Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455-0392, USA.
J Occup Environ Med. 2010 Mar;52(3):269-80. doi: 10.1097/JOM.0b013e3181cf3aed.
To determine the effectiveness of the University of Minnesota's worksite health promotion program in reducing health care expenditures during the first 2 years of the program; to investigate the program's effect on absenteeism; and to study the effect of specific disease- or lifestyle-management programs on both health care expenditures and absenteeism.
Health care expenditures and absenteeism of program participants were compared with those who were eligible but did not participate. Differences-in-differences regression equations with random effects were used to account for selection.
Participation in the general disease management program over 2 years was associated with significant reductions in expenditures, as was participation in programs for certain specific diseases. No consistently significant absenteeism or lifestyle management effects were found.
: Although the program significantly reduced expenditures, it did not generate a positive return on investment.
在项目实施的头 2 年，确定明尼苏达大学工作场所健康促进计划在降低医疗支出方面的有效性；调查该计划对旷工的影响；研究特定疾病或生活方式管理计划对医疗支出和旷工的影响。
将参与项目的员工的医疗支出和旷工情况与有资格但未参与的员工进行比较。采用具有随机效应的差分方程来解释选择偏差。
2 年来，参与一般疾病管理计划与支出的显著减少有关，参与某些特定疾病的计划也是如此。但没有发现旷工或生活方式管理的一致显著影响。
尽管该计划显著降低了支出，但没有产生正的投资回报。
