Implementation and evaluation of Employee Health and Wellness Program using RE-AIM framework

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Workplace Health Management Pub Date : 2021-12-08 DOI:10.1108/ijwhm-04-2021-0081

U. Khan, A. Qureshi, Karishma Lal, Shehreen Ali, Arshnoor Barkatali, Shamim Nayani

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引用次数: 1

Abstract

PurposeThe study describes the design, implementation and evaluation of an employer-sponsored health screening program – Employee Health and Wellness Program (EHWP) – in an academic healthcare system in Pakistan.Design/methodology/approachOne year after implementation, RE-AIM (reach, effectiveness, adoption, implementation and maintenance) framework was used to evaluate and report participant- and organizational-level indicators of success.FindingsOf the 5,286 invited employees, 4,523 (86%) completed blood work and 1809 (34%) completed health risk assessment (reach). Of the 915 (51%) who required referrals, 3% were referred for new diagnoses of diabetes, hepatitis C or severe anemia; 63% for elevated 10-year risk of cardiometabolic diseases (cardiovascular disease and diabetes); and 25% for counseling for depression, obesity or smoking cessation (effectiveness). Employees' barriers to enrollment were explored (adoption). While institutional costs were considered nominal (USD 20/employee), organizational barriers were identified (implementation). Finally, 97% of users reported interest in enrollment if EHWP was offered again (maintenance).Originality/valueIn a country with minimal focus on adult preventive care, the study reports the impact of an employer-offered wellness program that identified new risk factors and offered a referral for ongoing care. Employees reported a positive experience and were willing to re-enroll. Using the RE-AIM framework, the study has defined indicators in the real-world setting that can be used effectively by other institutions to start such a program.

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使用RE-AIM框架实施和评估员工健康计划

目的本研究描述了巴基斯坦学术医疗系统中雇主赞助的健康筛查计划——员工健康与健康计划（EHWP）的设计、实施和评估。设计/方法/方法实施一年后，RE-AIM（覆盖范围、有效性、采用、实施和维护）框架用于评估和报告参与者和组织层面的成功指标。调查结果在5286名受邀员工中，4523人（86%）完成了血液检查，1809人（34%）完成了健康风险评估。在915名（51%）需要转诊的患者中，3%因糖尿病、丙型肝炎或严重贫血的新诊断而转诊；心脏代谢性疾病（心血管疾病和糖尿病）10年风险升高，占63%；25%用于抑郁症、肥胖症或戒烟咨询（有效性）。探讨了员工注册的障碍（采用）。虽然机构成本被认为是名义成本（20美元/名员工），但组织障碍被确定（实施）。最后，97%的用户表示，如果再次提供EHWP（维护），他们有兴趣注册。独创性/价值在一个对成人预防性护理关注度最低的国家，该研究报告了雇主提供的健康计划的影响，该计划确定了新的风险因素，并提供了持续护理的推荐。员工报告了积极的体验，并愿意重新注册。该研究使用RE-AIM框架，在现实世界中定义了其他机构可以有效使用的指标，以启动此类项目。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Workplace Health Management PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.20

自引率

22.70%

发文量

期刊介绍： Coverage includes, but is not restricted to: ■Best practice examples of successful workplace health solutions ■Promoting compliance with workplace health legislation ■Primary care and primary prevention ■Promoting health in the workplace ■The business case for workplace health promotion ■Workplace health issues and concerns, such as mental health, disability management, violence and the workplace, stress, workplace hazards, risk factor modification and work-life balance ■Workplace Culture ■Workplace policies supporting healthy workplace ■Inducing organizational change ■Occupational health & safety issues ■Educating the employer and employee ■Promoting health outside of the workplace