开发两种健康测量工具文化：审视雇主在公司内外影响人口健康的努力。

Developing Two Culture of Health Measurement Tools: Examining Employers' Efforts to Influence Population Health Inside and Outside Company Walls.

机构信息

Institute for Health and Productivity Studies, Johns Hopkins Bloomberg School of Public Health, Washington, DC (Ms Kent, Dr Goetzel, Dr Roemer, Ms McCleary); IBM Watson Health, Bethesda, Maryland and IBM Watson Health, Cambridge, Massachusetts (Dr Goetzel, Dr Henke, Mr Head); HealthNEXT, Unionville, Pennsylvania (Dr Fabius).

出版信息

J Occup Environ Med. 2018 Dec;60(12):1087-1097. doi: 10.1097/JOM.0000000000001438.

DOI:10.1097/JOM.0000000000001438

PMID:30188490

Abstract

OBJECTIVE

The aim of the study was to develop tools that quantify employers' investment in building cultures of health (COH)-inside and outside company walls.

METHODS

Two COH instruments were developed through literature reviews and expert consultation. The first focused on internal culture of health (COH-INT), that is, programs, policies, and attributes of the physical and social environments that support employees' health and well-being. The second focused on external culture of health (COH-EXT), that is, programs, policies, and environmental supports that promote communities' health. We administered these tools to 32 employers and examined instrument reliability, distribution of scores, and correlation between the two instruments.

RESULTS

Both tools demonstrated adequate reliability. COH-EXT scores changed minimally over the 3-year study timeframe. There was little correlation between the COH-INT and COH-EXT scores.

CONCLUSIONS

More research is needed to further develop and validate COH-EXT instruments.

摘要

目的

本研究旨在开发工具，以量化雇主在内外营造健康文化（COH）方面的投入。

方法

通过文献回顾和专家咨询，开发了两种 COH 工具。第一个侧重于内部健康文化（COH-INT），即支持员工健康和福祉的计划、政策和物理及社会环境属性。第二个侧重于外部健康文化（COH-EXT），即促进社区健康的计划、政策和环境支持。我们向 32 家雇主发放了这些工具，并检查了工具的可靠性、得分分布以及两种工具之间的相关性。