Research Triangle Institute, Behavioral Health Services, Policy, and Economics Program, Research Triangle Park, North Carolina (Mr Dowd, Mr Kaiser, Mr Mills); Department of Economics, University of North Carolina at Greensboro, Greensboro, North Carolina (Dr Bray); Research Triangle Institute, Behavioral Health Services, Policy, and Economics Program, Chicago, Illinois (Dr Barbosa); Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon (Dr Brockwood, Dr Hurtado); OHSU-PSU School of Public Health, Portland, Oregon, and Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon (Dr Wipfli).
J Occup Environ Med. 2017 Oct;59(10):956-965. doi: 10.1097/JOM.0000000000001097.
To estimate the cost and return on investment (ROI) of an intervention targeting work-family conflict (WFC) in the extended care industry.
Costs to deliver the intervention during a group-randomized controlled trial were estimated, and data on organizational costs-presenteeism, health care costs, voluntary termination, and sick time-were collected from interviews and administrative data. Generalized linear models were used to estimate the intervention's impact on organizational costs. Combined, these results produced ROI estimates. A cluster-robust confidence interval (CI) was estimated around the ROI estimate.
The per-participant cost of the intervention was $767. The ROI was -1.54 (95% CI: -4.31 to 2.18). The intervention was associated with a $668 reduction in health care costs (P < 0.05).
This paper builds upon and expands prior ROI estimation methods to a new setting.
评估一项针对长期护理行业工作家庭冲突（WFC）的干预措施的成本和投资回报率（ROI）。
在一项群组随机对照试验中，对实施干预措施的成本进行了估算，并通过访谈和行政数据收集了与组织成本（旷工、医疗成本、自愿离职和病假）相关的数据。使用广义线性模型来估计干预措施对组织成本的影响。将这些结果综合起来，得出 ROI 的估算值。对 ROI 估算值进行了集群稳健置信区间（CI）的估计。
干预措施的每位参与者成本为 767 美元。ROI 为-1.54（95% CI：-4.31 至 2.18）。该干预措施与医疗成本降低 668 美元相关（P<0.05）。
本文在新的背景下，对先前的 ROI 估算方法进行了扩展和扩展。
