The Effects of Two Workplace Weight Management Programs and Weight Loss on Health Care Utilization and Costs.
The Effects of Two Workplace Weight Management Programs and Weight Loss on Health Care Utilization and Costs.
复制标题
两种工作场所体重管理计划和减肥对医疗保健利用和成本的影响。
DOI：
10.1097/jom.0000000000000586
复制
发表时间：
2016
影响因子：
3.2
通讯作者：
Dement,JohnM
中科院分区：
文献类型：
--
作者：
Østbye,Truls;Stroo,Marissa;Eisenstein,EricL;Dement,JohnM
目的：本研究的目的是比较两种工作场所体重管理（WM[教育]和WM+[教育加咨询]）计划对医疗保健利用和成本的影响。其次，将干预组与肥胖工人的观察对照组进行比较。最后，评估实际减肥对这些结果的影响。方法：评估WM和WM+干预组的变化。采用倾向评分调整法将两干预组与观察对照组进行比较；并将减肥者与未减肥者进行比较。结果：两组间无显著差异，两组与观察对照组间无显著差异。那些体重减轻的人降低了他们的整体医疗费用。结论：为了实现减肥和相关的发病率降低，需要更广泛和强化的干预，更多地关注动机和依从性。
Objectives:The aim of this study was to compare the impact of two worksite weight management (WM [education] and WM+[education plus counseling]) programs, on health care utilization and costs. Secondarily, compare the intervention groups to an observational control group of obese workers. Finally, evaluate the impact of actual weight loss on these outcomes.Methods:Estimate the change in the WM and WM+ intervention groups. Using propensity score adjustment compare the two intervention groups with the observational control group; and compare those who lost weight with those who did not.Results:No significant differences between the two intervention groups, or between these intervention groups and the observational control group. Those who lost weight reduced their overall health care costs.Conclusions:To achieve weight loss and associated morbidity reductions, more extensive and intensive interventions, with more attention to motivation and compliance, are required.