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工作场所的健康状况改善?对一项结构化工作场所健康改善计划在减少病假方面的效果及成本效益的评估。

Better health at work? An evaluation of the effects and cost-benefits of a structured workplace health improvement programme in reducing sickness absence.

作者信息

Braun T, Bambra C, Booth M, Adetayo K, Milne E

机构信息

Tees Valley Public Health Shared Service, Redheugh House, Thornaby Place, Stockton-on-Tees TS17 6BW, UK.

Wolfson Research Institute of Health and Wellbeing, Durham University, Stockton-on-Tees, TS17 6BH, UK.

出版信息

J Public Health (Oxf). 2015 Mar;37(1):138-42. doi: 10.1093/pubmed/fdu043. Epub 2014 Jul 6.

DOI:10.1093/pubmed/fdu043
PMID:25002437
Abstract

BACKGROUND

This paper presents the results of an evaluation of the Better Health at Work Award-a structured regional workplace health programme which combined changes to the work environment with lifestyle interventions.

METHODS

Baseline and follow-up data on sickness-absence rates and programme costs were collected retrospectively via a web survey of all participating organizations. Changes over time were calculated using 95% confidence intervals of the mean, supplemented by hypothesis testing using a t-test. The indicative cost-benefits of the intervention were also calculated.

RESULTS

Participation was associated with a mean reduction in sickness absence of 0.26-1.6 days per employee per year depending on the length and level of participation in the programme. The estimated cost for the programme was £3 per sickness-absence day saved.

CONCLUSIONS

These results suggest that the Better Health at Work Award could be a cost-effective way of improving health and reducing sickness absence particularly in the public sector. However, controlled evaluations of future interventions are needed.

摘要

背景

本文介绍了“工作场所健康改善奖”评估结果,这是一项结构化的地区性工作场所健康计划,将工作环境的改变与生活方式干预相结合。

方法

通过对所有参与组织进行网络调查,回顾性收集病假率和项目成本的基线及随访数据。使用均值的95%置信区间计算随时间的变化,并辅以t检验进行假设检验。还计算了干预措施的指示性成本效益。

结果

根据参与该计划的时长和程度,参与该计划与每名员工每年平均减少0.26 - 1.6天病假相关。该计划的估计成本为每节省1天病假3英镑。

结论

这些结果表明,“工作场所健康改善奖”可能是改善健康和减少病假的一种具有成本效益的方式,特别是在公共部门。然而,未来的干预措施需要进行对照评估。

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