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工作中更健康?企业健康促进计划社会实验评估证据

Healthy at Work? Evidence from a Social Experimental Evaluation of a Firm-Based Wellness Program
American Economic Journal: Economic Policy · 2025 · Marianne Simonsen、Lars Skipper

中文摘要

我们采用一项大规模社会实验并结合行政登记数据,最长可追踪12年,对一项长期由雇主资助的健康与福祉计划进行评估。我们发现,处理组工作场所的员工接受初级保健医生诊疗的次数更少,购买的处方药也更少。这些效应在随机分组后持续长达七年,尽管有所减弱。无论短期还是长期,我们均未发现该计划对总体住院情况有影响;该计划在改善缺勤、离职等劳动相关结果方面也未取得成效。最后,我们发现了该计划在家庭内部产生溢出效应的一些证据。(JEL I18, I31, J28, J81, M54)

Abstract

We employ a large social experiment combined with register-based data, allowing for up to 12-year follow-up to evaluate a long-lasting employer-sponsored health and well-being program. We show that employees at treated worksites receive fewer consultations from their primary care physician and purchase fewer prescription drugs. These effects persist up to seven years after randomization, though with some fade-out. We find no effects on overall hospitalizations in either the short or longer run, and the program was not successful in improving labor-related outcomes such as absence and turnover. Finally, we show some evidence of spillovers within the family. (JEL I18, I31, J28, J81, M54)
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