Federal Occupational Health, Bethesda, MD 21117, USA.
J Occup Environ Med. 2010 Mar;52(3):336-9. doi: 10.1097/JOM.0b013e3181d44d8d.
To determine the effects of a physician-organized wellness regime (POWR) on a cohort of firefighters while applying the 2007 National Fire Protection Association Standard 1582.
A prospective evaluation comparing baseline with postintervention injury rate data among 252 Howard County, Maryland firefighters with analysis of return on investment.
After implementation of POWR, the Howard County fire department showed a 40% reduction in recordable injuries during year 1, which increased to 60% during year 2. Return on investment was shown to be 4.6:1 by the second year. Moreover, the subpopulation of overweight firefighters showed statistically significant weight loss during the intervention period.
POWR, a specific type of wellness initiative, can lead to substantial cost savings from an injury-sparing perspective alone and has potential to decrease cardiac risk factors among a high-risk population of firefighters.
在应用 2007 年国家消防协会标准 1582 的同时，确定医生组织的健康计划（POWR）对一组消防员的影响。
一项前瞻性评估，比较马里兰州霍华德县 252 名消防员的基线与干预后伤害率数据，并分析投资回报。
实施 POWR 后，霍华德县消防局在第 1 年的记录伤害减少了 40%，第 2 年增加到 60%。第二年的投资回报率为 4.6:1。此外，超重消防员的亚人群在干预期间体重明显下降，具有统计学意义。
POWR 是一种特定类型的健康计划，仅从避免伤害的角度来看，就可以节省大量成本，并且有可能降低高危消防员人群的心脏危险因素。
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