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Why do managers allocate resources to workplace health promotion programmes in countries with national health coverage?
Downey, Angela M ; Sharp, David J .
Afiliação
  • Downey, Angela M ; University of Lethbridge. Faculty of Management. Lethbridge. Canada
  • Sharp, David J ; The University of Western Ontario. Richard Ivey School of Business. London. Canada
Health Promot. Int ; 22(2): 102-111, Jun. 2007. ilus, tab
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-59571
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
There is extensive evidence that worksite health promotion (WHP) programmes reduce healthcare costs and improve employee productivity. In many countries, a large proportion of healthcare costs are borne by the state. While the full benefits of WHP are still created, they are shared between employers and the state, even though the employer bears the full (after-tax) cost. Employers therefore have a lower incentive to implement WHP activity. We know little about the beliefs of managers with decision responsibility for the approval and implementation of WHP programmes in this context. This article reports the results of a study of the attitudes of Canadian senior general managers (GMs) and human resource managers (HRMs) in the auto parts industry in Ontario, Canada towards the consequences of increasing discretionary spending on WHP, using Structural Equation Modelling and the Theory of Planned Behaviour. We identified factors that explain managers' intentions to increase discretionary spending on wellness programmes. While both senior GMs and HRMs are motivated primarily by their beliefs that WHP reduces indirect costs of health failure, GMs were also motivated by their moral responsibility towards employees (but surprisingly HRMs were not). Importantly, HRMs, who usually have responsibility for WHP, felt constrained by a lack of power to commit resources. Most importantly, we found no social expectation that organizations should provide WHP programmes. This has important implications in an environment where the adoption of WHP is very limited and cost containment within the healthcare system is paramount. (AU)
Assuntos
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Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal / Agenda de Saúde Sustentável para as Américas Tema em saúde: 11_financial_arrangements / 11_multisectoral_coordination / Objetivo 4: Financiamento para a saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Local de Trabalho / Alocação de Recursos / Promoção da Saúde / Programas Nacionais de Saúde Limite: Humanos Idioma: Inglês Revista: Health Promot. Int Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: The University of Western Ontario/Canada / University of Lethbridge/Canada
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal / Agenda de Saúde Sustentável para as Américas Tema em saúde: 11_financial_arrangements / 11_multisectoral_coordination / Objetivo 4: Financiamento para a saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Local de Trabalho / Alocação de Recursos / Promoção da Saúde / Programas Nacionais de Saúde Limite: Humanos Idioma: Inglês Revista: Health Promot. Int Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: The University of Western Ontario/Canada / University of Lethbridge/Canada
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