通过整合健康保护、健康促进和持续改进来促进员工健康：一项纵向准实验干预研究。
Promoting employee health by integrating health protection, health promotion, and continuous improvement: a longitudinal quasi-experimental intervention study.
作者信息
von Thiele Schwarz Ulrica, Augustsson Hanna, Hasson Henna, Stenfors-Hayes Terese
机构信息
From the Medical Management Centre (Dr von Thiele Schwarz, Ms Augustsson, and Dr Hasson); and Department of Learning, Informatics, Management and Ethics (Dr Stenfors-Hayes), Karolinska Institutet, Stockholm, Sweden.
出版信息
J Occup Environ Med. 2015 Feb;57(2):217-25. doi: 10.1097/JOM.0000000000000344.
OBJECTIVE
To test the effects of integrating health protection and health promotion with a continuous improvement system (Kaizen) on proximal employee outcomes (health promotion, integration, and Kaizen) and distal outcomes (workability, productivity, self-rated health and self-rated sickness absence).
METHODS
Twelve units in a county hospital in Sweden were randomized to control or intervention groups using a quasiexperimental study design. All staff (approximately 500) provided self-ratings in questionnaires at baseline, and a 12- and 24-month follow-up (response rate, 79% to 87.5%).
RESULT
There was a significant increase in the proximal outcomes over time in the intervention group compared with the control group, and a trend toward improvement in the distal outcomes workability and productivity.
CONCLUSIONS
Integration seems to promote staff engagement in health protection and promotion, as well as to improve their understanding of the link between work and health.
目的
检验将健康保护与健康促进与持续改进系统（改善）相结合对近端员工结果（健康促进、整合和改善）以及远端结果（工作能力、生产力、自评健康和自评病假）的影响。
方法
采用准实验研究设计，将瑞典一家县医院的12个科室随机分为对照组和干预组。所有员工（约500人）在基线时通过问卷调查进行自评，并在12个月和24个月时进行随访（回复率为79%至87.5%）。
结果
与对照组相比，干预组的近端结果随时间有显著增加，远端结果的工作能力和生产力有改善趋势。
结论
整合似乎能促进员工参与健康保护和促进，同时增进他们对工作与健康之间联系的理解。
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