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评估关爱照顾者的工作场所政策(CFWPs)干预措施对全职照顾者员工(CEs)健康的影响:实施与成本效益分析。

Evaluation of caregiver-friendly workplace policy (CFWPs) interventions on the health of full-time caregiver employees (CEs): implementation and cost-benefit analysis.

作者信息

Williams Allison M, Tompa Emile, Lero Donna S, Fast Janet, Yazdani Amin, Zeytinoglu Isik U

机构信息

School of Geography and Earth Sciences, McMaster University, General Science Building, 209, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.

Institute for Work and Health, University of Toronto, 481 University Avenue, Suite 800, Toronto, ON, M5G 2E9, Canada.

出版信息

BMC Public Health. 2017 Sep 20;17(1):728. doi: 10.1186/s12889-017-4722-9.

Abstract

BACKGROUND

Current Canadian evidence illustrating the health benefits and cost-effectiveness of caregiver-friendly workplace policies is needed if Canadian employers are to adopt and integrate caregiver-friendly workplace policies into their employment practices. The goal of this three-year, three study research project is to provide such evidence for the auto manufacturing and educational services sectors. The research questions being addressed are: What are the impacts for employers (economic) and workers (health) of caregiver-friendly workplace policy intervention(s) for full-time caregiver-employees? What are the impacts for employers, workers and society of the caregiver-friendly workplace policy intervention(s) in each participating workplace? What contextual factors impact the successful implementation of caregiver-friendly workplace policy intervention(s)?

METHODS

Using a pre-post-test comparative case study design, Study A will determine the effectiveness of newly implemented caregiver-friendly workplace policy intervention(s) across two workplaces to determine impacts on caregiver-employee health. A quasi-experimental pre-post design will allow the caregiver-friendly workplace policy intervention(s) to be tested with respect to potential impacts on health, and specifically on caregiver employee mental, psychosocial, and physical health. Framed within a comparative case study design, Study B will utilize cost-benefit and cost-effectiveness analysis approaches to evaluate the economic impacts of the caregiver-friendly workplace policy intervention(s) for each of the two participating workplaces. Framed within a comparative case study design, Study C will undertake an implementation analysis of the caregiver-friendly workplace policy intervention(s) in each participating workplace in order to determine: the degree of support for the intervention(s) (reflected in the workplace culture); how sex and gender are implicated; co-workers' responses to the chosen intervention(s), and; other nuances at play. It is hypothesized that the benefits of the caregiver-friendly workplace policy intervention(s) will include improvements in caregiver-employees' mental, psychosocial and physical health, as well as evidence of cost-benefit and cost-effectiveness for the employer.

DISCUSSION

The expected project results will provide the research evidence for extensive knowledge translation work, to be carried out in collaboration with our knowledge transition partners, to the employer/human resources and occupational health/safety target populations.

TRIAL REGISTRATION

ISRCTN16187974 Registered August 25, 2016.

摘要

背景

如果加拿大雇主想要采用关爱照顾者的工作场所政策并将其纳入雇佣实践中,就需要有加拿大的相关证据来说明此类政策对健康的益处及成本效益。这个为期三年、包含三项研究的项目旨在为汽车制造业和教育服务业提供此类证据。所探讨的研究问题如下:针对全职照顾者员工的关爱照顾者工作场所政策干预措施对雇主(经济方面)和员工(健康方面)有何影响?关爱照顾者工作场所政策干预措施在每个参与的工作场所中对雇主、员工和社会有何影响?哪些背景因素会影响关爱照顾者工作场所政策干预措施的成功实施?

方法

研究A采用前后测比较案例研究设计,将确定新实施的关爱照顾者工作场所政策干预措施在两个工作场所中的有效性,以确定其对照顾者员工健康的影响。准实验前后设计将对关爱照顾者工作场所政策干预措施在健康方面的潜在影响进行测试,特别是对照顾者员工的心理、社会心理和身体健康的影响。研究B采用比较案例研究设计,将利用成本效益和成本效果分析方法来评估关爱照顾者工作场所政策干预措施对两个参与工作场所各自的经济影响。研究C采用比较案例研究设计,将对每个参与工作场所的关爱照顾者工作场所政策干预措施进行实施分析,以确定:对干预措施的支持程度(体现在工作场所文化中);性别如何涉及其中;同事对所选干预措施的反应,以及;其他相关细微差别。假设关爱照顾者工作场所政策干预措施的益处将包括照顾者员工心理、社会心理和身体健康的改善,以及雇主的成本效益和成本效果的证据。

讨论

预期的项目结果将为广泛的知识转化工作提供研究证据,并与我们的知识转化伙伴合作,针对雇主/人力资源以及职业健康/安全目标人群开展工作。

试验注册

ISRCTN16187974,于2016年8月25日注册。

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