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The Employer & Research-Based Healthcare Evidence
Wayne N. Burton M.D.Former Chief Medical OfficerAmerican Express
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Today’s Discussion
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Employer’s approach to using the best research evidence
Reference: The Center For Workforce Health and Performance PCORI funded study. 2018
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The importance of evidence beyond medical treatment on the impact of employer costs
Edington & Burton. 2004
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PCORI Funded Research Aligns with Employer Mental & Behavioral Health Initiatives• PCORI
• 43 Million adults in the US had a mental health condition in 2015
• $467 billion est. cost of mental health disorders in 2012
• PCORI invested $510 M on 127 CER studies related to mental health
• Employer Research• Employee Assistance Program
counselors commonly present at the workplace and integrated in worksite health clinics
Burton et al. JOEM. 2007; 13: 105-112
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Addressing Health Disparities
• PCORI“Eliminating disparities in health & healthcare could save the US over $250 Billion annually in direct medical costs. Disparities lead to preventable suffering”
• Employer Research
Burton et al. J Occup Environ Med. 2013;55 (8) 873
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PCORI Research on Obesity Aligns with Employer Initiatives
• PCORI• 1 in 6 (37%) Americans is obese• 18 CER studies funded• Programs for effective weight
loss• Role of weight loss surgeries
• Employer Research
Burton et al. J Occup Environ Med. 1998; 40:786
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Examples of Potential Future Areas of CER Research: CDHP, Dental
Burton et al. J Occup Environ Med. 2017; 59(8): 721
Burton et al. J Occup Environ Med. 2014; 56(4): 347
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Recommendations for Researchers
• Connect evidence-based solutions with employees and the workplace
• Broaden the definition of outcomes beyond clinical• Think broadly about communication strategies to include
employers
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Thank You!Wayne Burton, MDFormer Chief Medical OfficerAmerican Express [email protected] 20, 2019
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Questions?