美国职场健康计划的战略选择与实施
Strategic Choice and Implementation of Workplace Wellness Programs in the United States.
作者信息
Weinstein Marc
机构信息
Department of Global, Leadership and Management, College of Business, Florida International University, Miami, FL 33199, USA.
出版信息
Healthcare (Basel). 2022 Jun 29;10(7):1216. doi: 10.3390/healthcare10071216.
Despite widespread discussion and public policy support for workplace wellness programs in the United States, their diffusion has been slow. Using data from the 2017 Workplace Health Administration Survey, this paper explored the importance of establishment characteristics, unionization, and strategic choice in the adoption of workplace health initiatives and employee participation in these programs. An ordinary least squares analysis revealed that unionization (β = 1.59, 95% CI = 1.20−1.97, p < 0.001) and management support (β = 1.67, 95% CI = 1.25−2.10, p < 0.001) were the strongest predictors of the number of programs adopted by an establishment. In logistic regression analyses of nine workplace wellness programs, it was also found that unionization and management were the strongest predictors of the adoption of these programs. Management support was also correlated with employee participation of in nutrition (OR = 2.66, 95% CI = 1.23−5.71, p < 0.05) and obesity programs (OR = 3.66, 95% CI = 1.03−12.97, p < 0.05).
尽管美国对职场健康计划进行了广泛讨论并给予公共政策支持，但其推广速度一直很慢。本文利用2017年职场健康管理调查的数据，探讨了企业特征、工会化以及战略选择在职场健康倡议采用情况和员工参与这些计划方面的重要性。普通最小二乘法分析显示，工会化（β = 1.59，95%置信区间 = 1.20−1.97，p < 0.001）和管理层支持（β = 1.67，95%置信区间 = 1.25−2.10，p < 0.001）是企业采用计划数量的最强预测因素。在对九个职场健康计划的逻辑回归分析中，还发现工会化和管理层是这些计划采用情况的最强预测因素。管理层支持还与员工参与营养（比值比 = 2.66，95%置信区间 = 1.23−5.71，p < 0.05）和肥胖计划（比值比 = 3.66，95%置信区间 = 1.03−12.97，p < 0.05）相关。
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