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Financial Gains, Possibilities, and Limitations of Improving Occupational Health at the Company Level

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Handbook of Socioeconomic Determinants of Occupational Health

Part of the book series: Handbook Series in Occupational Health Sciences ((HDBSOHS))

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Abstract

Putting a price on people and measuring the financial gains from investments in human resources stem back to the Romans and the eighteenth century, respectively. In the 1960s, the interest increased tremendously. Researchers in economics, accounting, sociology, and psychology argued that to increase and improve investments in the workforce, accounting and calculation methods for estimating the financial gains need to be developed. Accounting and utility models were suggested. Additionally, numerous investigations of financial gains were performed. Unfortunately, many of these studies were of poor quality. However, during the last couple of decades, some good studies have demonstrated the profitability of improving occupational health at the company level. In the present chapter, some well performed recent studies as well as the most common shortcomings in many studies will be referred to. Special attention will be devoted to the issue of productivity. The reason why financial gains are subject to an (increasing) interest is to increase and improve investments in the workforce. However, Swedish studies have demonstrated that although calculating the economic benefits of investments is important to create attention, it is not enough to start a process of change at the company level. The latter is a much wider and a much more complicated issue. The calculus needs to be put into a wider context, i.e., a performance management context. In the last section of the chapter, a framework for designing and analyzing occupational health management is suggested.

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References

  • Aldana SG (2001) Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promot 15(5):296–320. https://doi.org/10.4278/0890-1171-15.5.296

    Article  PubMed  Google Scholar 

  • Alvesson M, Sveningsson S (2008) Changing organizational culture. Routledge, London

    Google Scholar 

  • Berlin C, Adams C (2017) Production ergonomics: designing work systems to support optimal human performance. Ubiquity Press, London

    Book  Google Scholar 

  • Bräunig D, Kohstall T (2013) Calculating the international return on prevention for companies: costs and benefits of Investments in Occupational Safety and Health vol DGUV report 1/2013e. German Social Accident Insurance (DGUV), Berlin

    Google Scholar 

  • Broadbent J, Laughlin R (2009) Performance management systems: a conceptual model. Manag Account Res 20(4):283–295. https://doi.org/10.1016/j.mar.2009.07.004

    Article  Google Scholar 

  • Brouwer WBF, Meerding WJ, Lamers LM, Severens JL (2005) The relationship between productivity and health-related QOL – An exploration. PharmacoEconomics 23(3):209–218. https://doi.org/10.2165/00019053-200523030-00002

    Article  PubMed  Google Scholar 

  • Brummet RL, Flamholtz EG, Pyle WC (1968) Human resource measurement: a challenge for accountants. Account Rev 43:217–224

    Google Scholar 

  • Cronbach LJ, Gleser GC (1965) Psychological tests and personnel decisions, 2nd edn. University of Illinois Press, Urbana

    Google Scholar 

  • Ferreira A, Otley D (2009) The design and use of performance management systems: an extended framework for analysis. Manag Account Res 20(4):263–282. https://doi.org/10.1016/j.mar.2009.07.003

    Article  Google Scholar 

  • Flamholtz EG, Das TK, Tsui AS (1985) Toward an integrative framework of organizational control. Account Org Soc 10(1):35–50. https://doi.org/10.1016/0361-3682(85)90030-3

    Article  Google Scholar 

  • Foldspang L, Mark M, Rants LL, Hjorth LR, Langholz-Carstensen C, Poulsen OM, Johansson U, Ahonen G, Aasnæss S (2014) Working environment and productivity: a register-based analysis of Nordic enterprises. Nordic Council of Ministers: TemaNord 2014:546

    Google Scholar 

  • Frey B, Buhofer H (1986) A market for men, or: there is no such thing as a free lynch. J Inst Theor Econ 142(4):739–744

    Google Scholar 

  • Frick K, Johanson U (2013) Systematiskt arbetsmiljöarbete: - syfte och inriktning, hiner och möjligheter i verksamhetsstyrningen: En analys av svenska fallstudier. Arbetsmiljöverket, Stockholm

    Google Scholar 

  • Golaszewski T (2001) Shining lights: Studies that have most influenced the understanding of health promotion's financial impact. Am J Health Promot 15(5):332–340. https://doi.org/10.4278/0890-1171-15.5.332

    Article  PubMed  Google Scholar 

  • Gröjer JE (2001) Intangibles and accounting classifications: in search of a classification strategy. In: Gröjer JE, Stolowy H (eds) Classification of intangibles. Groupe HEC, Paris, pp 150–173

    Google Scholar 

  • Gröjer JE, Johanson U (1996) Human resource costing and accounting. 2nd revised edition. Joint Industrial Safety Council, Stockholm

    Google Scholar 

  • Guillet de Monthoux P (1983) Läran om företaget. Norstedts, Stockholm

    Google Scholar 

  • Hermansson R (1964) Accounting for human assets. Michigan State University, Michigan

    Google Scholar 

  • Hofstede G (1978) The poverty of management control philosophy. Acad Manag Rev 3(3):450–461

    Article  Google Scholar 

  • Johanson U (1992) Personalekonomiska beräkningar – pÃ¥verkar de? Personnel Economics Institute report no 92:1B, School of Business, Stockholm University, Stockholm

    Google Scholar 

  • Johanson U (1997) The profitability of investments in work life oriented rehabilitation: a measurement of perceptions. Pers Rev 26(5):395–415

    Article  Google Scholar 

  • Johanson U (1999) Why the concept of human resource costing and accounting does not work. Pers Rev 28(2):91–107

    Article  Google Scholar 

  • Johanson U, MÃ¥rtensson M, Skoog M (2001) Mobilising change by means of the management control of intangibles. Account Org Soc 26(7–8):715–733

    Article  Google Scholar 

  • Johanson U, Almqvist R, Skoog M (2019) A conceptual framework for integrated performance management systems. Journal of Public Budgeting, Accounting and Financial Management 31(3):309–324

    Article  Google Scholar 

  • Johns G (2010) Presenteeism in the workplace: a review and research agenda. J Organ Behav 31(4):519–542. https://doi.org/10.1002/Job.630

    Article  Google Scholar 

  • Koopmanschap MA, Rutten FF, van Ineveld BM, van Roijen L (1995) The friction cost method for measuring indirect costs of disease. J Health Econ 14(2):171–189

    Article  Google Scholar 

  • Krol M, Brouwer W (2014) How to estimate productivity costs in economic evaluations. PharmacoEconomics 32(4):335–344. https://doi.org/10.1007/s40273-014-0132-3

    Article  PubMed  Google Scholar 

  • Krol M, Stolk E, Brouwer W (2014) Predicting productivity based on EQ-5D: an explorative study. Eur J Health Econ HEPAC Health Econ Prev care 15(5):465–475. https://doi.org/10.1007/s10198-013-0487-y

    Article  Google Scholar 

  • Lapsley I (2009) New public management: the cruelest invention of the human spirit? Abacus 45(1):1–21

    Article  Google Scholar 

  • Lohela Karlsson M, Strömberg C, Analysgruppen A (2016) Arbetshälsoekonomiskt analysverktyg – Ett komplement till Riktlinjer för psykisk ohälsa pÃ¥ arbetsplatsen. En sammanställning frÃ¥n Arbetshälsoekonomiska analysgruppen 1/2016. Enheten för interventions- och implementeringsforskning inom arbetshälsa, Institutet för miljömedicin (IMM), Karolinska Institutet, Stockholm

    Google Scholar 

  • Malmi T, Brown DA (2008) Management control systems as a package-opportunities, challenges and research directions. Manag Account Res 19(4):287–300. https://doi.org/10.1016/j.mar.2008.09.003

    Article  Google Scholar 

  • Miller P, Haslam C (2009) Why employers spend money on employee health: interviews with occupational health and safety professionals from British industry. Saf Sci 47(2):163–169. https://doi.org/10.1016/j.ssci.2008.04.001

    Article  Google Scholar 

  • Mukuria C, Rowen D, Hernandez-Alava M, Dixon S, Ara R (2017) Predicting productivity losses from health-related quality of life using patient data. Appl Health Econ Health Policy 15(5):597–614. https://doi.org/10.1007/s40258-017-0326-x

    Article  PubMed  Google Scholar 

  • Ospina MB, Dennett L, Waye A, Jacobs P, Thompson AH (2015) A systematic review of measurement properties of instruments assessing presenteeism. Am J Manag Care 21(2):e171–e185

    PubMed  Google Scholar 

  • Pauly MV, Nicholson S, Polsky D, Berger ML, Sharda C (2008) Valuing reductions in on-the-job illness: 'presenteeism' from managerial and economic perspectives. Health Econ 17(4):469–485. https://doi.org/10.1002/hec.1266

    Article  PubMed  Google Scholar 

  • Roos P, Ødegaard F, Färe R, Bergström G, Bertilsson H, Jensen I (2005) Hälsa och produktivitet, AHA-studien slutrapport: Del 2. Sektionen för Personskadeprevention, Institutionen för klinisk neurovetenskap, Karolinska Institutet, Stockholm

    Google Scholar 

  • Rose LM, Orrenius UE, Neumann WP (2013) Work environment and the bottom line: survey of tools relating work environment to business results. Hum Factor Ergon Man 23(5):368–381. https://doi.org/10.1002/hfm.20324

    Article  Google Scholar 

  • Sanders GD, Neumann PJ, Basu A, Brock DW, Feeny D, Krahn M, Kuntz KM, Meltzer DO, Owens DK, Prosser LA, Salomon JA, Sculpher MJ, Trikalinos TA, Russell LB, Siegel JE, Ganiats TG (2016) Recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses: second panel on cost-effectiveness in health and medicine. JAMA 316(10):1093–1103. https://doi.org/10.1001/jama.2016.12195

    Article  PubMed  Google Scholar 

  • Schultz TW (1961) Investment in Human Capital. Am Econ Rev 51(1):1–17

    Google Scholar 

  • Simons R (1995) Levers of control: how managers use innovative control systems to drive strategic renewal. Harvard Business School Press, Boston

    Google Scholar 

  • Steel J, Godderis L, Luyten J (2018a) Methodological challenges in the economic evaluation of occupational health and safety Programmes. Int J Environ Res Public Health 15(11). https://doi.org/10.3390/ijerph15112606

    Article  Google Scholar 

  • Steel J, Godderis L, Luyten J (2018b) Productivity estimation in economic evaluations of occupational health and safety interventions: a systematic review. Scand J Work Environ Health 44(5):458–474. https://doi.org/10.5271/sjweh.3715

    Article  PubMed  Google Scholar 

  • Stromberg C, Aboagye E, Hagberg J, Bergstrom G, Lohela-Karlsson M (2017) Estimating the effect and economic impact of absenteeism, Presenteeism, and work environment-related problems on reductions in productivity from a managerial perspective. Value Health J Int Soc Pharmacoecon Outcomes Res 20(8):1058–1064. https://doi.org/10.1016/j.jval.2017.05.008

    Article  Google Scholar 

  • Turpin RS, Ozminkowski RJ, Sharda CE, Collins JJ, Berger ML, Billotti GM, Baase CM, Olson MJ, Nicholson S (2004) Reliability and validity of the Stanford Presenteeism scale. J Occup Environ Med 46(11):1123–1133

    Article  Google Scholar 

  • van Dongen JM, Tompa E, Clune L, Sarnocinska-Hart A, Bongers PM, van Tulder MW, van der Beek AJ, van Wier MF (2013) Bridging the gap between the economic evaluation literature and daily practice in occupational health: a qualitative study among decision-makers in the healthcare sector. Implement Sci 8(57):57. https://doi.org/10.1186/1748-5908-8-57

    Article  PubMed  PubMed Central  Google Scholar 

  • Weisbrod BA (1961) The valuation of human capital. J Polit Econ 69:425–436

    Article  Google Scholar 

  • Zhang W, Sun H, Woodcock S, Anis A (2015) Illness related wage and productivity losses: valuing 'presenteeism. Soc Sci Med 147:62–71. https://doi.org/10.1016/j.socscimed.2015.10.056

    Article  PubMed  Google Scholar 

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Johanson, U., Aboagye, E. (2020). Financial Gains, Possibilities, and Limitations of Improving Occupational Health at the Company Level. In: Theorell, T. (eds) Handbook of Socioeconomic Determinants of Occupational Health. Handbook Series in Occupational Health Sciences. Springer, Cham. https://doi.org/10.1007/978-3-030-05031-3_23-1

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  • DOI: https://doi.org/10.1007/978-3-030-05031-3_23-1

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