@Article{信息:doi 10.2196 / / jmir。1263，作者=“Sacks, Naomi和Cabral, Howard和Kazis, Lewis E和Jarrett, Kelli M和Vetter, Delia和Richmond, Russell和Moore, Thomas J”，标题=“基于网络的营养计划降低具有心脏风险因素的员工的医疗保健成本:前后成本分析”，期刊=“J Med Internet Res”，年=“2009”，月=“10”，日=“23”，卷=“11”，数=“4”，页=“e43”，关键词=“雇主健康成本;疾病管理;健康促进;健康项目;成本和成本分析"，摘要="背景:不断上涨的医疗保险费对医疗保险的雇主担保人及其雇员的负担迅速增加。一些雇主通过提供工具鼓励雇员直接管理自己的健康和预防疾病，积极主动地管理医疗保健费用。这种工具的一个例子是DASH for Health，这是一个基于互联网的营养和锻炼行为改变计划。这个项目是作为一个免费的，可选择加入的福利提供给美国EMC公司的员工。目的:目的是确定雇主赞助的、基于互联网的饮食和锻炼计划是否对医疗保健费用有影响。 Methods: There were 15,237 total employees and spouses who were included in our analyses, of whom 1967 enrolled in the DASH for Health program (DASH participants). Using a retrospective, quasi-experimental design, study year health care costs among DASH participants and non-participants were compared, controlling for baseline year costs, risk, and demographic variables. The relationship between how often a subject visited the DASH website and health care costs also was examined. These relationships were examined among all study subjects and among a subgroup of 735 subjects with cardiovascular conditions (diabetes, hypertension, hyperlipidemia). Multiple linear regression analysis examined the relationship of program use to health care costs, comparing study year costs among DASH participants and non-participants and then examining the effects of increased website use on health care costs. Analyses were repeated among the cardiovascular condition subgroups. Results: Overall, program use was not associated with changes in health care costs. However, among the cardiovascular risk study subjects, health care costs were US{\$}827 lower, on average, during the study year (P= .05; t729 = 1.95). Among 1028 program users, increased website use was significantly associated with lower health care costs among those who visited the website at least nine times during the study year (US{\$}14 decrease per visit; P = .04; t1022 = 2.05), with annual savings highest among 80 program users with targeted conditions (US{\$}55 decrease per visit; P < .001; t74 = 2.71). Conclusions: An employer-sponsored, Internet-based diet and exercise program shows promise as a low-cost benefit that contributes to lower health care costs among persons at higher risk for above-average health care costs and utilization. ", issn="1438-8871", doi="10.2196/jmir.1263", url="//www.mybigtv.com/2009/4/e43/", url="https://doi.org/10.2196/jmir.1263", url="http://www.ncbi.nlm.nih.gov/pubmed/19861297" }