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商业保险人群的健康管理:是时候将健康的社会决定因素纳入其中了。

Health Management in Commercially Insured Populations: It Is Time to Include Social Determinants of Health.

机构信息

Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, Conduent HR Services, Cleveland, OH (Dr Sherman), Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, Illinois (Dr Stiehl).

出版信息

J Occup Environ Med. 2018 Aug;60(8):688-692. doi: 10.1097/JOM.0000000000001344.

DOI:10.1097/JOM.0000000000001344
PMID:29668529
Abstract

: Employers have been challenged by low employee participation rates in health-related programs, and have often relied on incentives and other engagement approaches to overcome this difficulty. One of the apparent barriers to employee engagement in health-related activities is represented by social determinants of health. According to some, these factors comprise as much as 40% of an individual's health status, and while they have been the focus of attention in the public health domain, their role in the workplace has not been broadly recognized. In this manuscript, we provide an overview of the significance of social determinants of health in the workplace, addressing their influence on employee involvement in health-related offerings. We also acknowledge the unique role of the workplace as both a physical and social determinant of worker health.

摘要

雇主面临员工参与健康相关计划的比例低的挑战,并且经常依赖激励措施和其他参与方式来克服这一困难。影响员工参与健康相关活动的一个明显障碍是健康的社会决定因素。有人认为,这些因素占个人健康状况的 40%左右,尽管它们一直是公共卫生领域关注的焦点,但它们在工作场所的作用尚未得到广泛认可。在本文中,我们概述了健康的社会决定因素在工作场所的重要性,讨论了它们对员工参与健康相关服务的影响。我们还承认工作场所作为工人健康的物质和社会决定因素的独特作用。

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