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Background In 1986, the first international health promotion \World Development Report 1993 also pointed out that good health can improve personal labor and production capacity, improve the national economic growth rate. Health problems, in turn, can also be a threat to a country's economic development. Starting from the late 1980s, many studies have shown that the health status of employees can affect the productivity of the enterprise. Inefficient and to illness absenteeism also brings more economic loss than the health care costs at the same time bring a loss of productivity. In view of the health risk factors may intervene, and intervention has a higher cost-benefit ratio, many foreign scholars to focus on the study of the relationship of health risk factors and work inefficiency and absenteeism due to illness, and prove that they are the The association between. Outside the domestic health risk factors work inefficiently in 2008-2009, in addition to our group in the crowd (Symphony staff) engaged in the arts industry, has not yet found reports of similar studies. In this study, the medical workers in the country for the first time as the research object, comprehensive study of employees' health risk factors and work inefficiency, sickness absence is associated. Objective of test: Jinan City, a hospital employee health risk factors and health-related productivity losses associated with? Including: a, Jinan City, a hospital staff which health risk factors and work inefficiencies associated? Second, Jinan City a hospital staff, which risk factors for health and sickness absence related? number of health risk factors, Jinan City, a hospital staff efficiency low association?, Jinan City, a hospital staff whether the number of health risk factors association with sickness absence? Methods This study used a quasi-experimental research methods (Quasi-experiment). Study abroad \used in this study, \Follow evidence-based medicine, to resolve the principal contradiction and the principle of health promotion, the most widely distributed for the staff of a hospital in Jinan City, the most important risk factors for health intervention six months of intervention. Baseline survey compared survey after the intervention analysis to test the health risk factors and work inefficiency and illness whether there is correlation between absenteeism calculated the economic losses brought about by the two, and with health care costs compared. Results, Jinan City, a hospital staff distributed the most common risk factors for health is less physical activity (56.27%), followed by poor quality of sleep (46.68%), alcohol (43.17%), overweight / obesity (37.82%), pressure (32.47%). The staff has a number of health risk factors from 0-10, with an average number of health risk factors of 3.18, the report has three health risk factors employees the highest percentage (21.22%). Focused on a hospital in Jinan City, the distribution of the most common health risk factors - physical activity intervention after 6 months, in addition to less physical activity, the distribution ratio decreased 19.18% (p lt; 0.0001), and the remaining two healthy the distribution ratio of the risk factors also appeared statistically significant decrease. They are: high blood lipids distribution of reducing the proportion of 4.13% (p = 0.006), proportion of unreasonable meals distribution 14.16% reduction (p lt; 0.0001). Final and baseline health risk factors in the population distribution of the number was reduced from a baseline average of 3.1 to a final average of 2.71, and a statistically significant (p lt; 0.0001). The 0-3 health risk factors, the proportion of the population has increased, the percentage of people with 3-9 risk factors for health declined, the decline in the proportion of which has a population of seven health risk factors were statistically significant (p = 0.0339) . Second, the baseline survey showed that 46.69% of employees report to work inefficiently in a hospital in Jinan City. Undergraduate and above employees, medical staff than nursing staff and non-clinical departments than undergraduate academic staff (p lt; 0.0001) (p lt; 0.0001) to report the existence of inefficient. Men than women (p = 0.0062), the medical staff than nursing staff and non-clinical departments (p lt; 0.0001), low level of efficiency than the undergraduate academic staff (p lt; 0.0001) following undergraduate and above employees. Focused on the distribution of a hospital in Jinan City, the most common health risk factors - physical activity intervention after six months, reported the existence of a 1.47% reduction in the proportion of inefficient work crowd, inefficient and mild inefficient (p = 0.0001) distribution increased proportion of low, moderate, and severe and serious work efficiency (p lt; 0.0001) appeared to reduce the distribution ratio. 6-month intervention Jinan City, a hospital employee inefficient annual average economic losses can reduce 188,800. Third, the baseline survey showed that the presence of 9.78% staff absenteeism due to illness in a hospital in Jinan City. Medical and nursing staff more than the non-clinical departments to report the existence of sickness absence (p = 0.0052). Men than women (p = 0.0191), the nursing and medical staff absenteeism level higher than the non-clinical departments staff (p = 0.01) due to illness. Through a cross-sectional survey, using univariate analysis, this study found that overweight / obesity (p = 0.0053, OR = 1.6415,95% CI :1.1570-2 .328), high blood pressure (p = 0.0345, OR = 1.6175,95% CI 2.5322 :1.0332), high blood lipids (p = 0.0261, OR = 1.8472,95% CI :1.0692-3 .1915), alcohol consumption (p = 0.0016, OR = 1.7376,95% CI :1.2327-2 .4494), ill health and a sense of self ( p = 0.0022, OR = 2.5805,95% CI :1.3841-4 .8111), pressure (p = 0.0400, OR = 1.4587,95% CI :1.0167-2 .0929) associated with the inefficient occurrence. Overweight / obesity (p = 0.0023), high blood lipids (p = 0.0368), alcohol consumption (p = 0.0017), sense of self, poor health (p lt; 0.0001), pressure (p = 0.0206) and efficiency rating association . Using multivariate analysis, the study found that the association of overweight / obesity and sense of self, poor health and work inefficiencies occur and occur grade. The study also found, have health risk factors the number of employees occur more inefficient (p = 0.0153) and more serious inefficiencies (p = 0.0012). The end of the study data and compared to baseline data, found no significant association in various health risk factors and the number of risk factors and inefficient lower level. Through a cross-sectional survey, this study at the 5% level of inspection failed to identify health risk factors, the number of health risk factors, and the association between sickness absence. Test level of 10%, the study found that less smokers than did those who reported more sickness absence reporting physical activity, and more likely to have higher levels of sickness absence than did those with less physical activity. The end of the study compared to baseline data, found in 10% of the test level, less physical activity, reduction of health risk factors associated with reduced sickness absence level. , Jinan City, a hospital employee medical reimbursement and health-related productivity losses total economic losses, the cost of medical claims accounted for only 48.21% (719,600), the inefficient economic losses accounted for 30.89 percent (461,000) economic losses caused sickness absence accounted for 20.9% (311,900). Intervention for six months after the distribution of the most common health risk factors of Jinan City, a hospital staff, the final data, compared with the baseline data, employees' health-related lost productivity (sickness absence and the inefficient work) brought the average annual economic losses appeared decline. Inefficient reduction of average annual economic losses 188,800 79,600 reduction in sickness absence and annual average economic losses. Conclusion Jinan City, a hospital staff, distribution of the most common health risk factors are less physical activity (56.27%), followed by poor quality of sleep (46.68%), alcohol consumption (43.17%), overweight / obesity (37.82%), pressure (32.47%). The staff has a number of health risk factors from 0-10, with an average number of health risk factors of 3.18, the report has three health risk factors employees the highest percentage (21.22%). Distribution of high blood lipids and unreasonable dietary ratio appeared to focus on a hospital in Jinan City, the distribution of the most common health risk factors - physical activity intervention after 6 months, in addition to a small proportion of the distribution of physical activity declined significantly a significant reduction. An increase in the proportion of the final and baseline health risk factors in the population distribution of the number was reduced from a baseline average of 3.1 to a final average of 2.71, has a health risk factors of 0-3 people, 3-9 health risks factor in the proportion of the population decline. Baseline survey, 46.69% of employees report the existence of inefficient in a hospital in Jinan City. Bachelor degree or above employees, medical staff to report the existence of inefficient. Male employees, medical staff, undergraduate and above employees work inefficient higher level. Focused on the distribution of a hospital in Jinan City, the most common health risk factors - physical activity intervention after six months, reports a 1.47% reduction in the proportion of people who have low work efficiency, inefficient and mild inefficient distribution ratio elevated, moderate, severe and serious work inefficient distribution proportion appeared. 6-month intervention Jinan City, a hospital employee inefficient annual average economic losses can reduce 188,800. Third, the baseline survey results show the presence of 9.78% staff absenteeism due to illness in a hospital in Jinan City. Medical and nursing staff to report the existence of sickness absence. Male employees and medical staff relatively high level of sickness absence. Fourth, through the cross-sectional survey, the study found that overweight / obesity, high blood pressure, high blood lipids, alcohol consumption, self-feeling in poor health and stress associated with inefficient occurrence. Overweight / obesity, high blood fat, drinking, sense of self, poor health, stress, associated with work inefficiently grade. The study also found that, the more the number of employees with health risk factors occurred more inefficient and more serious work inefficient. The end of the study and baseline compared in a test level of 10%, less physical activity, high blood pressure and unreasonable diet reduce inefficient level associated with decreased. This study through a cross-sectional survey in a 5% level of inspection failed to find health risk factors, the number of health risk factors and the association between sickness absence. Test level of 10%, the study found that less physical activity and smokers reported more sickness absence than did those with less physical activity than did those more likely to have higher levels of sickness absence. The end of the study, and baseline and found no significant associated health risk factors and the number of risk factors and reduced sickness absence levels. Six, the total economic losses brought about by the Jinan City, a hospital employee medical reimbursement of costs and health-related lost productivity, medical claims costs accounted for only 48.21%, the inefficient economic losses accounted for 30.89%, due to illness absenteeism bring economic The loss accounted for 20.9%. Intervention six months after the distribution of the most common health risk factors of Jinan City, a hospital staff after the final compared with baseline, inefficient employees work an average annual economic losses decreased by 188,800, illness absenteeism annual average economic losses a decrease of 79,600.
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