夏威夷酒店员工工作场所肥胖预防和干预试验的经济评价。
Economic evaluation of a worksite obesity prevention and intervention trial among hotel workers in Hawaii.
机构信息
Science Programs Department, Kaiser Permanente Center for Health Research, Portland, OR 97227, USA.
出版信息
J Occup Environ Med. 2010 Jan;52 Suppl 1(Suppl 1):S8-13. doi: 10.1097/JOM.0b013e3181c81af9.
Abstract
OBJECTIVE
Economic evaluation of Work, Weight, and Wellness (3W), a 2-year randomized trial of a weight loss program delivered through Hawaii hotel worksites.
METHODS
Business case analysis from hotel perspective. Program resources were micro-costed (2008 dollars). Program benefits were reduced medical costs, fewer absences, and higher productivity. Primary outcome was discounted 24-month net present value (NPV).
RESULTS
Control program cost $222K to implement over 24 months ($61 per participant), intervention program cost $1.12M ($334). Including overweight participants (body mass index >25), discounted control NPV was -$217K; -$1.1M for intervention program. Presenteeism improvement of 50% combined with baseline 10% productivity shortfall required to generate positive 24-month intervention NPV.
CONCLUSIONS
3W's positive clinical outcomes did not translate into immediate economic benefit for participating hotels, although modest cost savings were observed in the trial's second year.
摘要
目的
对 Work, Weight, and Wellness（3W）进行经济评估，这是一项为期两年的减肥计划随机试验，通过夏威夷酒店工作场所进行。
方法
从酒店角度进行商业案例分析。项目资源进行了微观成本核算（2008 年美元）。项目效益包括降低医疗成本、减少缺勤和提高生产力。主要结果是贴现 24 个月的净现值（NPV）。
结果
控制组在 24 个月内实施成本为 222 万美元（每个参与者 61 美元），干预组成本为 1120 万美元（334 美元）。包括超重参与者（身体质量指数>25），控制组的贴现净现值为-21.7 万美元；干预组为-110 万美元。如果要产生 24 个月干预 NPV 的正效益，需要将参与酒店的员工工作效率提高 50%，同时弥补基线 10%的生产力不足。
结论
3W 的积极临床结果并未为参与酒店带来即时的经济效益，尽管在试验的第二年观察到适度的成本节约。
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