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首页> 外文期刊>The American Journal of Cardiology >Impact of Worksite Wellness Intervention on Cardiac Risk Factors and One-Year Health Care Costs
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Impact of Worksite Wellness Intervention on Cardiac Risk Factors and One-Year Health Care Costs

机译：工作场所健康干预对心脏危险因素和一年医疗费用的影响

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Cardiac rehabilitation and exercise training (CRET) provides health risk intervention in cardiac patients over a relatively short time frame. Worksite health programs offer a unique opportunity for health intervention, but these programs remain underused due to concerns over recouping the costs. We evaluated the clinical efficacy and cost-effectiveness of a 6-month worksite health intervention using staff from CRET. Employees (n = 308) and spouses (n = 31) of a single employer were randomized to active intervention (n = 185) consisting of worksite health education, nutritional counseling, smoking cessation counseling, physical activity promotion, selected physician referral, and other health counseling versus usual care (n = 154). Health risk status was assessed at baseline and after the 6-month intervention program, and total medical claim costs were obtained in all participants during the year before and the year after intervention. Significant improvements were demonstrated in quality-of-life scores (+10%, p = 0.001), behavioral symptoms (depression -33%, anxiety -32%, somatization -33%, and hostility -47%, all p values <0.001), body fat (-9%, p = 0.001), high-density lipoprotein cholesterol (+13%, p = 0.0001), diastolic blood pressure (-2%, p = 0.01), health habits (-60%, p = 0.0001), and total health risk (-25%, p = 0.0001). Of employees categorized as high risk at baseline, 57% were converted to low-risk status. Average employee annual claim costs decreased 48% (p = 0.002) for the 12 months after the intervention, whereas control employees' costs remained unchanged (-16%, p = NS), thus creating a sixfold return on investment. In conclusion, worksite health intervention using CRET staff decreased total health risk and markedly decreased medical claim costs within 12 months.
机译：心脏康复和运动训练（CRET）可在较短时间内为心脏病患者提供健康风险干预措施。现场健康计划为健康干预提供了独特的机会，但是由于担心收回成本，这些计划仍未得到充分利用。我们使用CRET的工作人员评估了为期6个月的现场健康干预的临床疗效和成本效益。单个雇主的雇员（n = 308）和配偶（n = 31）被随机分配到积极干预（n = 185），包括工作场所健康教育，营养咨询，戒烟咨询，身体活动促进，选择的内科医生转诊以及其他健康咨询与常规护理的比较（n = 154）。在基线和6个月的干预计划之后评估了健康风险状况，并在干预的前一年和后一年在所有参与者中获得了总的医疗索赔费用。生活质量评分（+ 10％，p = 0.001），行为症状（抑郁-33％，焦虑-32％，躯体化-33％和敌意-47％）均得到显着改善，所有p值<0.001 ），体脂（-9％，p = 0.001），高密度脂蛋白胆固醇（+ 13％，p = 0.0001），舒张压（-2％，p = 0.01），健康习惯（-60％，p = 0.0001）和总体健康风险（-25％，p = 0.0001）。在基线时被归类为高风险的员工中，有57％转换为低风险状态。干预后的12个月中，员工的平均年度索赔成本降低了48％（p = 0.002），而控制员工的成本则保持不变（-16％，p = NS），从而创造了六倍的投资回报率。总之，在12个月内，使用CRET人员进行的现场健康干预降低了总体健康风险，并显着降低了医疗索赔成本。

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