The financial impact of changes in personal health practices

被引:101
作者
Edington, DW
Yen, LTC
Witting, P
机构
[1] UNIV MICHIGAN, DIV KINESIOL, ANN ARBOR, MI 48104 USA
[2] COORS BREWING CO, GOLDEN, CO USA
关键词
D O I
10.1097/00043764-199711000-00004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The impact of changes in health practices on medical claims costs between 1985-1987 and 1988-1990 was examined among 796 employees, Employees completed a health risk appraisal in 1985 and 1988 and were categorized into health risk levels, High-cost status and high-risk status were significantly associated at both times, The percentage of employees with high-risk status decreased from 31.8% to 25.3% between 1985 and 1988 (P < 0.01), Changes in average costs and the percentage with high-cost status followed the risk change, The largest increase in average costs occurred in employees who moved from low-risk to high-risk status, The greatest reduction in average costs occurred in employees who moved from high-risk to low-risk status, median costs were not as sensitive to risk change, The findings provide strong evidence that improving individual health status is associated with financial benefits.
引用
收藏
页码:1037 / 1046
页数:10
相关论文
共 46 条
  • [1] MOBILE WORK-SITE HEALTH PROMOTION PROGRAMS CAN REDUCE SELECTED EMPLOYEE HEALTH RISKS
    ALDANA, SG
    JACOBSON, BH
    HARRIS, CJ
    KELLEY, PL
    [J]. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1993, 35 (09) : 922 - 928
  • [2] Bertera R L, 1993, Am J Health Promot, V7, P365
  • [3] IMPACT OF WORKSITE HEALTH PROMOTION ON HEALTH-CARE COSTS AND UTILIZATION - EVALUATION OF JOHNSON-AND-JOHNSON LIVE FOR LIFE PROGRAM
    BLY, JL
    JONES, RC
    RICHARDSON, JE
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 256 (23): : 3235 - 3240
  • [4] EFFECTS OF A RESTRICTED WORK-SITE SMOKING POLICY ON EMPLOYEES WHO SMOKE
    BRIGHAM, J
    GROSS, J
    STITZER, ML
    FELCH, LJ
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (05) : 773 - 778
  • [5] CONRAD P, 1987, J OCCUP ENVIRON MED, V29, P317
  • [6] Edington D W, 1992, Am J Health Promot, V6, P403
  • [7] EVALUATION OF THE 1990 CENTERS-FOR-DISEASE-CONTROL-AND-PREVENTION SMOKE-FREE POLICY
    EMONT, SL
    ZAHNISER, SC
    MARCUS, SE
    TRONTELL, AE
    MILLS, S
    FRAZIER, EL
    WALLER, MN
    GIOVINO, GA
    [J]. AMERICAN JOURNAL OF HEALTH PROMOTION, 1995, 9 (06) : 456 - 461
  • [8] ESPINOLA SA, 1995, BENEFITS COMPENSATIO, V17, P29
  • [9] HEALTH-CARE REFORM - MORE THAN COST-CONTAINMENT AND UNIVERSAL ACCESS
    FEINGOLD, E
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (05) : 727 - 728
  • [10] Fielding J. E., 1990, Health Promotion International, V5, P75, DOI 10.1093/heapro/5.1.75