PubMed · 829151
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K C Das. 1976. National Leprosy Control Programme.. https://pubmed.ncbi.nlm.nih.gov/829151/
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The long-term impact of corporate health and wellness programs is largely unknown, because most evaluations focus on impact in just 1 or 2 years after program initiation. This project estimated the longer-term impact of the Johnson & Johnson Health & Wellness Program on medical care utilization and expenditures. Employees were followed for up to 5 years before and 4 years after Program implementation. Fixed-effects regression models were used to control for measurable and unmeasurable factors that may influence utilization and expenditures. Results indicated a large reduction in medical care expenditures (approximately $224.66 per employee per year) over the 4-year Program period. These benefits came from reduced inpatient use, fewer mental health visits, and fewer outpatient visits compared with the baseline period. Most benefits occurred in years 3 and 4 after Program initiation. We conclude that programs designed to better integrate occupational health, disability, wellness, and medical benefits may have substantial health and economic benefits in later years.
The NHS was introduced to enormous popular acclaim but services always varied markedly and the physical conditions were poor. At the birth of the NHS, two-thirds of the hospitals had been built before 1891. Even today, the NHS is providing care in accommodation built in the 1800s. The NHS is now lagging behind comparable systems on several counts. It is unrealistic to expect the NHS to become the 'envy of the world' in the lifetime of this government, if ever.