Barriers to implementation of workplace health interventions: an economic perspective.
J Occup Environ Med 2010 Sep; 52(9):934-942
OBJECTIVE: To identify insurance related, structural, and workplace cultural barriers to the implementation of effective preventive and upstream clinical interventions in the working age adult population. METHODS: Analysis of avoided costs from perspective of health economics theory and from empiric observations from large studies; presentation of data from our own cost-plus model on integrating health promotion and ergonomics. RESULTS: We identify key avoided costs issues as a misalignment of interests between employers, insurers, service institutions, and government. Conceptual limitations of neoclassical economics are attributable to work culture and supply-driven nature of health care. DISCUSSION: Effective valuation of avoided costs is a necessary condition for redirecting allocations and incentives. Key content for valuation models is discussed.
Health-programs; Health-sciences; Health-services; Health-surveys; Management-personnel; Occupational-health-services; Qualitative-analysis; Quantitative-analysis; Safety-programs; Statistical-analysis; Work-environment; Worker-health; Workplace-studies; Total-Worker-Health
Martin Cherniack, MD, MPH, Ergonomics Technology Center, University of Connecticut Health Center, 263 Farmington Avenue, MC-2017, Farmington, CT 06030-2017
Journal of Occupational and Environmental Medicine
University of Massachusetts, Lowell