Thomson Reuters, Washington, DC 20008, USA.
J Occup Environ Med. 2010 Dec;52(12):1160-6. doi: 10.1097/JOM.0b013e3181ff203f.
To evaluate the relationship between critical factors for successful worksite health promotion programs such as management support and program implementation and health care costs at PPG Industries.
We analyzed survey data from 37 PPG worksites measuring management support and program implementation. We estimated the relationship between management and implementation scores in 2007 and subsequent health care costs in 2008 using ordinary least squares regression.
High program implementation scores were associated with higher health care costs (P < 0.01) as were high management scores (P < 0.05). However, sites with a combination of high management and implementation scores had lower health care costs, while sites with low scores on these dimensions had higher cost trends.
Employers should consider administering worksite health promotion structural assessments to identify gaps in management support and program implementation that may influence program effectiveness.
评估工作场所健康促进计划成功的关键因素（如管理层支持和计划执行）与 PPG 工业公司医疗保健成本之间的关系。
我们分析了来自 37 个 PPG 工作场所的调查数据，这些数据衡量了管理层支持和计划执行情况。我们使用普通最小二乘法回归估计了 2007 年管理和实施得分与 2008 年后续医疗保健成本之间的关系。
高计划执行得分与较高的医疗保健成本相关（P < 0.01），高管理得分也与较高的医疗保健成本相关（P < 0.05）。然而，管理和实施得分均较高的企业的医疗保健成本较低，而在这些方面得分较低的企业的成本增长趋势更高。
雇主应考虑对工作场所健康促进结构进行评估，以确定管理层支持和计划执行方面的差距，这些差距可能会影响计划的有效性。
