Occupational Health Services Improve Effective Coverage for Hypertension and Diabetes Mellitus at Japanese Companies

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  • HASHIGUCHI Katsuyori
    Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan Panasonic Health Insurance Organization Health Management Center
  • NAGATA Tomohisa
    Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
  • MORI Koji
    Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
  • NAGATA Masako
    Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan Occupational Health Data Science Center, University of Occupational and Environmental Health, Japan
  • FUJINO Yoshihisa
    Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
  • ITO Masato
    Panasonic Health Insurance Organization Health Management Center Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan

Bibliographic Information

Other Title
  • 産業保健サービスの存在は企業における高血圧および糖尿病のEffective Coverageを向上させる
  • Occupational health services improve effective coverage

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Description

The World Health Organization (WHO) aims to enable all people to receive health services, and has proposed effective coverage (EC) as an index for this aim. EC refers to “the fraction of potential health gain that is actually delivered to the population through the health system, given its capacity,” and is used to indicate the percentage of the population whose diseases are well controlled among those who require treatment or are receiving treatment. This study aimed to evaluate the effects of occupational health services on EC. We hypothesized that occupational health services provided to employees by full-time occupational health practitioners, such as occupational physicians and occupational health nurses, improve EC for hypertension, diabetes mellitus and hyperlipidemia compared to those services provided by part-time occupational health practitioners. We conducted a cross-sectional study to analyze the results of general medical examinations, personnel information, and medical expense claims in fiscal year 2011. A total of 91,351 male employees at a company group participated in the study. The EC for hypertension, diabetes mellitus and hyperlipidemia was measured and compared between the employees in workplaces with occupational health practitioners (OH group) and the employees in workplaces without occupational health practitioners (non-OH group). The EC for hypertension and diabetes mellitus was significantly greater in the OH group than in the non-OH group (aOR: 1.41, 95% CI: 1.20 - 1.66 for hypertension; aOR: 1.53, 95% CI: 1.17 - 2.00 for diabetes mellitus), while the EC for hyperlipidemia was comparable (aOR: 1.11, 95% CI: 0.92 - 1.34). Occupational health services provided by full-time occupational health practitioners greatly improve health management after a medical examination.

Journal

  • Journal of UOEH

    Journal of UOEH 41 (3), 271-282, 2019-09-01

    University of Occupational and Environmental Health, Japan

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