The Impact of Employee Wellness Programs

 描述（由申请人提供）：在使用员工健康计划来改善健康和降低医疗保健成本方面有很大的公共和私人利益，这些计划在《平价医疗法案》中得到推广，并被一半的大公司采用。然而，很少有严格的证据存在这些方案的影响。使用随机对照设计，我们建议在BJ的批发俱乐部，一个大型的多州美国企业，拥有201个站点（俱乐部）和超过25,000名员工，评估为期一年的健康干预。健康干预将包括几个组成部分，包括基于团队的健康挑战，营养咨询，减压和体育活动。该干预措施是与Wellness Workdays一起设计的，并将通过Wellness Workdays进行现场部署，Wellness Workdays是一家经验丰富的大型供应商。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管理数据来源收集的5类结果的影响：（1）自我报告的健康和福祉，（2）生物识别（如体重指数、血压和血糖），（3）工人缺勤率和离职率，（4）医疗保健支出和利用率，（5）投资回报率。关于这些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.