Gibbs J O, Mulvaney D, Henes C, Reed R W
J Occup Med. 1985 Nov;27(11):826-30.
Participants in work-site health promotion programs are compared with other employees at the same work-site in terms of health care utilization as measured by insurance claims. Participants tended to incur higher health care costs than nonparticipants for the six-month period after the program began. However, a cohort analysis of one of the groups shows that participants' costs declined in relation to nonparticipants' for subsequent periods. Overall, for 4.75 years after the program, participants averaged 24% lower health care costs than nonparticipants. The imputed savings in health care costs exceeds program costs for this cohort by a factor of 1.45. The findings substantially strengthen the conclusions of other controlled studies that work-site health promotion reduces health care costs.
通过保险理赔衡量医疗保健利用率，将工作场所健康促进项目的参与者与同一工作场所的其他员工进行比较。在项目开始后的六个月期间，参与者的医疗保健成本往往高于非参与者。然而，对其中一组的队列分析表明，在随后的时间段里，参与者的成本相对于非参与者有所下降。总体而言，在项目实施后的4.75年里，参与者的平均医疗保健成本比非参与者低24%。该队列医疗保健成本的估算节省额超过项目成本1.45倍。这些发现大大加强了其他对照研究的结论，即工作场所健康促进可降低医疗保健成本。
