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The Influence of Worksite Health Promotion Program Management and Implementation Structure Variables on Medical Care Costs at PPG Industries

Kowlessar, Niranjana M. PhD; Henke, Rachel Mosher PhD; Goetzel, Ron Z. PhD; Colombi, Alberto M. MD; Felter, Elizabeth M. DrPH

Journal of Occupational and Environmental Medicine: December 2010 - Volume 52 - Issue 12 - p 1160–1166
doi: 10.1097/JOM.0b013e3181ff203f
Original Articles: CME Available for this Article at ACOEM.org
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Objective: To evaluate the relationship between critical factors for successful worksite health promotion programs such as management support and program implementation and health care costs at PPG Industries.

Methods: We analyzed survey data from 37 PPG worksites measuring management support and program implementation. We estimated the relationship between management and implementation scores in 2007 and subsequent health care costs in 2008 using ordinary least squares regression.

Results: High program implementation scores were associated with higher health care costs (P < 0.01) as were high management scores (P < 0.05). However, sites with a combination of high management and implementation scores had lower health care costs, while sites with low scores on these dimensions had higher cost trends.

Conclusions: Employers should consider administering worksite health promotion structural assessments to identify gaps in management support and program implementation that may influence program effectiveness.

From the Thomson Reuters (Drs Kowlessar, Henke, and Goetzel), Washington, DC; Institute for Health and Productivity Studies (Dr Goetzel), Emory University, Atlanta, Ga; PPG Industries (Dr Colombi), Pittsburgh, Penn; Graduate School of Public Health at the University of Pittsburgh (Dr Felter), Pittsburgh, Penn.

Address correspondence to: Ron Z. Goetzel, PhD, Thomson Reuters, 4301 Connecticut Avenue, NW, Suite 330, Washington, DC 20008; E-mail: ron.goetzel@thomsonreuters.com.

PPG Industries provided funding to Thomson Reuters for this research. Authors Goetzel, Henke, and Kowlessar are employed by Thomson Reuters. Authors Colombi and Felter have no financial interest related to this research.

The JOEM Editorial Board and planners have no financial interest related to this research.

©2010The American College of Occupational and Environmental Medicine