轮班工作和长时间工作对雇主医疗保健成本的影响。
The Impact of Shift Work and Long Work Hours on Employers' Health Care Costs.
机构信息
Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr McHugh, Dr French, Dr Kwasny); Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr McHugh); Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr French); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr Kwasny); Branstad Family Foundation (Dr Maechling); Department of Neurology, Center for Healthcare Delivery Science and Innovation, University of Chicago, Illinois (Dr Holl).
出版信息
J Occup Environ Med. 2020 Dec;62(12):1006-1010. doi: 10.1097/JOM.0000000000001994.
OBJECTIVE
To estimate the additional health care costs incurred by two U.S. manufacturing companies due to their policies related to shift work and long work hours.
METHODS
We applied risk ratios from the published literature to data on 2647 workers from Company A and 1346 workers from Company B to estimate the excess cases of several chronic conditions in the worker population due to shift work and long work hours. We estimated the annual health care costs incurred by the companies by applying Medicare cost data.
RESULTS
Excess annual health care costs related to shift work totaled $1,394,365 and $300,297 for Companies A and B, respectively. Excess annual costs related to long work hours totaled $231,293 and $107,902 for Companies A and B, respectively.
CONCLUSIONS
Excess health care costs related to shift work and long work hours is substantial, but may not be large enough to compel companies to alter their work scheduling policies.
目的
评估两家美国制造企业因其与轮班工作和长时间工作相关的政策而产生的额外医疗保健费用。
方法
我们应用已发表文献中的风险比，对来自 A 公司的 2647 名工人和 B 公司的 1346 名工人的数据进行了分析，以估算因轮班工作和长时间工作导致工人群体中几种慢性疾病的额外病例。我们通过应用医疗保险成本数据来估算公司的年度医疗保健费用。
结果
A 公司和 B 公司分别与轮班工作相关的年度超额医疗保健费用总计为 1394365 美元和 300297 美元。A 公司和 B 公司分别与长时间工作相关的年度超额医疗保健费用总计为 231293 美元和 107902 美元。
结论
与轮班工作和长时间工作相关的超额医疗保健费用相当可观，但可能不足以迫使公司改变其工作安排政策。
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