Symposium: If Health Promotion Is So Smart, Why Isn't Everyone Doing It?

May 16, 2005
The reasons to integrate corporate health protection with health promotion were clearly stated at the outset of Georgetown University's Workplace Health Protection and Promotion symposium: the synergies and crossovers between the two programs, unsustainable increases in health care costs, the productivity and competitive advantages that result from having a healthier workforce.

But even as momentum builds to address worker health both on and off the job, the conference spent the most time addressing the barriers -- particularly from the employee perspective -- that must be overcome for the integration effort to succeed.

While corporate representatives who spoke at the May 13 symposium lamented the management "silos" blocking health promotion, Laura Welch, M.D., from the Center to Protect Workers' Rights, identified three concerns often raised by employees about health promotion programs:

  • Too much focus on health costs rather than employee benefit;
  • Corporate paternalism;
  • Privacy.

The latter point sparked a lively discussion during the question-and-answer period of the conference. "I think the privacy concerns raised by Dr. Welch are really important," commented Devra Golbe, an economist at Hunter College. "I don't want my employer to know I'm depressed, diabetic and eat a lot of junk food and so next week I'm going to have a heart attack." Golbe argued that if employers reach the conclusion that illnesses raise health care costs and hurt productivity, workers could be punished for being sick.

"But what if there were factors at work that contributed to your depression?" asked Greg Welch of the National Institute for Occupational Safety and Health, who moderated the discussion. "Your relationship with your supervisor, an inflexible work schedule -- would you like to have those issues dealt with at work?"

From a cost standpoint, the issue of depression is critical, because individuals with high risk for depression have 70.2 percent higher costs than those at lower risk, according to another symposium speaker, Peter Hayes, director of health strategy for Hannaford Bros. Co. Yet because of the stigma surrounding mental illness, depression is precisely the sort of disease that raises privacy concerns.

Hayes and Michael Gondek, corporate medical director at the Dow Co., stressed that a key element in their companies' successful integration effort is that employees recognized the goal was better health -- not lower costs.

"If employees believe this is just a way for the company to save money, you're going nowhere," said Gondek.

Sponsored Recommendations

June 23, 2025
With the right workplace health and safety training, your organization can reduce risk and protect your employees.
June 23, 2025
This article covers the key steps to build a reliable SDS management program, from organizing your inventory and sourcing updated SDS to ensuring easy access and regular maintenance...
June 23, 2025
It's time to get a bit more granular and start to examine the types of metrics EHS departments should be tracking, starting with lost time injury frequency rate (LTIFR).
June 23, 2025
With the number of lone workers on the rise, here are five facts every employer should know about lone working.

Voice your opinion!

To join the conversation, and become an exclusive member of EHS Today, create an account today!