The Impact of Employee Wellness Programs

 描述(由申请人提供)：利用员工健康计划来改善健康和降低医疗成本具有极大的公共和私人利益，这种计划在《平价医疗法案》中得到推动，并被一半的大公司采用。然而，关于这类计划的影响，几乎没有严格的证据。使用随机对照设计，我们建议对BJ‘s Wholesale Club为期一年的健康干预进行评估，BJ’s Wholesale Club是一家美国大型多州企业，拥有201个地点(俱乐部)和超过25,000名员工。健康干预将由几个部分组成，包括基于团队的健康挑战、营养咨询、减压和体力活动。这项干预措施是与经验丰富的大型供应商Wellness Workday共同设计的，并将通过该公司进行现场部署。在一组治疗俱乐部和对照俱乐部中随机进行这种干预，我们将评估其对从主要和行政数据来源收集的5类结果的影响：(1)自我报告的健康和幸福感，(2)生物统计学(如体重指数、血压和血糖)，(3)工人缺勤和流动率，(4)医疗保健支出和利用，以及(5)投资回报。关于此类计划有效性的更好信息应该为雇主投资和公共政策提供信息。

 DESCRIPTION (provided by applicant): There is great public and private interest in the use of employee wellness programs to improve health and lower health care costs, with such programs promoted in the Affordable Care Act and adopted by half of large firms. However, little rigorous evidence exists on the effects of such programs. Using a randomized controlled design, we propose to evaluate a year-long wellness intervention at BJ's Wholesale Club, a large multi-state U.S. business with 201 sites (clubs) and over 25,000 employees. The wellness intervention will consist of several components, including team-based wellness challenges, nutrition counseling, stress reduction, and physical activity. The intervention has been designed with and will be fielded through Wellness Workdays, an experienced and large-scale vendor. Randomizing this intervention across a set of treatment clubs and control clubs, we will evaluate its impact on 5 categories of outcomes gathered from both primary and administrative data sources: (1) self-reported health and well-being, (2) biometrics (such as body mass index, blood pressure, and blood sugar), (3) worker absenteeism and turnover, (4) health care spending and utilization, and (5) return on investment. Better information about the effectiveness of such programs should inform both employer investment and public policy.