预防员工体重增加的职业保健指南的经济评估。

Economic evaluation of an occupational health care guideline for prevention of weight gain among employees.

机构信息

Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

J Occup Environ Med. 2013 Sep;55(9):1100-9. doi: 10.1097/JOM.0b013e31829b279a.

DOI:10.1097/JOM.0b013e31829b279a

PMID:23969508

Abstract

OBJECTIVE

To determine the cost-effectiveness and the financial return of a guideline for occupational physicians (OPs), aimed at the prevention of weight gain among employees.

METHODS

The guideline consisted of a company-environment scan and up to five individual sessions with an OP. Sixteen OPs randomized to the guideline (n = 7) or usual care group (n = 9) recruited 275 and 249 employees. Costs were collected by using 3-monthly retrospective questionnaires. Quality-adjusted life-years gained were determined with 6-monthly administered EuroQol-5D. Waist circumference and body weight were measured at baseline and 18 months.

RESULTS

Unfavorable differences were found on waist circumference (+1.6 cm; 95% confidence interval [CI], 0.27 to 2.90) and weight (+1.1 kg; 95% CI, 0.01 to 2.15). Probabilities of cost-effectiveness were consistently less than 55%. Net employer loss was &OV0556;-158 (95% CI, -2865 to 2672).

CONCLUSIONS

The occupational health care guideline was not cost-effective and no financial return was shown.

摘要

目的

确定针对预防员工体重增加的职业医生（OP）指南的成本效益和财务回报。

方法

该指南包括公司环境扫描以及最多与 OP 进行五次个别会议。16 名随机分配到指南（n = 7）或常规护理组（n = 9）的 OP 招募了 275 名和 249 名员工。使用每三个月的回顾性问卷收集成本。使用每六个月进行的 EuroQol-5D 确定获得的调整后生命年。在基线和 18 个月时测量腰围和体重。