This paper is a critical review of the clinical and cost outcome evaluation studies of multifactorial, comprehensive, cardiovascular risk management programs in worksites.
A comprehensive international literature search conducted under the auspices of the National Heart, Lung and Blood Institute identified 17 articles based on 12 studies that examined the clinical outcomes of multifactorial, comprehensive programs.
These articles were identified through MEDLINE, manual searches of recent journals, and through direct inquiries to worksite health promotion researchers.
All studies were conducted between 1978 and 1995, with 1978 being the date of the first citation of a methodologically rigorous evaluation.
Of the 12 research studies, only 8 utilized the worksite as both the unit of assignment and as the unit of analysis.
None of the studies analyzed adequately for cost effectiveness.
Given this limitation, this review briefly considers the relevant worksite research that has demonstrated cost outcomes.
Worksite-based, multifactorial cardiovascular intervention programs reviewed for this article varied widely in the compre-hensiveness, intensity, and duration of both the interventions and evaluations.
Results from randomized trials suggest that providing opportunities for individualized, cardiovascular risk reduction counseling for high-risk employees within the context of comprehensive programming may be the critical component of an effective worksite intervention. (...)
Mots-clés Pascal : Revue bibliographique, Promotion santé, Lieu travail, Programme sanitaire, Prévention, Appareil circulatoire pathologie, Homme, Coût, Economie santé, Méthodologie, Facteur risque, Etats Unis, Amérique du Nord, Amérique, Rapport coût bénéfice, Milieu professionnel
Mots-clés Pascal anglais : Bibliographic review, Health promotion, Work place, Sanitary program, Prevention, Cardiovascular disease, Human, Costs, Health economy, Methodology, Risk factor, United States, North America, America, Cost benefit ratio, Occupational environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0074994
Code Inist : 002B30B04. Création : 14/05/1998.