Ozminkowski Ronald J, Goetzel Ron Z, Wang Feifei, Gibson Teresa B, Shechter David, Musich Shirley, Bender Joel, Edington Dee W
Health and Productivity Research, Thomson Medstat and the Institute for Health and Productivity Studies, Cornell University, 777 East Eisenhower Parkway 903R, Ann Arbor, MI 48108, USA.
J Occup Environ Med. 2006 Nov;48(11):1125-32. doi: 10.1097/01.jom.0000240709.01860.8a.
The objective of this study was to estimate savings to Medicare associated with participation in one or more health promotion programs offered to 59,324 retirees from a large employer and their aged dependents.
Propensity score and multiple regression techniques were used to estimate savings adjusted for demographic and health status differences between elderly retirees and dependents who used one or more health promotion services and nonparticipants.
Participants who completed a health risk assessment saved from $101 to $648 per person per year. Savings were generally higher as more programs were used, but differences were not always statistically significant.
Using the health risk assessment as a guide for health promotion programs can yield substantial savings for the elderly and the Medicare program. The federal government should test health promotion programs in randomized trials and pay for such programs if the results suggest cost savings and better health for Medicare beneficiaries.
本研究的目的是估算参与向一家大型雇主的59324名退休人员及其老年受抚养人提供的一个或多个健康促进项目给医疗保险带来的节省费用。
倾向得分和多元回归技术被用于估算针对使用一个或多个健康促进服务的老年退休人员和受抚养人与未参与者之间的人口统计学和健康状况差异进行调整后的节省费用。
完成健康风险评估的参与者每人每年节省101美元至648美元。随着使用的项目增多，节省费用通常更高，但差异并非总是具有统计学意义。
将健康风险评估用作健康促进项目的指南可为老年人和医疗保险项目带来可观的节省费用。联邦政府应在随机试验中测试健康促进项目，并且如果结果表明能为医疗保险受益人节省费用并改善健康状况，就应为这类项目付费。
