Preventive Health Services at the Workplace 6.2.08

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Leonard Davis Institute of Health Economics

Author: Andrea Puig

Gesundheit & Medizin

Preventive Health Services at the Workplace Puig, A 1 , Pauly, MV 1,2 1 Department of Health Care Systems, University of Pennsylvania; 2 Leonard Davis Institute of Health Economics, University of Pennsylvania. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background This paper aims to provide a theoretical and empirical approach trying to understand the employers’ intervention in the preventive programs offered to employees. Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],Abstract ,[object Object],[object Object],[object Object],Methods ,[object Object],Results ,[object Object],[object Object],[object Object],Conclusions ,[object Object],Policy Implications Variable Mean Std. Dev. Firm characteristics Urban setting 81.6% 38.7% Self insured firm 47.3% 49.9% Firm has unionized workers 32.3% 46.8% Firm's total number of employees 4,061 13,370 Firm's number of local employees 1,469 5,775 Importance of offering health benefits Selection motives 95.2% 21.4% Productivity motives 98.2% 13.4% Primary Prevention Programs Fitness 30.8% 46.2% Smoking Cessation programs 29.1% 45.5% Injury Prevention Programs 30.8% 46.2% Weight loss Program 24.7% 43.1% Secondary Prevention Programs Preventive services carved out of existing conventional plan 38.7% 48.8% Preventive services carved out of existing HMO plan 6.6% 24.8% Preventive services carved out of existing PPO 42.0% 49.4% Preventive services carved out of existing POS plan 20.2% 40.9% Tertiary Prevention Programs Disease Management Program for Diabetes 52.0% 50.0% Disease Management Program for Asthma 44.7% 49.7% Disease Management Program for Hypertension 43.9% 49.6% Disease Management Program for Cholesterol 36.9% 48.3% COEFFICIENT Fitness Program Smoking Cessation Program Weight Loss Program Disease Management Diabetes Program Disease Management for Cholesterol Program Prev. Serv. out of Deductible in HMO plan Prev. Serv. out of Deductible in PPO plan Firm sees health benefits as important for attraction/selection 0.130*** 0.111** 0.102*** 0.152*** 0.084 -0.055 0.029 (0.044) (0.044) (0.038) (0.059) (0.052) (0.064) (0.068) Firm is self-insured 0.054** 0.058** 0.001 -0.011 -0.036 0.013 0.093*** (0.027) (0.026) (0.024) (0.031) (0.029) (0.022) (0.034) Firm in urban seeting 0.014 -0.027 0.024 0.102*** 0.098*** -0.075 -0.054 (0.030) (0.030) (0.027) (0.033) (0.030) (0.048) (0.038) Firm has unionized employees -0.037 -0.026 -0.001 0 -0.004 -0.006 -0.007 (0.026) (0.025) (0.024) (0.031) (0.028) (0.020) (0.033) Industry Controls YES YES YES YES YES YES YES Firm size controls YES YES YES YES YES YES YES Geographic region controls YES YES YES YES YES YES YES Observations 1813 1813 1813 1813 1813 621 1391 COEFFICIENT Fitness Program Smoking Cessation Program Weight Loss Program Disease Management Diabetes Program Disease Management for Cholesterol Program Prev. Serv. out of Deductible in HMO plan Prev. Serv. out of Deductible in PPO plan Firm sees health benefits as important for improvement of productivity 0.02 0.037 0.036 0.072** 0.077*** -0.04 0.036 (0.026) (0.025) (0.023) (0.029) (0.027) (0.025) (0.033) Firm is self-insured 0.055** 0.058** 0.001 -0.012 -0.038 0.013 0.092*** (0.026) (0.026) (0.024) (0.031) (0.029) (0.022) (0.034) Firm in urban seeting 0.013 -0.029 0.023 0.100*** 0.098*** -0.072 -0.054 (0.030) (0.030) (0.028) (0.033) (0.030) (0.048) (0.038) Firm has unionized employees -0.037 -0.026 0 0.001 -0.004 -0.006 -0.007 (0.026) (0.025) (0.024) (0.031) (0.028) (0.019) (0.033) Industry Controls YES YES YES YES YES YES YES Firm size controls YES YES YES YES YES YES YES Geographic region controls YES YES YES YES YES YES YES Observations 1813 1813 1813 1813 1813 621 1391

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