HEALTH CARE COSTS AND PERSONAL RISK FACTORS

医疗保健费用和个人风险因素

• 批准号: 3427031
• 负责人: JOHN R WHEAT
• 金额: $ 2.16万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-09-01 至 1986-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3427031
• 关键词: alcoholic beverage consumption; disease /disorder proneness /risk; exercise; health care cost /financing; health care model; health care service utilization; human population study; industry; obesity; psychology; questionnaires; statistics /biometry

Workplace health promotion programs are intended to reduce medical expenditures; however data are lacking to show such savings. This project will study the relationship between modifiable personal risk factors and high-cost use of health care in a population of textile workers and their dependents. The theoretical model holds that, all other things being equal, increasing risk factors leads to depressed health status, which leads to increased utilization of services and to higher expenditures. Characteristics of individuals, the work situation and the health care system will be assessed as potential modifiers or confounders of the theorized relationship. Specific questions to be answered in the population are: (1) What types of utilization are associated with high cost care? (2) What characteristics of individuals (including health status and risk factors), employment or health services are associated with high cost care? (3) Which characteristics are associated with increased utilization? and (4) Which are associated with poor health status? This is a one year period prevalence study of health care costs and utilization in relation to risk and other factors. It uses an industries' centralized insurance claims records from approximately 20,000 employees and 30,000 dependents for cost and utilization data. Employee records provide demographic and identification data. A questionnaire survey of six representative plants (n approximately 3000) will provide health status and risk factor data (cigarettes, alcohol, exercise, seat belts, stress, etc.). Multivariable analyses will assess the significant correlates of poor health status and high cost use. The results will guide a discussion of the relevance of prevention programs for improving health status and containing health care costs in the industry.

工作场所健康促进计划旨在减少医疗费用。 然而，缺乏数据显示这种节省。 这个项目 将研究可改变的个人风险因素与 高成本使用卫生保健在人口的纺织工人和他们的 家属 理论模型认为，所有其他因素 平等，增加风险因素导致抑郁的健康状况， 导致服务利用率提高和支出增加。 个人特征、工作状况和保健 系统将被评估为潜在的修饰因子或混杂因素， 理论关系。 在人口中需要回答的具体问题是：（1）什么类型的 使用率与高成本护理有关？ (2)什么特点 （包括健康状况和风险因素）、就业或 医疗服务与高成本护理有关？ (3)这 特性与提高利用率有关？（4）Which 与健康状况不佳有关吗 这是一项为期一年的卫生保健费用流行率研究， 与风险和其他因素有关的使用。 它使用一个工业的 约20，000名员工的集中保险索赔记录 以及30，000名家属的成本和利用率数据。 员工记录 提供人口统计和身份数据。 问卷调查六 代表性植物（约3000株）将提供健康状况， 风险因素数据（香烟、酒精、锻炼、安全带、压力等）。 多变量分析将评估不良反应的显著相关性。 健康状况和高成本使用。 结果将指导对以下问题的讨论： 预防方案对改善健康状况的相关性， 控制医疗保健成本。