sample of employers of a large, medium, and small number of employees, including governments.
Respondents self-identified as most knowledgeable about the organization's health benefits.
Weighted analyses of responses to eight survey questions on health promotion.
The survey was completed by 2180 employers, and the response rate was 21%. More than 90% of employers included increased productivity and decreased health care costs among their most important reasons for coverage of clinical preventive services. Within health insurance, coverage of physical examinations, immunizations, and screenings generally exceeded 50%, but coverage of lifestyle modification services was less than 20%. Only 20% of employers covered tobacco cessation services, and only 4% of employers provided an "optimal" benefit. We compared employers' offerings with a published ranking, by impact and value, of clinical preventive services. We found the biggest discrepancy in tobacco cessation services and alcohol problem prevention, which ranked high in terms of impact and value but are offered by only 20% and 18% of employers, respectively.
Employers seek financial return from their offerings of clinical preventive services to employees, but they are least likely to offer the services most likely to provide this return.
描述雇主对临床预防服务的覆盖情况。
美世人力资源咨询公司在其2001年全国雇主赞助健康计划调查中纳入了有关临床预防服务的问题。
对包括政府在内的大、中、小数量员工的雇主进行全国抽样。
受访者自我认定为对组织的健康福利最了解。
对关于健康促进的八个调查问题的回答进行加权分析。
2180名雇主完成了调查，回复率为21%。超过90%的雇主将提高生产力和降低医疗成本列为提供临床预防服务的最重要原因。在健康保险范围内，体检、免疫接种和筛查的覆盖率普遍超过50%，但生活方式改变服务的覆盖率不到20%。只有20%的雇主提供戒烟服务，只有4%的雇主提供“最佳”福利。我们将雇主提供的服务与一份按影响和价值对临床预防服务进行的已发表排名进行了比较。我们发现戒烟服务和酒精问题预防方面的差异最大，这两项服务在影响和价值方面排名较高，但分别只有20%和18%的雇主提供。
雇主希望通过为员工提供临床预防服务获得经济回报，但他们最不可能提供最有可能带来这种回报的服务。
