Kumakawa Yuki, Nagata Tomohisa, Odagami Kiminori, Mori Takahiro, Mori Koji
Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
J Occup Health. 2025 Jan 7;67(1). doi: 10.1093/joccuh/uiaf043.
This study examined whether management-level discussions on Health and Productivity Management (HPM) and the involvement of occupational health professionals in discussions are associated with workplace health promotion (WHP) program outcomes, as indicated by HPM evaluation.
We conducted a cross-sectional study using data from 2495 corporations that submitted the 2020 HPM Survey Sheets. Corporations were categorized into 3 groups based on the presence or absence of HPM discussions at management-level meetings and the attendance of occupational health professionals. The overall score and the deviation score for "assessment and improvement" were used as indicators of program outcomes. Multiple regression analyses were performed, adjusting for industry sector, company size, and number of occupational physicians and occupational health nurses.
Corporations without HPM discussions at management-level meetings showed significantly lower scores on both indicators (overall score coefficient: -11.70; 95% CI, -12.83 to -10.53; "assessment and improvement" coefficient: -11.30; 95% CI, -12.50 to -9.97). In contrast, corporations with HPM discussions attended by occupational health professionals demonstrated significantly higher scores than those without such attendance (overall score coefficient: 5.39; 95% CI, 4.61-6.18; "assessment and improvement" coefficient: 5.15; 95% CI, 4.28-6.02). These associations remained significant after adjusting for covariates.
The findings indicate that discussions about HPM at management-level meetings and the involvement of occupational health professionals are associated with WHP program outcomes. These results suggest that collaboration between top management and occupational health professionals in management reviews may contribute to the successful implementation of WHP programs.
本研究探讨管理层关于健康与生产力管理（HPM）的讨论以及职业健康专业人员参与讨论是否与工作场所健康促进（WHP）计划的结果相关，这由HPM评估来表明。
我们使用来自2495家提交了2020年HPM调查问卷的公司的数据进行了一项横断面研究。根据管理层会议上是否存在HPM讨论以及职业健康专业人员的出席情况，将公司分为3组。“评估与改进”的总分和偏差分数用作计划结果的指标。进行了多元回归分析，并对行业部门、公司规模以及职业医师和职业健康护士的数量进行了调整。
在管理层会议上没有进行HPM讨论的公司在这两个指标上的得分均显著较低（总分系数：-11.70；95%置信区间，-12.83至-10.53；“评估与改进”系数：-11.30；95%置信区间，-12.50至-9.97）。相比之下，有职业健康专业人员出席HPM讨论的公司的得分显著高于没有此类出席的公司（总分系数：5.39；95%置信区间，4.61 - 6.18；“评估与改进”系数：5.15；95%置信区间，4.28 - 6.02）。在调整协变量后，这些关联仍然显著。
研究结果表明，管理层会议上关于HPM的讨论以及职业健康专业人员的参与与WHP计划结果相关。这些结果表明高层管理人员与职业健康专业人员在管理评审中的合作可能有助于WHP计划的成功实施。
