High-Cost AnalysisA Closer Look at the Case for Work-Site Health Promotion
作者:
Paul,
Kingery Craig,
Ellsworth Bonnie,
Corbett Rodney,
Bowden Jetfrey,
期刊:
Journal of Occupational Medicine
(OVID Available online 1994)
卷期:
Volume 36,
issue 12
页码: 1341-1347
ISSN:0096-1736
年代: 1994
出版商: OVID
数据来源: OVID
摘要:
Studies linking medical costs to behavioral risk and risk-lowering often use means for comparisons, although claims data are highly skewed. The result overestimates and obscures the case for work-site health promotion. In this study, high-cost analysis is illustrated in a sample of university employees. Five risk factors were examined: cholesterol, blood pressure, cardiovascular fitness, body fat, and smoking status. Screened employees who released their claims (n=367) were examined against a random sample of employees (n=587). Linear regression was used to determine the risk of having high claims costs within four gender-specific age groups. A formula was then applied to determine that more than 43% of the cost of medical claims was associated with elevated risk. High-cost analysis accounts for the skewness in claims data and presents a clear case for work-site health promotion.
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