诺华公司员工中可改变的健康风险因素与医疗支出、旷工、短期残疾及出勤主义之间的关系。
The relationship between modifiable health risk factors and medical expenditures, absenteeism, short-term disability, and presenteeism among employees at novartis.
作者信息
Goetzel Ron Z, Carls Ginger Smith, Wang Shaohung, Kelly Emily, Mauceri Edward, Columbus Daniel, Cavuoti Ann
机构信息
Institute for Health and Productivity Studies, Rollins School of Public Health, Emory University, Washington, DC, USA.
出版信息
J Occup Environ Med. 2009 Apr;51(4):487-99. doi: 10.1097/JOM.0b013e31819eb902.
OBJECTIVE
To quantify the impact of health risks on medical care and productivity costs in an employed population.
METHODS
Health risk, medical care, and productivity data were obtained for 5875 Novartis employees in 2005-2006. Factor analysis was performed to identify relationships among health risks. Multiple regression analyses were applied to estimate relationships between combined risk factors and costs.
RESULTS
We found a significant and consistent association among three factors (high biometric laboratory values, cigarette and alcohol use, and poor emotional health) and increased presenteeism for both men and women and increased absenteeism for women. Medical care expenditures were 13-22% higher for men and women at risk for the high biometric laboratory values and the emotional health factor.
CONCLUSIONS
There is a potential for medical and productivity savings for employers able to reduce health risks among their workers.
目的
量化健康风险对就业人群医疗保健及生产力成本的影响。
方法
获取了2005 - 2006年5875名诺华员工的健康风险、医疗保健及生产力数据。进行因子分析以确定健康风险之间的关系。应用多元回归分析来估计综合风险因素与成本之间的关系。
结果
我们发现三个因素（生物计量实验室值偏高、吸烟和饮酒以及情绪健康不佳）与男性和女性的出勤主义增加以及女性旷工增加之间存在显著且一致的关联。处于生物计量实验室值偏高和情绪健康因素风险中的男性和女性，其医疗保健支出高出13% - 22%。
结论
对于能够降低员工健康风险的雇主而言，存在节省医疗和生产力成本的潜力。
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