title: Management support, worksite culture, and local resources for healthier employees: the Veterans Affairs experience.
abstract: OBJECTIVE
  To determine whether a "worksite culture of health" exists within the Veterans Health Administration and implications on integrating employee health promotion programs.
  
  
  METHODS
  Three national surveys were used-an organizational health survey, a health behaviors survey, and a worksite environment survey. Cross-sectional associations between measures of organizational health and employee health behaviors and between measures of organizational health and worksite environment were assessed.
  
  
  RESULTS
  There were significant associations between a number of organizational health measures and a combined measure of health behaviors. Likewise, presence of employee-wellness committees and/or coaches was significantly associated with higher appraisal on organizational health measures.
  
  
  CONCLUSIONS
  Results suggest that a worksite culture of health exists in some but not all facilities within Veterans Health Administration; this has implications for integrating employee health promotion programs systemwide. A phased-in approach is likely warranted.
authors.affiliation: Veterans Health Administration, Office of Public, Washington, DC, USA. tamara.schult@va.gov
authors.forename: Tamara M
authors.initials: TM
authors.lastname: Schult
authors.forename: Allison M
authors.initials: AM
authors.lastname: Galway
authors.forename: Ebi R
authors.initials: ER
authors.lastname: Awosika
authors.forename: Sandra K
authors.initials: SK
authors.lastname: Schmunk
authors.forename: Michael
authors.initials: M
authors.lastname: Hodgson
mesh_terms: D003430:Cross-Sectional Studies; D015438:Health Behavior; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration* / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D016272:Occupational Health / Q000706:statistics & numerical data*; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration* / Q000706:statistics & numerical data