Health management: fashion trend or promising investment? Overview of corporate health promotion programs

Cardiovascular diseases are the leading cause of disability, premature mortality and economic loss worldwide. Despite the proven effectiveness of preventive measures in reducing the risks of development and progression of cardiovascular diseases, these programs are the most difficult to implement. 75–90 % of visits to primary care physicians in Western Europe and the United States are associated with physical fatigue and stress disorders, back pain and injuries. Studies have shown that workers with risk factors for chronic noncommunicable diseases are often absent from the workplace, have a higher level of disability and lower labor productivity. A worker with depression costs the employer almost 1,5 times more expensive than people without diseases. Elevated glucose levels, arterial hypertension, smoking and obesity cause an increase in the employer’s medical expenses by 34,8; 31,6; 31 and 27,4 %, respectively. The cost of US employers to pay for medical services, to compensate for the absence or ineffective presence due to illness costs $ 200 billion annually – more than $ 1,500 per employee.
The health of workers is determined by both risk factors specific to the workplace and general population and individual risks..Modern technologies of health management, changing the profile of the health of labor collectives, can improve the image of the employer and increase the profitability of companies. The return on investment in corporate health programs is from 3 to 10 US dollars for each dollar invested. The programs implemented at the enterprises of the Russian Federation made it possible to reduce the duration of diseases with disability by 20–30 %, reduce mortality and the initial exit to disability by 45–60 %. The widespread introduction of the most effective corporate wellbeing programs of workers in the activities of medical organizations and companies of various profiles will ensure the implementation of the national projects “Healthcare” and “Demography”.

1. Action Plan for the prevention and control of noncommunicable diseases in the who European region 2016-2025. Available by: http://www.euro.who.int/__data/assets/pdf_file/0008/346328/NCD-ActionPlanGB.pdf?ua=1 (date of the application 05.08.2020). (In Russ.).

2. Preventing Noncommunicable Diseases in the Workplace through Diet and Physical Activity WHO/World Economic Forum Report of a Joint Event. Available by: https://www.who.int/dietphysicalactivity/workplace/en/ (date of the application 05.08.2020). (In Russ.).

3. Ulumbekova U.E. The urgency of the Strategy for the formation of the population of the Russian Federation adherence to a healthy lifestyle and recommendations for the finalization of the Interdepartmental Strategy for healthy lifestyle, prevention and control of noncommunicable diseases for the period up to 2025. Vestnic VSHOUZ = Higher School of Healthcare Organization and Management. 2018;1:30–5. (In Russ.).

4. Passport of the National Project “Healthcare” (approved by the Presidium of the Presidential Council for Strategic Development and National Projects, protocol №16 dated 24.12.2018. Available by: http://www.consultant.ru/document/cons_doc_LAW_319209/ (in Russian) (date of the application 05.08.2020). (In Russ.).

5. Passport of the National Project “Demography” (approved by the Presidium of the Presidential Council for Strategic Development and National Projects, protocol № 16 dated 24.12.2018. Available by: http://www.consultant.ru/document/cons_doc_LAW_317388/ (in Russian) (date of the application 05.08.2020). (In Russ.).

6. 10 Quick Ways to Promote Workplace Wellness. Available by: https://www.glassdoor.com/emplyers/blog/10-quickways-employers-promote-workplacewellness/.

7. How to Tackle U.S. Employees’ Stagnating Engagement. URL: https://news.gallup.com/businessjournal/162953/tackle-employees-stagnating-engagement.aspx (date of of the application: 05.08.2020).

8. Work Related Stress on Employees Health. Available by: https://safetymanagement.eku.edu/blog/work-related-stress-onemployees-health/.

9. Goetzel R.Z., Pei X.,Tabrizi M.J. et al. Ten Modifiable Health Risk Factors Are Linked to More Than One-Fifth of Employer-Employee Health Care Spending. Health Affairs 2012;(11):2474–84. DOI: 10.1377/hlthaff.2011.0819.

10. Burton W.N., Chen C.Y., Conti D.J. et al. The association of health risks with on-the-job productivity. J Occup Environ Med 2005;47(8):769–77. PMID: 16093926. DOI: 10.1097/01.jom.0000169088.03301.e4.

11. Carnethon M., Whitsel L.P., Franklin B.A. et al. Worksite Wellness Programs for Cardiovascular Disease Prevention. A Policy Statement From the American Heart Association. Circulation 2009;120(17):1725–41. PMID: 19794121. DOI: 10.1161/CIRCULATIONAHA.109.192653.

12. Arena R., Guazzi M., Briggs P.D. et al. Promoting Health and Wellness in the Workplace: A Unique Opportunity to Establish Primary and Extended Secondary Cardiovascular Risk Reduction Programs. Mayo Clin Proc 2013;88(6):605–17. PMID: 23726400. DOI: 10.1016/j.mayocp.2013.03.002.

13. Asay G.R., Roy K., Lang J.E. et al. Absenteeism and Employer Costs Associated With Chronic Diseases and Health Risk Factors in the US Workforce. Prev Chronic Dis 2016;13:E141. DOI: 10.5888/pcd13.150503.

14. Work absences in 2011. Available by: https://www150.statcan.gc.ca/n1/pub/75001-x/2012002/article/11650-eng.htm.

15. Health and safety statistics. Available by: https://www.hse.gov.uk/statistics/industry/health.pdf.

16. Goetzel R.Z., Ozminkowski R.J. The Health and Cost Benefits of Work Site Health-Promotion Programs. Annu Rev Public Health 2008;29:303–23. DOI: 10.1146/annurev.publhealth.29.020907.090930.

17. Fonarow G.C., Calitz C., Arena R. et al. Workplace wellness recognition for optimizing workplace health: a presidential advisory from the American Heart Association. Circulation 2015;131(20):e480–97. PMID: 25869199. DOI: 10.1161/CIR.0000000000000206.

18. Anger W.K., Elliot D.L., Bodner T. et al. Effectiveness of Total Worker Health interventions. J Occup Health Psychol 2015;20(2):226–47. PMID: 25528687. DOI: 10.1037/a0038340.

19. Mattke S., Liu H., Huang C.Y. et al. Workplace Wellness Programs Study: Rand Health Q 2013;3(2):7. PMID: 28083294. PMCID: PMC4945172. Available by: https://www.rand.org/pubs/research_reports/RR254.html.

20. 14 Employee Well-Being Initiatives That Will Boost Engagement and Productivity. Available by: https://www.forbes.com/sites/forbescoachescouncil/2017/07/05/14-employee-well-beinginitiatives-that-will-boost-engagementand-productivity/#774559a67bc0.

21. What’s the Hard Return on Employee Wellness Programs? Available by: https://hbr.org/2010/12/whats-the-hard-returnon-employee-wellness-programs.

22. Employees Need High Wellbeing for High Performance. Available by: https://www.gallup.com/workplace/215924/well-being.aspx.

23. HERO Employee Health Management Best Practices Scorecard. Available by: https://www.mercer.co.kr/our-thinking/hero-scorecard.html.

24. Baicker K., Cutler D., Song Z. Workplace Wellness Programs Can Generate Savings. Health Aff (Millwood) 2010;29(2):304–11. PMID: 20075081. DOI: 10.1377/hlthaff.2009.0626.

25. Milani R.V., Lavie, C.J. Impact of worksite wellness intervention on cardiac risk factors and one-year health care costs. Am J Cardiol 2009;104(10): 1389–92. PMID: 19892055. DOI: 10.1016/j.amjcard.2009.07.007.

26. Aldana S.G. Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promot 2001;15(5):296–320. PMID: 11502012. DOI: 10.4278/0890-1171-15.5.296.

27. Bolnick H., Millard F., Dugas J.P. Medical care savings from workplace wellness programs: what is a realistic savings potential? J Occup Environ Med 2013;55(1):4–9. PMID: 23263453. DOI: 10.1097/JOM.0b013e31827db98f.

28. Baxter S., Sanderson K., Venn A.J. et al. The relationship between return on investment and quality of study methodology in workplace health promotion programs. Am J Health Promot 2014;28(6):347–63. PMID: 24977496. DOI: 10.4278/ajhp.130731-LIT-395.

29. Chapman L.S. Meta-Evaluation of Worksite Health Promotion Economic Return Studies: 2012 Update. Am J Health Promot 2012;26(4):TAHP1TAHP12. PMID: 22375583. DOI: 10.4278/ajhp.26.4.tahp.

30. Pelletier B., Boles M., Lynch W. Change in health risks and work productivity over time. J Occup Environ Med 2004;46(7):746–54. PMID: 15247815. DOI: 10.1097/01.jom.0000131920.74668.e1.

31. Burton W.N., Chen C.Y., Conti D.J. et al. The association between health risk change and presenteeism change. J Occup Environ Med 2006;48(3):252–63. PMID: 16531829. DOI: 10.1097/01.jom.0000201563.18108.af.

32. Библиотека корпоративных программ укрепления здоровья работников. Available by: https://static-1.rosminzdrav. ru/system/attachments/ attaches/000/046/753/original/Библиотека_корпоративных_программ.pdf?1565693486.

33. Kontsevaya A.V. The program for prevention of chronic non-infectious diseases in JSC “Sberbank of Russia”: Synthesis of evidence-based medicine and marketing technologies. Rossijskij kardiologicheskij zhurnal = Russ J Cardiol 2014;9(113):16–21. Available by: https://russjcardiol.elpub.ru/jour/article/view/137. (In Russ.).

34. Pyrikova N.V., Osipova I.V., Kontsevaya A.V. et al. The clinical economic rationale of organizational model of primary prevention of cardio-vascular diseases. Problemy sotsial’noj gigieny, zdravookhraneniya i istorii meditsiny = Problems of social hygiene, health care and the history of medicine. 2015;23(4):27–32. (In Russ.).

35. Kontsevaya A.V., Kalinina A.M., Belonosova S.V. et al. Economic efficiency of the implementation of the program of cardiovascular diseases multifactorial prevention in the organized collective of technical research institute. Ratsional’naya farmakoterapiya v kardiologii = Rational Pharmacother Card 2010;6(4):469–73. (In Russ.).

36. Decree of the President of the Russian Federation of 2018/05/07 № 204(as amended on 2018/07/19) «On national goals and strategic objectives of the development of the Russian Federation for the period until 2024». Available by: http://www.consultant.ru/document/cons_doc_LAW_297432/. (In Russ.).