Purpose: To describe the design, implementation, and evaluation of an employer-sponsored health screening program [Employee Health and Wellness Program (EHWP)] in an academic healthcare system in Pakistan.
Design/methodology/approach: One-year after implementation, we use the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation and Maintenance) to evaluate and report participant- and organizational-level indicators of success.
Findings: Of 5286 invited employees, 4523 (86%) completed blood work and 1809 (34%) completed health risk assessment (Reach). Of the 915 (51%) who required referrals, 3% were referred for new diagnoses of diabetes, hepatitis C or severe anemia; 63% for elevated 10- year risk of cardiometabolic diseases (cardiovascular disease and diabetes); and 25% for counseling for depression, obesity or smoking cessation (Effectiveness). Employees’ barriers to enrollment were explored (Adoption). While institutional costs were considered nominal (US $ 20/employee), organizational barriers were identified (Implementation). Finally, 97% of users reported interest in enrollment if EHWP was offered again (Maintenance).
Originality/ value: In a country with minimal focus on adult preventive care, we report the impact of an employer-offered wellness program that identified new risk factors and offered referral for ongoing care. Employees reported a positive experience and were willing to reenroll. Using the RE-AIM framework, we have defined indicators in the real-world setting, that can be used effectively by other institutions to start such a program.
Publication ( Name of Journal)
International Journal of Workplace Health Management
Khan, U. I.,
(2021). Implementation and evaluation of employee health and wellness program using RE-AIM framework. International Journal of Workplace Health Management.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_fam_med/256