Ansmann L, Jung J, Nitzsche A, Pfaff H
IMVR - Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft der Humanwissenschaftlichen Fakultät und der Medizinischen Fakultät der Universität zu Köln, 50933 Köln.
Gesundheitswesen. 2012 May;74(5):298-305. doi: 10.1055/s-0031-1271714. Epub 2011 Mar 8.
Worksite health management (WHM) can positively influence employee health and performance. However, it has not yet been comprehensively implemented in companies. This study aims to identify the role of organisational structures in the implementation of WHM.
In this cross-sectional study, data were collected on the companies' WHM and the organisational structure. Out of 522 randomly selected companies within the German information technology and communication (ITC) sector, one managing director for each company was being questioned through telephone interviews. Bivariate and multivariate logistic regression analyses were conducted.
The results of the study reveal that the implementation of WHM is positively correlated with a large company size (OR 2.75; 95%-CI 1.10-6.88) and with the existence of an employee representation (OR 2.48; 95%-CI 1.54-3.98). Other structural characteristics, such as the employment of a company physician, the percentage of temporary workers as well as the staff's age and sex distribution do not seem to have a significant impact on the implementation of WHM.
The results indicate that the implementation of WHM can only be explained to a certain degree by organisational structures. However, the findings highlight the fact that companies with few structural resources are in particular need of tailored support when implementing WHM.
工作场所健康管理（WHM）能够对员工健康和绩效产生积极影响。然而，它尚未在企业中得到全面实施。本研究旨在确定组织结构在WHM实施过程中的作用。
在这项横断面研究中，收集了有关公司WHM和组织结构的数据。在德国信息技术与通信（ITC）行业随机抽取的522家公司中，通过电话访谈对每家公司的一位总经理进行了询问。进行了双变量和多变量逻辑回归分析。
研究结果表明，WHM的实施与公司规模较大（比值比2.75；95%置信区间1.10 - 6.88）以及存在员工代表（比值比2.48；95%置信区间1.54 - 3.98）呈正相关。其他结构特征，如公司医生的聘用、临时工的比例以及员工的年龄和性别分布似乎对WHM的实施没有显著影响。
结果表明，WHM的实施只能在一定程度上通过组织结构来解释。然而，研究结果突出了这样一个事实，即结构资源较少的公司在实施WHM时尤其需要量身定制的支持。
