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项目上投资的商业案例仍然是脆弱的。为了支持私营部门增加对健康促进的投资，该项目将由一个公共卫生机构——纽约市健康和心理卫生部（NYC DOHMH）与大约10名纽约市雇主、康奈尔大学的研究人员、Medstat的分析师和美国健康委员会（WELCOA）组成团队，设计、实施和评估一套全面的基于证据的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将被随机分配到高强度（治疗）条件，另外五个工作地点的员工（根据行业和其他重要特征进行匹配）将被随机分配到低强度（控制）条件。干预期将持续两年。该项目的目的是确定纽约市卫生部工作健康司可采用的最有效方法，以支持地区雇主的健康促进工作。该示范将测试纽约市卫生局开发和实施的高强度干预措施的增量效果，超出纽约市雇主已经提供的干预措施。纽约市卫生部计划的影响将根据员工健康行为、生物测量和健康风险因素的改善情况进行评估；减少自我报告的保健利用和相关医疗支出；以自我报告的缺勤率和在职出勤率衡量员工生产率的提高；关键组织成本指标的改善，员工对工作的态度，对工作环境的满意度，以及整体幸福感的提高。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。

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.