ABSTRACT
OBJECTIVE: The aim of this study was to examine the impact of worksite clinics on health care utilization and cost, self-reported health status, and student achievement growth in a public school district. METHODS: We used insurance claims, health risk assessment, and student achievement growth data for active teachers during 2007 to 2015. A difference-in-differences approach was applied to measure the impact of worksite clinics. RESULTS: Compared with using a community-based clinic as the usual source of primary care, using a worksite clinic was associated with significantly lower inpatient admissions (53 vs 31 per 1000 teacher years), annual health care cost ($5043 vs $4298 in 2016 US dollars, a difference of $62 per teacher per month), and annual absent work hours (63 vs 61). No significant differences were detected in self-reported health status or student achievement growth. CONCLUSION: Worksite clinics reduce teacher health care cost and absenteeism.
Subject(s)
Faculty/statistics & numerical data , Health Care Costs/statistics & numerical data , Occupational Health Services/statistics & numerical data , Patient Acceptance of Health Care/statistics & numerical data , Public Sector , Absenteeism , Academic Success , Adult , Female , Health Status , Hospitalization/statistics & numerical data , Humans , Male , Middle Aged , Occupational Health , Schools , Students , Workplace , Young AdultABSTRACT
Population health-based chronic care models of care are useful in improving the health of a population while decreasing the health care dollars spent on the population. Diabetes is a disease that can be evaluated and treated using these models of care. The Metro Nashville Public Schools Diabetes Health Management Program has been shown to be beneficial to both clients and their insurance trust in improving the health of this population of individuals and decreasing the dollars spent on this disease.
