Harris Jeffrey R, Lichiello Patricia A, Hannon Peggy A
Health Promotion Research Center, 1107 NE 45th St, Ste 200, Seattle, WA 98105, USA.
Prev Chronic Dis. 2009 Jan;6(1):A29. Epub 2008 Dec 15.
The workplace is a powerful setting to reach large numbers of at-risk adults with effective chronic disease prevention programs. Missed preventive care is a particular problem for workers with low income and no health insurance. The costs of chronic diseases among workers--including health care costs, productivity losses, and employee turnover--have prompted employers to seek health promotion interventions that are both effective and cost-effective. The workplace offers 4 avenues for delivering preventive interventions: health insurance, workplace policies, health promotion programs, and communications. For each of the avenues, the evidence base describes a number of preventive interventions that are applicable to the workplace. On the basis of the evidence and of our work in Washington State, we present a public health approach to preventing chronic diseases via the workplace. In addition to relying on the evidence, this approach makes a compelling business case for preventive interventions to employers.
工作场所是通过有效的慢性病预防项目接触大量高危成年人的有力场所。错过预防性保健对低收入且无医疗保险的工人来说是个特别的问题。工人中慢性病的成本——包括医疗保健成本、生产力损失和员工流动率——促使雇主寻求既有效又具成本效益的健康促进干预措施。工作场所提供了四条实施预防性干预的途径：健康保险、工作场所政策、健康促进项目和宣传。对于每条途径，证据基础都描述了一些适用于工作场所的预防性干预措施。基于这些证据以及我们在华盛顿州的工作，我们提出一种通过工作场所预防慢性病的公共卫生方法。除了依靠证据外，这种方法还向雇主提出了预防性干预措施令人信服的商业理由。
