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雇主赞助的健康计划中的健康风险降低计划:第二部分——法律与伦理

Health risk reduction programs in employer-sponsored health plans: Part II-law and ethics.

作者信息

Rothstein Mark A, Harrell Heather L

机构信息

Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, KY 40202, USA.

出版信息

J Occup Environ Med. 2009 Aug;51(8):951-7. doi: 10.1097/JOM.0b013e3181b05435.

Abstract

OBJECTIVE

We sought to examine the legal and ethical implications of workplace health risk reduction programs (HRRPs) using health risk assessments, individually focused risk reduction, and financial incentives to promote compliance.

METHODS

We conducted a literature review, analyzed relevant statutes and regulations, and considered the effects of these programs on employee health privacy.

RESULTS

A variety of laws regulate HRRPs, and there is little evidence that employer-sponsored HRRPs violate these provisions; infringement on individual health privacy is more difficult to assess.

CONCLUSION

Although current laws permit a wide range of employer health promotion activities, HRRPs also may entail largely unquantifiable costs to employee privacy and related interests.

摘要

目的

我们试图研究通过健康风险评估、针对个人的风险降低措施以及经济激励来促进合规的工作场所健康风险降低计划(HRRPs)的法律和伦理影响。

方法

我们进行了文献综述,分析了相关法律法规,并考虑了这些计划对员工健康隐私的影响。

结果

各种法律对HRRPs进行规范,几乎没有证据表明雇主发起的HRRPs违反了这些规定;对个人健康隐私的侵犯则更难评估。

结论

虽然现行法律允许雇主开展广泛的健康促进活动,但HRRPs也可能给员工隐私及相关利益带来很大程度上无法量化的成本。

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本文引用的文献

1
Health risk reduction programs in employer-sponsored health plans: Part I-efficacy.
J Occup Environ Med. 2009 Aug;51(8):943-50. doi: 10.1097/JOM.0b013e3181b05421.
2
Currents in contemporary ethics. GINA, the ADA, and genetic discrimination in employment.
J Law Med Ethics. 2008 Winter;36(4):837-40. doi: 10.1111/j.1748-720X.2008.00341.x.
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Wellness programs and lifestyle discrimination--the legal limits.
N Engl J Med. 2008 Jul 10;359(2):192-9. doi: 10.1056/NEJMhle0801929.
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ACOEM Code of Ethical Conduct. American College of Occupational and Environmental Medicine.
J Occup Environ Med. 1997 Jul;39(7):614-5. doi: 10.1097/00043764-199707000-00005.

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