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Research compendium: the NIOSH Total Worker Health (TM) Program: seminal research papers 2012.

Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 2012-146, 2012 May; :1-203
Prior to the 2004 Steps to a Healthier U.S. Workforce symposium, sponsored by NIOSH and partners, NIOSH commissioned three white papers to examine the state of the science, stimulate discussion, and improve communication between researchers and practitioners in the fields of worksite health promotion and occupational safety and health. These papers, which were presented at the symposium, continue to be widely referenced in the scientific literature and reports. In preparation for this research compendium, the authors have updated their original papers to reflect recent developments in the field and to reinforce the need for programs with integrative approaches to worker health and safety. "Steps to a Healthier U.S. Workforce: Integrating Occupational Health and Safety and Worksite Health Promotion: State of the Science" by Drs. Glorian Sorensen and Elizabeth Barbeau provides an overview of the scientific evidence for enhancing worker and worksite health by integrating worksite health promotion and occupational health and safety. The paper also introduces a framework for future research in this arena that emphasizes trans-disciplinary research teams in order to develop concepts and models that incorporate diverse perspectives. "Examining the Value of Integrating Occupational Health and Safety and Health Promotion Programs in the Workplace" by Dr. Ron Goetzel focuses on building a business case for the integration of health protection and health promotion based on the fact that poor worker health not only affects direct medical expenditures but also productive work output. The paper describes the business strategy of Health, Safety, and Productivity Management centered on a four-phase model for integration with a rationale to remove the "silos" of accountability to achieve greater health and cost efficiencies. "The Economics of Integrating Injury and Illness Prevention and Health Promotion Programs" by Drs. Seth Seabury, Darius Lakdawalla and Robert Reville describes an economic analysis of the gains of an integrated approach to health and safety by recognizing that many adverse health conditions have both occupational and non-occupational factors. The authors also discuss the policy implications of these findings in light of the escalating cost of health care in the US and a growing need to determine which combinations of health conditions represent the best targets for an integrated approach. Together, these three papers establish a scientific rationale for integrating health promotion and health protection programs to prevent worker injury and illness and to advance health and well-being.
Employee-health; Worker-health; Medical-research; Medical-sciences; Safety-research; Health-sciences; Work-environment; Work-performance; Health-protection; Health-programs; Safety-programs; Occupational-health-programs; Occupational-safety-programs; Occupations; Injury-prevention; Disease-prevention; Accident-prevention; Health-care; Medical-care; Total-Worker-Health
Publication Date
Document Type
Numbered Publication
Fiscal Year
NTIS Accession No.
NTIS Price
Identifying No.
(NIOSH) 2012-146; B05222012
NIOSH Division
Source Name
National Institute for Occupational Safety and Health