UFP Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa, 4249-004 Porto, Portugal.
Int J Environ Res Public Health. 2020 Apr 30;17(9):3143. doi: 10.3390/ijerph17093143.
The present study aimed to present and validate the Worker´s Healthcare Assistance Model (WHAM), which includes an interdisciplinary approach to health risk management in search of integral and integrated health, considering economic sustainability. Through the integration of distinct methodological strategies, WHAM was developed in the period from 2011 to 2018, in a workers' occupational health centre in the oil industry in Bahia, Brazil. The study included a sample of 965 workers, 91.7% of which were men, with a mean age of 44.9 years (age ranged from 23 to 73 years). The Kendall rank correlation coefficient and hierarchical multiple regression analysis were used for the validation of WHAM. The assessment of sustainable return on investment (S-ROI) was made using the WELLCAST ROI™ decision support tool, covering workers with heart disease and diabetes. WHAM can be considered an innovative healthcare model, as there is no available comparative model. WHAM is considered robust, with 86% health risk explanatory capacity and with an 85.5% S-ROI. It can be concluded that WHAM is a model capable of enhancing the level of workers' health in companies, reducing costs for employers and improving the quality of life within the organization.
本研究旨在介绍和验证工人医疗保健援助模型（WHAM），该模型采用跨学科方法进行健康风险管理，以寻求整体和综合健康，并考虑经济可持续性。通过整合不同的方法策略，WHAM 于 2011 年至 2018 年在巴西巴伊亚州石油行业的一家工人职业健康中心开发。该研究纳入了 965 名工人的样本，其中 91.7%为男性，平均年龄为 44.9 岁（年龄范围为 23 至 73 岁）。采用 Kendall 等级相关系数和分层多元回归分析对 WHAM 进行验证。使用 WELLCAST ROI™决策支持工具对可持续投资回报率（S-ROI）进行评估，涵盖患有心脏病和糖尿病的工人。WHAM 可以被认为是一种创新的医疗保健模式，因为没有可用的比较模式。WHAM 被认为是稳健的，具有 86%的健康风险解释能力和 85.5%的 S-ROI。可以得出结论，WHAM 是一种能够提高公司工人健康水平、降低雇主成本和改善组织内生活质量的模型。
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