A Strategy for Evaluating Occupational Health and Safety Training
Evaluation is a necessary activity for determining the worth of worker health and safety training programs. The worth of a health and safety training program can be judged in many ways. For example, it may be judged according to the program's usefulness to the participants, the sponsor, or society. The worth of a program may be judged according to the effectiveness of innovations and initiatives for program improvement or of program management and administration or in meeting various accountability requirements ( Rossi and Freeman 1982). Thus, evaluation, or the estimations of worth, may be undertaken for different reasons and at different levels of comprehensiveness.
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REASONS FOR EMPLOYER INTEREST IN HEALTH PROMOTION
Employer-sponsored health promotion (wellness) programs are increasingly discussed as part of an overall strategy to better manage health benefit costs. In 1985 employers spent more than $100 billion for health benefits to employees, dependents, and retirees. More rapid growth in per capita health benefit costs compared with other benefit categories has made all employers actively seek approaches that can moderate future rates of increase and perhaps even lead to no growth in health benefit costs during a period of limited inflation.
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Comprehensive Evaluation of a Worksite Health Promotion Program
The growth of worksite health promotion activities over the past decade has been truly dramatic. Much of this growth has been fueled by increasing awareness among employers that the cost of ill health is a major threat to the bottom line and that much of this ill health is directly attributable to controllable lifestyle risk factors. The widely documented magnitude of these costs ( Cooper and Rice 1976; Fielding 1979) indicated to employers that the long-term return on investment in an effective health promotion program could be favorable. However, a large-scale worksite health promotion program is a major investment, and, as with any such financial commitment, management requires periodic reports on results. Continued funding decisions typically depend on positive indicators of program effectiveness at each major stage of implementation.
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