title: The future of health promotion/disease prevention programs: the incentives and barriers faced by stakeholders.
abstract: According to Healthy People 2010, 95% of employers with more than 50 employees reported that they offered at least one health promotion activity by 1999. Employment-based health promotion/disease prevention (hp/dp) programs have significantly increased in frequency and scope since 1985. Yet, 20 years later, the reported results for employee health lag behind the literature documenting the impact of lifestyle-related health risks on morbidity, healthcare utilization, and costs. In this article, we consider the key stakeholders involved-employers, health plans, and employees-and explore their legitimate and feasible roles in employment-based hp/dp programs, including the incentives and barriers they face to program participation. We argue for the integration of hp/dp programs into the traditional health protection mission of occupational health and safety professionals.
authors.affiliation: Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA. knud0104@umn.edu
authors.forename: Tamara M K
authors.initials: TM
authors.lastname: Schult
authors.forename: Patricia M
authors.initials: PM
authors.lastname: McGovern
authors.forename: Bryan
authors.initials: B
authors.lastname: Dowd
authors.forename: Nico P
authors.initials: NP
authors.lastname: Pronk
mesh_terms: D019468:Disease Management; D020408:Health Insurance Portability and Accountability Act; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D009786:Occupational Health Services / Q000458:organization & administration*; D015279:Organizational Culture; D014481:United States