Health Projects
Over the past 10 years, the company toward the health plan have been major changes in attitude. Self-help and self-care programs in the interest of increasing the growth in health care costs, encroachment in the profit increase.
In health care facilities, organizational structure changes, especially the development of for-profit medical institutions, need to control costs is changing the way in which to purchase health care plans are viewing the site and facilities towards the provision of health care plan their own efforts.
Forecast the next decade, workplace health programs will continue to be in health care, including prevention activities, provide important factor, for the government and private industry.
Range of existing conventional programs, the concept of corporate sponsorship of the administrative staff from perfect health (28%), in order to improve staff morale (9.7%).
Include security-related interventions, health risks (assessment | Assessment), smoking cessation, blood pressure (BP) control, nutritional programs and stress management. Benefits quoted to improve health and productivity, lowering health care costs.
Population of the United States labor force
• 110 million American citizens in the civilian labor force in 1981, the civilian labor force in 2000 is expected to be close to 140 million U.S. dollars.
• 1984 women of 44 per cent of the workforce; 10 percent were black.
• The average age of the workforce is 32 years old, is expected to increase to 32 by 2030.
• 57.9% of staff in companies with 2-500 employees, 100 staff members with less than 45% of the company. Another 7.5 million Americans have three million self-employed farmers.
• 18% of all wage and salaried workers are union members in 1985.
• 45 percent of all employees in the employment office.
Ill health activities of enterprises
According to the 1985 survey, more than 50 workers, nearly 66% of the site in 1985, corporate health activities. Frequency of the scene in 1985, based on the types of activities, by selected are -
Health plan activities
Tobacco 35.60%
Health risk (assessment | Assessment) 29.50%
Back Care 28.60%
Stress Management 26.60%
Exercise 22.10%
Customs clearance incidents 19.80%
Nutrition 16.80%
16.50% of blood pressure control
14.70% weight
The size of the site is the most popular index options.
Most workers believe that the benefits of fitness activities is greater than the cost of the enterprise, even if a formal assessment of a few people there.
For the first program most often mentioned reasons, and that the benefits from the program is to improve the health of employees.
With activities (85.4%), most of the site that all staff are eligible to participate. 30% of the site's activities to the company's family members, and provide them with an equal% of the retirees.
When the site plan to seek outside assistance, they volunteer, rather than the non-profit organizations (57.1%), private non-profit institutions, consultants (50%), the local hospital (44%) and insurance (43%).
Smoking cessation program
Costs and smoking-related health problems in lost productivity in U.S. companies 26 billion U.S. dollars and 700 to 800 each year from tobacco-related health costs 100 million U.S. dollars.
50% of workers who smoke are more likely to be hospitalized than non-smokers, there are two times more work-related accidents, and absenteeism rates have been as non-smokers than non-smokers by about 50% higher.
People who smoke one or more typical pack of cigarettes a day, 118% higher than non-smokers of the health care costs.
Percent of current smokers, 76 and 80 per cent of former smokers and non smokers that tobacco companies should limit the use of certain areas.
In 1985, the 65-year-old smokers, non-smokers 85% and 78%% of former smokers, smokers think that smokers should not smoke there.
In 1986, the United States, 17 states have laws and regulations of tobacco use or in the office both in the government-controlled agencies or private sector staff in the workplace.
Smoking cessation intervention program used in the example companies, including -
• provide non-smokers health and life insurance discounts;
• use all or part of compensation for smoking cessation programs;
• Provide smoking cessation programs or sharing time business;
• to provide cash payments to quit after 612 smoke-free months;
• participation in national quit using tobacco day; and
• adopt a smoke-free policy and the company's deadline for the implementation of policy.
Health Fitness
Active 55-year-old man can be as effective leadership as the sedentary lifestyle of 35 years of age.
And differences in work-related activities has been shown to obtain between 2-3 times the serving officers and their more sedentary counterparts the difference between cardiovascular disease mortality.
In addition to improving strength, balance and flexibility, this program can reduce certain occupational groups, the probability of back injuries among.
In the United States lost 93 million working days each year the result of back injury.
The results support the notion that on-site exercise program to improve fitness and help reduce other health risks, but the result of weak productivity gains due to lack of accurate methods of measuring productivity.
Site of a very small proportion of on-site fitness facilities.
Sponsored health plan the majority of workers involved in technology, such as aerobics training, low impact aerobics, weight training, preand post-natal exercise classes, and walking / jogging group.
Some company-funded community workers involved in "Ys", fitness center or other community activities, if there is no on-site facilities.
Workplace fitness programs can reduce costs, reduce the employer's request and the staff of the medical expenses.
Weekly exercise were equivalent to less than 5 flights of stairs to climb or walk less than half a mile, than those who spent at least 15 stairs or walking on board 1 1 / 2 mile or more per week, 114% of health claims.
For the obese person's health care costs about 11 percent higher than in thin individuals.
Nutrition and weight control
One-third of the U.S. population obese to the extent of the decline of life expectancy.
Improve eating habits, such as high blood pressure can reduce (BP) and cholesterol levels the risk of serious health problems, and in non-insulin-dependent diabetes mellitus control effect.
Provide nutrition education in the workplace several advantages, support and co-workers and management, to provide a daily diet of the influence of follow-up and monitoring of the chance.
Workplace nutrition programs can be divided into six major categories -
• canteen program;
• multi-component programs;
• weight control program;
• cholesterol reduction programs;
• Plan and pregnant and lactating women
• other nutrition education topics.
Men are less likely than women in the weight loss program staff to attend.
Stress Management
Estimates show that 50% to 80% physician visits can be attributed to psychosomatic or stress-related origin.
The company stressed that the staff compensation costs include direct medical costs and lower productivity in the form of many.
These factors associated with stress -
• staff are not allowed to participate in the decision process;
This will require more or fewer jobs than the employees have the skills •;
• changes in work requirements;
• lack of clarity about expectations and standards; and
• conflict with colleagues or superiors.
Most of the site and therefore the implementation of stress management program requirements from the staff.
Stress management program focuses on three kinds of skills - relaxation techniques, coping skills and interpersonal skills.
Workplace stress management programs are often delivered by one of three formats -
• Seminar by trained professionals;
• self-learning tools; and
• personal teaching to assist self-evaluation, change planning, learning new skills and cope with life crises.
Stress management programs in the workplace, the two main technologies used are -
• teach people to reduce the negative effects of physical stress; and
• teach people to recognize and control sources of stress and personal life.
Seat belt usage
Motor vehicles are the largest car accident the loss of working time and U.S. companies for working single cause of death.
Automobile accidents account for 27% of work-related deaths and 45 million working days lost each year.
More than 36% of the 11,300 accidental deaths in 1983 involved vehicles.
Staff who do not regularly use seat belts may spend up 54% in hospital days.
Traffic accidents caused about 3 times, and any other type of disability limit activities of many days.
Automotive car collision in lost productivity costs of U.S. dollars, of which 88% is because of labor's activities and future loss of 15.2 billion U.S. dollars revenue.
Where the seat belt policy, mandating the use of seat belts in the car business or the business drivers of commercial use of private car companies establishings, have been implemented, 60% to 90% of people use the report.
Award Scheme, through education and use requirement restrictions have 40-70%, accompanied by the initial rate.
Factors affecting site safety belt program sources, including -
• actively engaged in management;
• clearly defined and well enforced with the use of the required policy;
• positive incentives; and
• continuing education and training programs.
Health Plan Case Study
Based on its strong employee health plan, a strong life-long site evaluation, Johnson and Johnson announced the break-even point of the plan in the first 3 years and 5 years, they have employees 316 yuan of net benefits. 9 benefits they expected 677 per employee.
Johnson and Johnson, who exposed the four employees of the company health plan increased by 104%, their violent activities of daily energy expenditure compared to a 33% increase in staff is only 1 year of medical testing company.
In the United Methodist Publishing House's health plan submitted by the participants to work in 1984, 1.14 and 0.82 for each additional claim of control (1.44 and 1.3 respectively in 1985), but claimed that the typical cost per participant (U.S. dollars for participating The following 567 U.S. dollars and 316 controls, in 1984, $ 262 and $ 602, respectively, in 1985, and 270 to 566 4 months, respectively in 1986).
United Methodist Publishing House attributes, lower medical costs than expected use of some of 1985 (902,116 U.S. dollars and the actual costs estimated 142,884 U.S. dollars) in health programs, even if the results are not conclusive.
In 1985, Adolph Coors Company conducted a random sample of 10 000 workers in a telephone interview, to determine changes in health habits, as a worker health program launched four years ago.
Stratified sample of 495 workers, business profile with respect to age, gender and occupation descriptions.
The survey reported 65% of respondents started exercising in the past 4 years, 37% of the people to improve their diet, 20% of respondents health centers ordinary users, 9% had stopped smoking cessation programs as the company's regular participation in The results of the health center smoking missed 1.96 days on average due to illness or injury per year 3.08 days, than non-participating staff.
In the Coors business also achieved from the cardiac rehab program, implemented in 1981 cost savings. 1980 employees out of work 7.2 months after the heart attack or bypass surgery.
In 1984, with heart disease had an average of 1.9 months, saving time loss of 152 000 dollars, in 1985 patients with heart missed 2.6 months, the average saving 125,000 U.S. dollars a year.
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