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  1. Self-insurance and worksite alcohol programs : An econometric analysis.

    Article - En anglais

    Objective 

    The worksite is an important point of access for alcohol treatment and prevention, but not all firms are likely to find offering alcohol programs profitable.

    This study attempts to identify at a conceptual and empirical level factors that are important determinants of the profitability of worksite alcohol programs.

    A central question considered in the empirical analysis is whether firms'decisions about worksite alcohol programs are related to how employee group health insurance is provided.

    Method 

    The data used are from the 1992 National Survey of Worksite Health Promotion Activities (N=1,389-1,412).

    The econometric analysis focuses on measures of whether the surveyed firms offer Employee Assistance Programs (EAPs), individual counseling, group classes and resource materials regarding alcohol and other substance abuse.

    Results 

    Holding other factors constant, the probability that a self-insured firm offers an EAP is estimated to be 59%, compared to 51% for a firm that purchases market group health insurance for its employees.

    Unionized worksites and larger worksites are also found to be more likely to offer worksite alcohol programs, compared to nonunionized smaller worksites.

    Worksites with younger workforces are less likely than those with older employees to offer alcohol programs. (...)

    Mots-clés Pascal : Alcoolisme, Prévention, Traitement, Sevrage toxique, Milieu professionnel, Programme sanitaire, Economie santé, Assurance maladie, Système santé, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Alcoholism, Prevention, Treatment, Poison withdrawal, Occupational environment, Sanitary program, Health economy, Health insurance, Health system, United States, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0202932

    Code Inist : 002B18H05A. Création : 21/05/1997.