WHAT DO WORKPLACE WELLNESS PROGRAMS DO? EVIDENCE FROM THE ILLINOIS WORKPLACE WELLNESS STUDY
WHAT DO WORKPLACE WELLNESS PROGRAMS DO? EVIDENCE FROM THE ILLINOIS WORKPLACE WELLNESS STUDY
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DOI：
10.1093/qje/qjz023
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发表时间：
2019-11-01
影响因子：
13.7
通讯作者：
Reif, Julian
中科院分区：
文献类型：
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作者：
Jones, Damon;Molitor, David;Reif, Julian
工作场所健康计划覆盖超过 5000 万美国工人，旨在减少医疗支出、提高生产力和改善福祉。然而支持这些说法的证据有限。我们为一家大型雇主设计并实施了全面的工作场所健康计划，并为近 5,000 名员工随机分配了个人层面的计划资格和经济激励措施。我们发现了强有力的选择模式：在干预前一年，项目参与者比非参与者具有更低的医疗支出和更健康的行为。该计划持续提高了健康筛查率，但两年多后，我们没有发现治疗对总医疗支出、其他健康行为、员工生产力或自我报告的健康状况有显着的因果影响。我们的 95% 置信区间排除了之前对医疗支出和缺勤率估计的 84%。 JEL 代码：I1、M5、J3。
Workplace wellness programs cover over 50 million U.S. workers and are intended to reduce medical spending, increase productivity, and improve well-being. Yet limited evidence exists to support these claims. We designed and implemented a comprehensive workplace wellness program for a large employer and randomly assigned program eligibility and financial incentives at the individual level for nearly 5,000 employees. We find strong patterns of selection: during the year prior to the intervention, program participants had lower medical expenditures and healthier behaviors than nonparticipants. The program persistently increased health screening rates, but we do not find significant causal effects of treatment on total medical expenditures, other health behaviors, employee productivity, or self-reported health status after more than two years. Our 95% confidence intervals rule out 84% of previous estimates on medical spending and absenteeism. JEL Codes: I1, M5, J3.