Worksite Health Promotion: Private-Public Partnerships

描述(由申请人提供)：增加雇主在健康促进和疾病预防计划上的投资的商业理由仍然薄弱。为了支持私营部门在健康促进方面增加投资，该项目将与纽约市公共卫生机构纽约市健康和精神卫生部门(NYC DOHMH)、纽约市约10名雇主、康奈尔大学研究人员、MedSTAT和美国健康委员会(WELCOA)的分析师合作，设计、实施和评估一套全面的循证工作场所健康促进干预措施。我们将采用准实验研究设计，其中五个工作地点的员工被随机分配到高强度(治疗)条件下，另外五个工作地点的员工(根据行业和其他重要特征匹配)将随机分配到低强度(控制)条件下。干预期为两年。该项目的目的是确定纽约市卫生部工作健康司可以应用的最有效的方法来支持地区雇主的健康促进努力。该演示将测试纽约市DOHMH开发和实施的高强度干预措施的增量效应，这些干预措施超出了纽约市雇主已经提供的干预措施。纽约市DOHMH计划的影响将从以下方面进行评估：员工健康行为、生物测量指标和健康风险因素的改善；自我报告的医疗保健利用率和相关医疗支出的减少；以自我报告的缺勤率和在职出勤率衡量的员工生产率的改善；以及关键组织成本衡量标准、员工对工作的态度、工作环境满意度和整体幸福感的改善。还将确定这一公共支持的健康促进干预措施的投资回报率(ROI)。

DESCRIPTION (provided by applicant): The business case for increased employer investment in health promotion and disease prevention programs remains tenuous. To support increased private sector investment in health promotion, this project will team a public health agency, the New York City Department of Health and Mental Hygiene (NYC DOHMH), with approximately 10 New York City employers, Cornell University researchers, analysts from Medstat, and the Wellness Council of America (WELCOA) to design, implement, and evaluate a comprehensive set of evidence-based worksite health promotion interventions. We will employ a quasi-experimental research design wherein employees at five worksites will be randomly assigned to a high-intensity (treatment) condition and employees at another five worksites (matched based on industry and other important characeristics) will be randomly assigned into a low-intensity (control) condition. The intervention period will last two years. The aim of the project is to determine the most effective methods that the Wellness at Work Division of the NYC DOHMH can apply to support area employers in their health promotion efforts. The demonstration will test the incremental effects of the high-intensity interventions developed and implemented by the NYC DOHMH, above and beyond interventions already being provided by New York City employers. The impacts of the NYC DOHMH programs will be assessed in terms of improvements in health behaviors, biometric measures, and health risk factors of employees; reductions in self-reported health care utilization and associated medical expenditures; improvements in employee productivity measured in terms of self-reported absenteeism and on-the-job presenteeism; and improvement in key organizational cost measures, employee attitudes toward work, satisfaction with the work environment, and improvement in overall wellbeing. A return-on-investment [ROI]) for this publicly supported health promotion intervention will also be determined.