Impact of Health Promotion Programs on MCO Family Health

健康促进计划对 MCO 家庭健康的影响

• 批准号: 6915894
• 负责人: EDMUND R BECKER
• 金额: $ 27.26万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6915894
• 关键词: attitude; behavioral /social science research tag; clinical research; disease /disorder prevention /control; family medicine; health behavior; health care service evaluation; health care service utilization; health education; health services research tag; health surveys; human subject; interdisciplinary collaboration; managed care; outcomes research; work site

DESCRIPTION (provided by applicant): Developing and implementing comprehensive work site health promotion programs is anticipated to help employees live healthier lifestyles by creating supportive work environments and offering awareness, education and behavioral change programs. While evidence suggests that health promotion programs are economically viable and there is support for alternative strategies, there are limited empirical studies that have simultaneously analyzed different health promotion strategies and partitioned the influence of each specific strategy in the overall effect. In our investigation, we propose to evaluate three basic questions-Given the three major strategies for promoting healthy behavior in the workplace: worksite health promotion programs, MCO health education programs, and health promotion through primary care practices - (1) what is the overall contribution of these three approaches for individuals and families on selected work site health promotion activities, (2) what is the unique impact of each approach on the health promotion activity and what is the extent of the differences, and (3) what effect do factors like patient characteristics, primary practice culture, structure of the health education and health promotion program have on the individual and family health promotion behavior? We have selected a broad range of nine meaningful and widely applicable health promotion measures and we have assembled a strong team of investigators with a solid research record and database to build a comprehensive work site model for analyzing these questions. Specific Aim 1: Create a three-year longitudinal dataset that contains comprehensive health promotion intervention profiles and patient characteristics for approximately 115,000 MCO members. Specific Aim 2: Evaluate the hypothesis that primary care practices with more effective teamwork (collaboration, task delegation) make a significant contribution to better MCO member outcomes (rates of preventive health services, absentee days) when they work with work site wellness programs and health education programs and the data are controlled for patient characteristics (race, family type, income, comorbidities) and organizational characteristics (PCP training and experience, length of time employer has had a workplace health promotion program). Specific Aim 3: Develop recommendations to better integrate primary practice teams with traditional work site wellness programs and health education programs that provide health promotion services to employees and their families

描述（由申请人提供）：制定和实施全面的工作场所健康促进计划，通过创造支持性的工作环境和提供意识，教育和行为改变计划，帮助员工过上更健康的生活方式。虽然有证据表明，健康促进计划在经济上是可行的，并有支持的替代战略，有有限的实证研究，同时分析了不同的健康促进战略和分区的影响，每一个特定的战略在整体效果。 在我们的调查中，我们建议评估三个基本问题-鉴于促进工作场所健康行为的三大策略：工作场所健康促进计划、MCO健康教育计划和通过初级保健实践的健康促进-（1）这三种方法对个人和家庭在选定的工作场所健康促进活动中的总体贡献是什么，（2）每种方法对健康促进活动的独特影响以及差异程度如何;（3）患者特征、主要实践文化、健康教育和健康促进计划的结构等因素对个人和家庭健康促进行为有何影响？我们选择了九项有意义和广泛适用的健康促进措施，并组建了一支强大的调查团队，拥有坚实的研究记录和数据库，以建立一个全面的工作场所模型来分析这些问题。 具体目标1：创建一个为期三年的纵向数据集，其中包含约115，000名MCO成员的全面健康促进干预概况和患者特征。 具体目标二：评估初级保健实践更有效的团队合作的假设（协作、任务授权）为改善MCO成员成果做出重大贡献（预防性健康服务率，缺勤天数），当他们与工作场所健康计划和健康教育计划合作时，数据根据患者特征进行控制（种族、家庭类型、收入、合并症）和组织特征（PCP培训和经验、雇主实施工作场所健康促进计划的时间长度）。具体目标3：制定建议，以更好地将主要实践团队与传统的工作场所健康计划和健康教育计划相结合，为员工及其家人提供健康促进服务