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职场健康计划:监管灵活性如何可能破坏其成功。

Workplace wellness programs: how regulatory flexibility might undermine success.

作者信息

Pomeranz Jennifer L

机构信息

Jennifer L. Pomeranz is with the Department of Public Health, Center for Obesity Research and Education, Temple University, Philadelphia, PA.

出版信息

Am J Public Health. 2014 Nov;104(11):2052-6. doi: 10.2105/AJPH.2014.302149. Epub 2014 Sep 11.

DOI:10.2105/AJPH.2014.302149
PMID:25211713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4202993/
Abstract

The Patient Protection and Affordable Care Act revised the law related to workplace wellness programs, which have become part of the nation's broader health strategy. Health-contingent programs are required to be reasonably designed. However, the regulatory requirements are lax and might undermine program efficacy in terms of both health gains and financial return. I propose a method for the government to support a best-practices approach by considering an accreditation or certification process. Additionally I discuss the need for program evaluation and the potential for employers to be subject to litigation if programs are not carefully implemented.

摘要

《患者保护与平价医疗法案》修订了与职场健康计划相关的法律,这些计划已成为国家更广泛健康战略的一部分。与健康状况挂钩的计划必须设计合理。然而,监管要求宽松,可能会在健康收益和财务回报方面削弱计划的效果。我提出一种方法,即政府通过考虑认证或认可程序来支持采用最佳实践方法。此外,我还讨论了计划评估的必要性,以及如果计划实施不当雇主可能面临诉讼的可能性。

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引用本文的文献

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Variability and Limits of US State Laws Regulating Workplace Wellness Programs.美国各州规范职场健康计划的法律的可变性与局限性。
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本文引用的文献

1
Workplace Wellness Programs Study: Final Report.职场健康计划研究:最终报告。
Rand Health Q. 2013 Jun 1;3(2):7. eCollection 2013 Summer.
2
Alternatives to monetary incentives for employee weight loss.员工减肥的非金钱激励措施。
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3
Medical care savings from workplace wellness programs: what is a realistic savings potential?工作场所健康计划的医疗保健储蓄:潜在的节省空间有多大?
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4
Promoting prevention through the affordable care act: workplace wellness.通过平价医疗法案促进预防工作:工作场所健康。
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Recommendations for worksite-based interventions to improve workers' health.关于改善工人健康的工作场所干预措施的建议。
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6
Workplace wellness programs can generate savings.工作场所健康促进计划可以节省成本。
Health Aff (Millwood). 2010 Feb;29(2):304-11. doi: 10.1377/hlthaff.2009.0626. Epub 2010 Jan 14.
7
Carrots, sticks, and health care reform--problems with wellness incentives.胡萝卜加大棒与医疗保健改革——健康激励措施存在的问题
N Engl J Med. 2010 Jan 14;362(2):e3. doi: 10.1056/NEJMp0911552. Epub 2009 Dec 30.
8
Addressing obesity in the workplace: the role of employers.应对职场中的肥胖问题:雇主的角色。
Milbank Q. 2009 Mar;87(1):101-22. doi: 10.1111/j.1468-0009.2009.00549.x.
9
Wellness programs and lifestyle discrimination--the legal limits.健康计划与生活方式歧视——法律界限
N Engl J Med. 2008 Jul 10;359(2):192-9. doi: 10.1056/NEJMhle0801929.
10
Reducing health care costs by reducing the need and demand for medical services. The Health Project Consortium.通过减少对医疗服务的需求来降低医疗保健成本。健康项目联盟。
N Engl J Med. 1993 Jul 29;329(5):321-5. doi: 10.1056/NEJM199307293290506.