The Value of the Periodic Executive Health Examination: Experience at Bank One and Summary of the Literature
The Value of the Periodic Executive Health Examination: Experience at Bank One and Summary of the Literature
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定期高管健康检查的价值：第一银行的经验和文献总结
DOI：
10.1097/00043764-200208000-00008
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发表时间：
2002
影响因子：
3.2
通讯作者：
D. Edington
中科院分区：
文献类型：
--
作者：
W. Burton;Chin;D. J. Conti;A. Schultz;D. Edington
行政体检在美国已经提倡了近100年。MEDLINE文献检索发现很少有研究记录了工作场所体检计划对医疗和残疾费用的潜在影响。自1983年以来，第一银行一直在其公司总部的医疗部门进行高管体检。每年约有65%的合格高管自愿参加该计划。共有1773名高管有资格连续3年进行体检，他们的医疗索赔和短期残疾数据可用。在首次体检后的连续三年中，世行为定期体检参与者（PHE）支付了总计5361美元的医疗索赔，而为非定期体检参与者（NPHE）支付了6426美元的医疗索赔。PHE参与者平均每年缺席0.93（或3年2.78）个短期残疾日，而NPHE平均缺席1.34（或3年4.02）个短期残疾日。基于工作场所的高管健康检查的净投资回报率估计为2.3：1，与其他预防性健康计划相比，每位高管的总薪酬（工资和福利）至少为125，000美元，其成本约为400美元。
The executive physical examination has been advocated in the United States for almost 100 years. A MEDLINE search of the literature found very few studies that document the potential impact of a worksite physical examination program on medical and disability costs. Bank One has performed executive physical examinations at its corporate headquarters’ medical department since 1983. Approximately 65% of eligible executives voluntarily participate in the program annually. Medical claims and short term disability data were available for a total of 1773 executives who were eligible for a physical examination for a consecutive 3-year period. For three consecutive years after the initial physical examination, the Bank paid a total of $5361 for medical claims for periodic health examination participants (PHE) in contrast to $6426 paid for medical claims for non-periodic health examination participants (NPHE). PHE participants experienced an average 0.93 (or 2.78 for 3 years) short-term disability days absent per year in comparison with an average of 1.34 (or 4.02 for 3 years) short-term disability days absent for NPHE. The net return on investment for a worksite-based executive health examination which cost approximately $400 per executive whose total compensation (salary and benefits) is at least $125,000 is estimated to be 2.3:1, which compares favorably with other preventive health programs.