Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
J Occup Health. 2021 Jan;63(1):e12205. doi: 10.1002/1348-9585.12205.
The working-age population is rapidly declining in Japan, so the government has adopted "health and productivity management" (HPM). This policy initiative aims to encourage corporations to view health promotion activities as an investment in their employees' health. The objective of this study was to examine the association between organizational factors and knowledge of the organization's effectiveness and program participation levels, and to understand the factors that affect effectiveness of corporations' activities.
We used data from all corporations that completed the HPM Survey Sheets in 2018 (n = 1800). The explanatory variables were organizational factors: written company-wide policy, agenda item at management-level meetings, regular education for managers, and full-time occupational health staff. The outcome variables were knowledge of the corporation's status on the effectiveness indicators (employees' exercise habits, risk for high blood pressure, visiting hospital after a health examination, and long-term sickness absences) and rates of participation in four areas (health education, exercise program, dietary program, and influenza vaccination). The associations between organizational factors and knowledge on effectiveness indicators and rates of program participation were analyzed using multiple logistic regression analysis.
All the organizational factors were related to knowledge of effectiveness indicators, but only some were associated with the program participation indicators in the model, including all explanatory variables.
Enhancing organizational factors may lead to improvement of HPM programs and higher program participation among employees in corporations.
日本劳动年龄人口正在迅速减少,因此政府采取了“健康与生产力管理”(HPM)措施。该政策举措旨在鼓励企业将促进健康的活动视为对员工健康的投资。本研究的目的是检验组织因素与对组织效能的认识和参与水平之间的关联,并了解影响企业活动效能的因素。
我们使用了 2018 年完成 HPM 调查单的所有企业的数据(n=1800)。解释变量为组织因素:公司层面的书面政策、管理层会议议程项目、经理定期教育和全职职业健康人员。因变量为对公司在以下效能指标上的状况的了解程度(员工的锻炼习惯、高血压风险、体检后去医院就诊和长期病假)以及参与以下四个领域的计划的比率(健康教育、锻炼计划、饮食计划和流感疫苗接种)。使用多因素逻辑回归分析对组织因素与对效能指标的了解程度和参与计划的比率之间的关联进行了分析。
所有组织因素均与对效能指标的了解程度有关,但只有一些因素与模型中的参与计划指标相关,包括所有解释变量。
加强组织因素可能会提高企业的 HPM 计划和员工的参与率。