Barriers to implementation of workplace health interventions: an economic perspective

Details

• Personal Author:
  Cherniack, Martin G. ; Lahiri S
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Occupational Health Safety Workplace
• Keywords:
  Intervention Effectiveness Safety Programs Total Worker Health Work Environment Workplace Studies
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  52
• Issue:
  9
• NIOSHTIC Number:
  nn:20038126
• Citation:
  J Occup Environ Med 2010 Sep; 52(9):934-942
• Contact Point Address:
  Martin Cherniack, MD, MPH, Ergonomics Technology Center, University of Connecticut Health Center, 263 Farmington Avenue, MC-2017, Farmington, CT 06030-2017
• Email:
  cherniack@nso.uchc.edu
• Federal Fiscal Year:
  2010
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ae09bb2d27ded403d8672a22bc0424850b9ffa72cc8ef7765ccd5b1d9919281abfcf6f7049f8e1b7405aff0353104a9f839b036638f6e21d68992e37ffd5672a
• Download URL:
  https://stacks.cdc.gov/view/cdc/191932/cdc_191932_DS1.pdf
• File Type:
  [PDF - 448.04 KB ]