Merrill Ray M, LeCheminant James D
Department of Health Science, College of Life Sciences, Brigham Young University, Provo, UT, USA.
Department of Exercise Sciences, College of Life Sciences, Brigham Young University, Provo, UT, USA.
Prev Med Rep. 2016 Jan 26;3:159-65. doi: 10.1016/j.pmedr.2016.01.002. eCollection 2016 Jun.
To evaluate whether participation in a worksite wellness program differs by age and sex and is associated with frequency and average cost of medical claims.
Healthcare cost data were available for school district employees during the academic years ending in 2009 through 2014. The wellness program was available in the later 3 years. The frequency and the average cost of medical claims were compared between the 3 years prior to and the 3 years during the wellness program.
Wellness program participation increased from 65.6% 2011-2012 to 79.7% 2012-2013. The increase occurred within age-groups and for males and females. The average age of program participants was significantly lower in 2011-2012 (48.2 vs. 49.4, p = 0.0099), but similar in the next 2 academic years. Participation in at least one behavior change campaign in each year was 52.1%, 53.7%, and 73.7% of all wellness program participants, respectively. Female employees were significantly more likely to complete one or more behavior change campaigns in each year of the wellness program (p < 0.0001). The percentage of employees filing at least one claim per time period was higher for those in the wellness program (p < 0.0001), but average medical claims payments were lower for those in the wellness program. After subtracting program costs, the cost savings from the wellness program was $3,612,402. The benefit-to-cost ratio was 3.6.
Participation in the wellness program resulted in lower average medical claim costs than non-participation but number of claims were higher in program participants.
评估参与工作场所健康计划是否因年龄和性别而异，以及是否与医疗索赔的频率和平均成本相关。
可获取2009年至2014年学年学区员工的医疗保健成本数据。健康计划在随后的3年中实施。比较了健康计划实施前3年和实施期间3年的医疗索赔频率和平均成本。
健康计划的参与率从2011 - 2012年的65.6%上升至2012 - 2013年的79.7%。这种增长在各年龄组以及男性和女性中均有出现。2011 - 2012年计划参与者的平均年龄显著更低（48.2岁对49.4岁，p = 0.0099），但在接下来的2个学年中相似。每年参与至少一项行为改变活动的人数分别占所有健康计划参与者的52.1%、53.7%和73.7%。在健康计划的每年中，女性员工显著更有可能完成一项或多项行为改变活动（p < 0.0001）。健康计划参与者在每个时间段提交至少一项索赔的员工百分比更高（p < 0.0001），但健康计划参与者的平均医疗索赔支付更低。减去计划成本后，健康计划节省的成本为3,612,402美元。效益成本比为3.6。
参与健康计划导致平均医疗索赔成本低于未参与者，但计划参与者的索赔数量更高。
