Breaking News
November 14, 2018 - Health Tip: Limit Fat, Sugar and Salt in Your Child’s Diet
November 14, 2018 - CA 19-9 Blood Test (Pancreatic Cancer): MedlinePlus Lab Test Information
November 14, 2018 - Old drug could have new use helping sick premature babies
November 14, 2018 - Surgery, not antibiotics, should remain first-line treatment for appendicitis | News Center
November 14, 2018 - Researchers to develop sports-specific classification system for blind football
November 14, 2018 - Preschool children show awake responses to naptime nonsense words
November 14, 2018 - Survey shows negative effect of vulvovaginal atrophy symptoms on quality of life for women
November 14, 2018 - Study sheds light on mechanisms that prevent autoimmune attack
November 14, 2018 - Sleep quality found to be worse for women who undergo surgical menopause
November 14, 2018 - New study provides deeper insight into chromosome segregation during mitosis
November 14, 2018 - Inhibition of one protein clears toxic clumps seen in Parkinson’s disease, study finds
November 14, 2018 - Appendix removal is linked to lower risk of Parkinson’s
November 14, 2018 - Lifting weights for less than an hour a week may reduce cardiovascular disease risk
November 14, 2018 - Pulmonary rehabilitation rarely received by hospitalized COPD patients despite health benefits
November 14, 2018 - New anti-HER2 drug shows promising anti-tumor activity in gullet, stomach and bowel cancers
November 14, 2018 - Regular head circumference assessment of preterm babies can help identify long-term IQ problems
November 14, 2018 - Brigham investigators examine opioid use among Massachusetts adolescents, prescription trends
November 14, 2018 - Study defines biomarker in response to treatment of castration-resistant prostate cancer
November 14, 2018 - Study identifies potential therapeutic strategy for patients with clear cell renal cancer
November 14, 2018 - Bausch Health Announces U.S. Launch of Bryhali (halobetasol propionate) Lotion, 0.01%, for Plaque Psoriasis In Adults
November 14, 2018 - Alpha Fetoprotein (AFP) Tumor Marker Test: MedlinePlus Lab Test Information
November 14, 2018 - Researchers evaluate controversial treatment for Parkinson’s disease psychosis
November 14, 2018 - AI could help veterinarians code their notes
November 14, 2018 - Pre-schoolers with autism thrive in mainstream classroom settings
November 14, 2018 - Individual and work-related factors may help promote hospital physician engagement, finds study
November 14, 2018 - Complementary and alternative medicine is widely used by general population in England
November 14, 2018 - Study reveals link between tobacco availability and smoking during pregnancy
November 14, 2018 - Purdue researchers develop translucent base for silicon patches to deliver exact doses of biomolecules
November 14, 2018 - New technology based on moths and magnets could help treat genetic diseases
November 14, 2018 - Concussion-Related Biomarkers Vary Based on Sex, Race
November 14, 2018 - One more year of high school may shape waistlines later in life
November 14, 2018 - Dissecting high drug costs – Scope
November 14, 2018 - Study shows novel strategy to reduce breast cancer bone metastasis
November 14, 2018 - Empowering the NHS through Industry Partnerships
November 14, 2018 - One size does not fit all in obesity treatment, study finds
November 14, 2018 - Seeking ways to prevent ‘secondary cataracts’
November 14, 2018 - Change Within the Eye May Be Early Warning for Macular Degeneration
November 14, 2018 - Study of 500,000 people clarifies the risks of obesity
November 14, 2018 - Ultrasound releases drug to alter activity in targeted brain areas in rats | News Center
November 14, 2018 - Umass Amherst researchers battle against youth suicide in rural Alaska Native communities
November 14, 2018 - Cancer stem cells depend on amino acid metabolism, and it’s proving to be their Achilles’ heel
November 14, 2018 - Epigenetic link found between prenatal exposure to maternal smoking and offspring’s cardio-metabolic health
November 14, 2018 - Meditation, music may change biomarkers of cellular aging and Alzheimer’s disease in older adults
November 14, 2018 - Multidisciplinaryresearch teams selected to study age-related brain disorders
November 14, 2018 - The Current issue of “The view from here” is concerned with Informatics
November 14, 2018 - Researchers identify tool to help transgender women have a more authentic voice
November 14, 2018 - Four faculty members appointed to endowed professorships | News Center
November 13, 2018 - Research finds strongest evidence yet that obesity causes depression
November 13, 2018 - Researchers compare stools of breastfed and formula-fed infants
November 13, 2018 - Entasis Therapeutics Announces Zoliflodacin Phase 2 Results Published in The New England Journal of Medicine
November 13, 2018 - Gene changes driving myopia reveal new focus for drug development
November 13, 2018 - $6 million grant to support study of preeclampsia, atherosclerosis links | News Center
November 13, 2018 - Beneficial gut microbes metabolize high-fiber diet to improve heart health in mouse model
November 13, 2018 - Excessive use of social media through visual postings linked to increase in narcissistic traits
November 13, 2018 - Study finds why obesity both fuels cancer growth and helps immunotherapy to kill tumors
November 13, 2018 - Women prefer and invest more in daughters, while men favor sons
November 13, 2018 - With hospitalization losing favor, judges order outpatient mental health treatment
November 13, 2018 - Transgenic rat model may provide new insights into cerebral amyloid angiopathy
November 13, 2018 - Study identifies factors tied to greater risk of advanced liver disease in cystic fibrosis patients
November 13, 2018 - Risk of blindness among premature babies with low levels of blood platelets
November 13, 2018 - A new strategy for combatting antibiotic-resistant infections
November 13, 2018 - Study aims to find which outreach method is more effective at improving cancer screening rates
November 13, 2018 - Insufficient sleep duration linked with unhealthy lifestyle profile among children
November 13, 2018 - IIASA researchers introduce new, simple measure for human wellbeing
November 13, 2018 - Magnetic nanosprings used as targeted drug delivery agents for anticancer therapy
November 13, 2018 - Scientists examine FCMs containing silver nanoparticles
November 13, 2018 - Failed DNA repair triggers chromosomal chaos
November 13, 2018 - Study shows new emerging role of osteopontin in HCV-related hepatocellular carcinoma
November 13, 2018 - Food insecurity during pregnancy linked to severity of neonatal abstinence syndrome
November 13, 2018 - Majority of Americans are concerned about health threat posed by antibiotic resistance
November 13, 2018 - Addition of Elotuzumab Ups PFS in Refractory Multiple Myeloma
November 13, 2018 - Study finds women with pregnancy-related nausea, vomiting use marijuana more
November 13, 2018 - Lethal heart rhythm more likely to be found in patients with common heart failure
November 13, 2018 - Study provides new clues to origin and development of multiple sclerosis
November 13, 2018 - Climate change could pose threat to male fertility
November 13, 2018 - Researchers discover how mitochondria deploy a powerful punch against disease-causing bacteria
November 13, 2018 - AHA: Traumatic Childhood Could Increase Heart Disease Risk in Adulthood
November 13, 2018 - Feeling the Burn? | NIH News in Health
November 13, 2018 - Women’s birth canals in Kenya, Korea, Kansas not the same: study
November 13, 2018 - Fecal microbiota transplantation effective against ICI-associated colitis
Opening onsite health clinics for workers can cut health care costs

Opening onsite health clinics for workers can cut health care costs

image_pdfDownload PDFimage_print

Opening onsite health clinics to provide comprehensive primary care to teachers and their families can lower a school district’s health care costs and decrease teacher absenteeism, according to a new RAND Corporation study.

Examining the experience of a large urban school district, researchers found that teachers who used onsite health clinics as the source of primary care cut their annual health care costs by about 15 percent and were significantly less likely to be admitted to the hospital.

The study is the largest to date to examine the benefits of opening onsite health clinics for workers and is the first to examine worksite clinics for teachers. The findings are published online by the Journal of Occupational and Environmental Medicine.

“Our findings suggest opening onsite health clinics may be one promising action that school organizations can take to help lower their health care costs,” said Harry Liu, the study’s senior author and a policy researcher at RAND, a nonprofit research organization. “But the evidence was less clear that such efforts meaningfully improve teacher productivity.”

Employers have been increasing their investment in worksite health clinics. Among employers with 1,000 or more workers, the prevalence of such clinics has increased from about 16 percent in 2009 to 23 percent in 2016.

Relatively few studies have examined the impact of worksite health clinics, although other types of workplace health interventions such as smoking cessation have been studied extensively. Previous studies have not found a strong link between worksite health clinics and overall lower health costs.

The RAND study examined the experiences of Metro Nashville Public Schools, a large district that includes 120 schools and about 6,000 teachers. The district worked with an academic medical center to establish five school-based clinics in 2009 to improve teacher access to care.

The system was designed so that every teacher can reach a worksite clinic within a 15-minute drive from the school where they work. The worksite clinics are staffed by family nurse practitioners and provide primary medical care for all teachers and their dependents.

RAND researchers analyzed a variety of measures about teachers from 2007 to 2015, including their health care usage, absenteeism and their self-reported health status.

The study found that teachers who used the school-based clinics as the source of primary care instead of a community based health provider had significantly fewer inpatient admissions (31 versus 53 per 1,000 teacher years) and fewer primary care visits (1,637 versus 2,756 per 1,000 teacher years).

Using a school-based clinic for primary medical care drove down per person annual total health care costs by $745 ($4,298 versus $5,043). The primary drivers of the decline were lower hospital inpatient costs ($417 versus $776 ), hospital outpatient costs ($707 versus $873) and prescription costs ($1,320 versus $1,422).

While teachers who used the school-based clinics as the source of primary care had lower rates of absenteeism, researchers say the finding was not statistically significant. In addition, teachers who used the school-based clinics reported no more improvement in their health status than teachers who did not use the clinics.

Researchers also examined student test scores for a subset of the teachers in the study to see whether a lower absenteeism rate was linked to greater student achievement. But that analysis showed no difference between the teachers who used the school-based clinics as the source of primary care and teachers who received their health care elsewhere.

Support for the study was provided by the Robert Wood Johnson Foundation Evidence for Action Program. The views in the study do not necessarily reflect the views of the foundation. Other authors of the study are John B. Engberg of RAND, Jon Harris-Shapiro of Continuance Health Solutions, Inc., David Hines of the Metro Nashville Public Schools and Patti McCarver of Vanderbilt University Medical Center.

RAND Health is the nation’s largest independent health policy research program, with a broad research portfolio that focuses on health care costs, quality nd public health preparedness, among other topics.

Source:

https://www.rand.org/news/press/2018/06/20.html

Tagged with:

About author

Related Articles