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Impact of Health Promotion Programs on MCO Family Health

健康促进计划对 MCO 家庭健康的影响

基本信息

批准号：
7121253
负责人：
EDMUND R BECKER
金额：
$ 27.67万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-30 至 2008-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7121253
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

项目摘要

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预计将通过创造支持性工作环境并提供意识、教育和行为改变计划来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，并且支持替代策略，但同时分析不同健康促进策略并划分每个特定策略对总体效果的影响的实证研究有限。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个主要策略：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促进健康 - (1) 这三种方法对个人和家庭对选定工作场所健康促进活动的总体贡献是什么，(2) 每种方法对健康促进活动的独特影响是什么以及差异程度有多大，以及 (3) 患者等因素有何影响健康教育和健康促进计划的特点、基层实践文化、结构对个人和家庭的健康促进行为有何影响？我们选择了九项有意义且广泛适用的健康促进措施，并组建了一支强大的研究团队，拥有可靠的研究记录和数据库，以建立一个全面的工作现场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 2：评估以下假设：当 MCO 成员参与工作场所健康计划和健康教育计划时，具有更有效团队合作（协作、任务委派）的初级保健实践对更好的 MCO 成员结果（预防性健康服务率、缺勤天数）做出了重大贡献，并且数据根据患者特征（种族、家庭类型、收入、合并症）和组织特征（PCP 培训和经验、雇主开展工作场所健康促进的时间长度）进行控制程序）。具体目标 3：制定建议，以更好地将初级实践团队与传统工作场所健康计划和健康教育计划结合起来，为员工及其家人提供健康促进服务