Loeppke Ronald, Taitel Michael, Haufle Vince, Parry Thomas, Kessler Ronald C, Jinnett Kimberly
Alere Brentwood, Tennesse, USA.
J Occup Environ Med. 2009 Apr;51(4):411-28. doi: 10.1097/JOM.0b013e3181a39180.
To explore methodological refinements in measuring health-related lost productivity and to assess the business implications of a full-cost approach to managing health.
Health-related lost productivity was measured among 10 employers with a total of 51,648 employee respondents using the Health and Work Performance Questionnaire combined with 1,134,281 medical and pharmacy claims. Regression analyses were used to estimate the associations of health conditions with absenteeism and presenteeism using a range of models.
Health-related productivity costs are significantly greater than medical and pharmacy costs alone (on average 2.3 to 1). Chronic conditions such as depression/anxiety, obesity, arthritis, and back/neck pain are especially important causes of productivity loss. Comorbidities have significant non-additive effects on both absenteeism and presenteeism. Executives/Managers experience as much or more monetized productivity loss from depression and back pain as Laborers/Operators. Testimonials are reported from participating companies on how the study helped shape their corporate health strategies.
A strong link exists between health and productivity. Integrating productivity data with health data can help employers develop effective workplace health human capital investment strategies. More research is needed to understand the impacts of comorbidity and to evaluate the cost effectiveness of health and productivity interventions from an employer perspective.
探讨衡量与健康相关的生产力损失的方法改进，并评估全面成本管理健康方法的商业影响。
使用健康与工作绩效问卷结合1,134,281份医疗和药房理赔数据，对10家雇主的51,648名员工作为受访者进行与健康相关的生产力损失测量。使用一系列模型，通过回归分析估计健康状况与旷工和出勤主义之间的关联。
与健康相关的生产力成本显著高于仅医疗和药房成本（平均为2.3比1）。抑郁症/焦虑症、肥胖症、关节炎以及背部/颈部疼痛等慢性病是生产力损失的特别重要原因。合并症对旷工和出勤主义都有显著的非累加效应。高管/经理因抑郁症和背痛遭受的货币化生产力损失与劳动者/操作员相当或更多。报告了参与公司关于该研究如何帮助塑造其企业健康战略的推荐。
健康与生产力之间存在紧密联系。将生产力数据与健康数据相结合可以帮助雇主制定有效的职场健康人力资本投资策略。需要更多研究来了解合并症的影响，并从雇主角度评估健康和生产力干预措施的成本效益。
