Nelson Candace C, Allen Jennifer D, McLellan Deborah, Pronk Nico, Davis Kia L
Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA.
School of Arts and Sciences, Community Health Program, Tufts University, Medford, MA, USA.
Work. 2015;52(1):169-76. doi: 10.3233/WOR-152038.
Accumulating evidence suggests that worksite interventions integrating worksite health promotion (WHP) and occupational safety and health (OSH) may be more efficacious and have higher participation rates than health promotion programs offered alone. However, dissemination of integrated programs is complicated by lack of tools for implementation - particularly for small and medium-sized businesses (SMBs).
The goal of this study is to describe perceptions of acceptability and feasibility of implementing an integrated approach to worker health that coordinates WHP and OSH in SMBs.
In September to November 2012, decision-makers for employee health programming within SMBs (< 750 employees) in greater Minneapolis were identified. Fourteen semi-structured interviews were conducted and analyzed to develop an understanding of perceived benefits and barriers, awareness, and capacity for implementing an integrated approach.
Worker health was widely valued by participants. They reported strong management support for improving employee health and safety. Most participants indicated that their company was open to making changes in their approach to worker health; however, cost and staffing considerations were frequently perceived as barriers.
There are opportunities for implementing integrated worksite health programs in SMBs with existing resources and values. However, challenges to implementation exist, as these worksites may lack the appropriate resources.
越来越多的证据表明，将工作场所健康促进（WHP）与职业安全与健康（OSH）相结合的工作场所干预措施可能比单独提供的健康促进计划更有效，且参与率更高。然而，综合计划的传播因缺乏实施工具而变得复杂——尤其是对于中小企业（SMB）而言。
本研究的目的是描述中小企业对实施将WHP和OSH协调起来的工人健康综合方法的可接受性和可行性的看法。
2012年9月至11月，确定了大 Minneapolis 地区中小企业（员工少于750人）中负责员工健康规划的决策者。进行了14次半结构化访谈并进行分析，以了解实施综合方法的感知益处和障碍、意识及能力。
参与者广泛重视工人健康。他们报告称管理层大力支持改善员工健康与安全。大多数参与者表示他们的公司愿意改变对待工人健康的方式；然而，成本和人员配置方面的考虑常常被视为障碍。
利用现有资源和价值观，在中小企业实施综合工作场所健康计划存在机会。然而，由于这些工作场所可能缺乏适当资源，实施存在挑战。
