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目的评价北京市某企业健康促进项目对员工健康危险因素,医疗费用,病假天数的影响,探索员工健康危险因素与医疗费用和病假天数的关系。方法该研究为自身前后对照的类试验设计,通过比较基线、中期和终期的健康危险因素,医疗费用和病假天数的变化情况,评价干预措施即企业健康促进项目的效果。结果干预后员工在血糖偏高、血尿酸偏高、吸烟、饮酒、不合理膳食、体力活动少上的比例分别下降了60.44%、15.97%、15.71%、19.10%、13.56%和8.02%,差异有统计学意义(均P<0.05);干预后的门急诊总费用、人均门急诊次数、住院率均显著增加(P<0.05),但增速小于社会平均医疗费用增速;干预后人均病假天数显著降低(t=2.65,P<0.01),病假天数(长短)的分布变化无统计学差异(χ2=3.39,P>0.05);病假天数与性别年龄和教育程度相关(均P<0.05)。结论该企业健康促进项目可降低部分健康危险因素,使医疗费用增速低于社会平均水平,对改善员工健康状况有一定效果。
Objective To evaluate the impact of a health promotion project in Beijing on employee health risk factors, medical expenses and sick days, and to explore the relationship between employee health risk factors and medical costs and sick days. METHODS: This study, designed as a self-contained, controlled trial designed to evaluate the effectiveness of interventions, corporate health promotion programs, by comparing changes in baseline, mid-term, and final health risk factors, medical costs, and sick days. Results After intervention, the proportion of employees with low blood sugar, high serum uric acid, smoking, drinking, unreasonable diet and physical activity decreased by 60.44%, 15.97%, 15.71%, 19.10%, 13.56% and 8.02% respectively. (P <0.05). After the intervention, the total cost of outpatient and emergency services, the number of outpatient and emergency visits per person, and hospitalization rate increased significantly (P <0.05), but the growth rate was less than the growth rate of social average medical expenses; There was no significant difference in the distribution of sick days (χ2 = 3.39, P> 0.05); the number of sick days was related to gender, age and education level (all P <0.05) . Conclusion The enterprise health promotion project can reduce some health risk factors and make the growth rate of medical expenses lower than the social average level, which has certain effect on improving the employees’ health status.