The aim of this study was to examine the impact of worksite clinics on health care utilization and cost, self-reported health status, and student achievement growth in a public school district.
We used insurance claims, health risk assessment, and student achievement growth data for active teachers during 2007 to 2015. A difference-in-differences approach was applied to measure the impact of worksite clinics.
Compared with using a community-based clinic as the usual source of primary care, using a worksite clinic was associated with significantly lower inpatient admissions (53 vs 31 per 1000 teacher years), annual health care cost ($5043 vs $4298 in 2016 US dollars, a difference of $62 per teacher per month), and annual absent work hours (63 vs 61). No significant differences were detected in self-reported health status or student achievement growth.
Worksite clinics reduce teacher health care cost and absenteeism.
RAND Corporation (Dr Engberg), Pittsburgh, Pennsylvania; RAND Corporation, Boston, Massachusetts (Dr Liu); Continuance Health Solutions Inc. (Mr Harris-Shapiro); Metro Nashville Public Schools (Mr Hines); Vanderbilt University Medical Center (Dr McCarver).
Address correspondence to: Harry H. Liu, PhD, Policy Researcher, RAND Corporation, 20 Park Plaza, Suite 920, Boston, MA 02116 (firstname.lastname@example.org).
Funding for this study was provided by Robert Wood Johnson Foundation, Grant ID: 73462.
The authors have no conflicts of interest.
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