wide world of workplace wellness – global trends and challenges
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Slides from 3-8-11 webinarTRANSCRIPT
The Wide World of Workplace Wellness:
Global Trends and Challenges
Barry HallWolf Kirsten
Health Promotion LIVEApril 8, 2011
Overview
• Global trends and challenges
• WHP profiles for key countries
• Key global intiatives
• Q&A
1
Fourth Annual Global Wellness Survey
Objective:
• Assess trends in employer-sponsored
wellness strategies and practices
Participants:• 1,248 participating employers
• 47 countries
• 13 million employees
• All industry categories
Reports:• Global survey report
• Executive summary in 10 languages
• Special country reportswww.BuckSurveys.com
2
Location of Employees
3
Africa/Middle East
Asia
Australia
Europe
North America
Latin America
19%
33 %
16 %
34 %
62%
35 %
Source: Global Wellness Survey, November 2010
Global Prevalence of Health Promotion Programs
4
Source: Global Wellness Survey, November 2010
66%less than
5 years
Status of Wellness Strategy
NUMBER OF YEARS WELLNESS STRATEGY HAS BEEN IN PLACE
0 - 1 year
2 - 5 years
5 - 10 years
More than 10 years
Don‟t know
13%
53%
16%
14%
3%
GLOBALGLOBAL
5
Source: Global Wellness Survey, November 2010
Globalization of Strategy
6
STRATEGY IS GLOBAL*(MULTINATIONAL EMPLOYERS)
Yes
54%
No
46%
* Covers majority of employees regardless of geography
Source: Global Wellness Survey, November 2010
Globalization of Strategy
7
REASONS FOR NOT HAVING A GLOBAL WELLNESS STRATEGY*
Differing cultures, laws, and practices across regions
No global oversight for health care strategy
Lack of vendors who can meet our global
objectives
Limited availability of language- and culturally-
adapted tools and solutions
Not a priority in our organization
Other
60%
44%
28%
23%
16%
22%
Source: Global Wellness Survey, November 2010
Employer Objectives Driving Wellness Strategy
8
Africa/Mid East Asia Australia Canada Europe
Latin America
United States
Productivity/Presenteeism 2 5 4 1 1 1 2
Morale/Engagement 1 2 2 3 2 2 4
Absence 5 6 3 2 4 7 3
Workplace safety 2 4 1 6 6 3 6
Work ability 4 1 5 4 5 4 7
Org. values/mission 5 3 8 7 3 5 5
Attract and retain 8 8 7 8 7 8 8
Promote image/brand 7 7 6 9 10 10 9
Health care costs 11 11 10 5 11 11 1
Social responsibility 9 9 9 10 9 6 10
Comply with legislation 9 10 11 11 8 9 11
Supplement gov't care 12 12 12 12 12 12 12
Source: Global Wellness Survey, November 2010
Health Issues Driving Wellness Strategy
9
Africa/Mid East Asia Australia Canada Europe
Latin America
United States
Stress 1 1 1 1 1 2 6
Physical activity/exercise 4 3 3 3 2 1 1
Nutrition/healthy eating 4 7 1 5 5 3 2
Work/life issues 4 2 3 2 3 12 10
High blood pressure 4 10 10 8 10 4 5
Chronic disease 2 9 9 7 13 5 3
Workplace safety 9 4 6 6 4 6 11
Depression/anxiety 8 13 7 4 7 9 9
High cholesterol 12 11 11 9 12 7 7
Tobacco use/smoking 11 5 13 11 8 10 8
Psychosocial work envir. 10 8 14 12 6 8 15
Obesity 15 14 8 14 14 11 4
Sleep/fatigue 16 12 5 9 11 14 14
Personal safety 13 6 12 13 9 13 13
Infectious diseases (HIV) 3 17 16 17 18 16 17
Maternity/newborn health 18 15 18 16 16 15 12
Substance abuse 14 18 15 15 15 18 16
Public sanitation 17 16 17 18 17 17 18
Source: Global Wellness Survey, November 2010
Ownership and Control
10
Centralized ownership and control
Centralized coordination with localized autonomy
No centralized coordination - wellness initiatives are spread throughout the organization
43%
41%
10%
54%
26%
15%
Multinational Organizations
Single-Country Organizations
Source: Global Wellness Survey, November 2010
Prevalence of Incentive Rewards (or Penalties)
11
United States
Asia
Canada
Africa/Mid East
Australia
Europe
Latin America
62 %
42 %
41 %
34 %
29 %
25 %
16%
25%
19%
30%
24 %
24 %
11 %
38%
13%
39%
28%
41%
47%
63%
46%
0% 20% 40% 60% 80% 100 %
Incentive rewards offered today
Not offered today, but have plans to offer
No plans to offer
Source: Global Wellness Survey, November 2010
Activities For Which Incentive Rewards Are Offered
12
Completing a health risk appraisal
Participation in workplace health "challenges"
Completing a biometric health screening
Obtaining regular preventive care examinations
Refraining from tobacco use
Tracking regular healthy living activities
Completing educational courses (live or online)
Contacting a health coach or advisor
Adherence to a disease management program
Achieving or maintaining health status results
Adherence to a therapeutic regimen
57%
50%
46%
37%
37%
33%
29%
30%
25%
23%
13%
14%
19%
18%
26%
27%
30%
34%
39%
37%
33%
51%
18%
16%
21%
15%
18%
18%
15%
14%
15%
17%
14%
10%
15%
15%
21%
18%
19%
21%
16%
23%
26%
22%
Offered todayPlan to offer in next yearPlan to offer in next 2-3 yearsDon't currently offer and no plans to offer
Source: Global Wellness Survey, November 2010
Are Incentives Working?
EFFECTIVENESS OF INCENTIVE REWARDS AT INFLUENCING
BEHAVIORAL CHANGES AMONG EMPLOYEES
5%
15%
31%28%
4%
18%
Extremely
Effective
5
Significantly
Effective
4
Moderately
Effective
3
Minimally
Effective
2
Not effective
1
Don‟t know
U.S.
20%
13
Source: Global Wellness Survey, November 2010
Measurement and Outcomes
14
Source: Global Wellness Survey, November 2010
Measurement and Outcomes
15
REASONS OUTCOMES ARE NOT MEASURED
Insufficient resources to support measurement
Don’t know how to measure
No priority from leadership
Don’t believe there is a measurable return
Don’t believe the cost of measurement is justified
59 %
36%
33%
13%
9%
Source: Global Wellness Survey, November 2010
Building a “Culture of Health”
EXTENT TO WHICH THE
ORGANIZATION PLANS TO PURSUE A
CULTURE OF HEALTH FOR THE
FUTURE
54%
27%
12%6% 1%
5 =
Actively
pursue
4 3 2 1 = Not at
All
EXTENT TO WHICH THE
ORGANIZATION CURRENTLY HAS A
CULTURE OF HEALTH
10%
23%
37%
22%
8%
5 = Very
much so
4 3 2 1 = Not at
All
33%
81%
Source: Global Wellness Survey, November 2010
16
Country Profiles
• Brazil
• China
• India
• France
• UK
• Finland
• South Africa
• UAE
17
Based on „Global Perspectives in Workplace Health Promotion“
Jones & Bartlett, 2011
Brazil• National health care services (SUS) are
underfunded and lack quality
• National Health Agency (ANS) has implemented
regulations for private healthcare sector to
include health promotion
• Programs often implemented to promote
ambiance or climate, little outcomes data
• Active association: ABQV
• Annual medical exam is mandatory by law (to
be provided by employer)
18
China
• Major challenges remain with occupational
hazards (dusts, chemical poisoning)
• Accelerated aging process
• High prevalence of smoking in men
• High demands and low control: increased stress
(and suicides)
• Growth of WHP programs
• No link to OH inspection
• Working conditions for migrant workers
(precarious employment)
19
India
• Economic superpower 92% of
workforce informal sector
• Vastly underfunded health care system:
public expenditure only 0.9% of GDP
• Workplace just being discovered as setting
to fight chronic disease challenge
• Fight for talent (no endless pool)
• Extremely multi-cultural society
• Traditional biomedical model prevalent
• Stressful work environment (hierarchy)
20
UK
• Lifestyle-related conditions continue to rise
to unprecedented levels
• Tax funded National Health Service (£100bn
annual budget) free at point of delivery
• Health, Work and Well-being as cross-
Government initiative
• General culture and mindset of healthcare
being “free”
• Growing appreciation among employers for
productivity gains and reduced costs (concurrent emerging body of research)
21
Finland
• Alcohol is leading cause of death in working
population
• Developed systems with sophisticated
occupational health services
• Main focus is to maintain work ability and
increase productive working years
• Government has played an active role
• Well-being at work: adapting methods,
content and working environment
• Reduction in sick leave and pension costs
22
South Africa
• HIV/AIDS remains a key challenge (17% are
HIV+) while chronic disease is on the rise
• Universal health care free to all citizens:
underfunded, lack of quality
• Progress has been made with workplace
programs addressing HIV/AIDS (linked to
CSR strategy)
• Larger enterprises are expanding these to
full-fledged WHP programs
• Private insurances play an active role
23
United Arab Emirates
• 20%+ have diabetes
• Road traffic safety a key challenge
• Major progress with healthcare infrastructure (very little focus on prevention)
• Extremely diverse workforce
• Lack of qualified professionals in health
promotion and disease prevention
• Gov„t taking the initiative: EHSMS standards
in Abu Dhabi include wellness as a separate
requirement
24
WHO Healthy Workplace Model
http://www.who.int/occupational_health/healthy_workplaces/en/index.html
Comprehensive model emphasizes
four “Avenues of Influence”
25
Workplace Wellness Alliance
• Cross-industry consortium of companies (39)
• Knowledge sharing and developing
• Promoting the use of standardized metrics
with the goal of achieving a global wellness
standard
• Wellness App
http://alliance.weforum.org/
26
• A global association focused on serving the
health promotion practitioner (affiliated with the
American College of Sports Medicine)
• Essential resources
• A vibrant community and network
• Exceptional learning opportunities
vital to practitioners and employers
• Growing international membership base
www.iawhp.org
27
Conclusion
• Global growth in workplace health promotion
• Productivity is the main universal driver
• Chronic disease and mental well-
being/stress a huge challenge
• Need for more evaluation and measurement
• Need for an integrated healthy workplace
framework
28
29
Wolf [email protected] Tel: 49-30-89202277
www.wolfkirsten.com
Barry [email protected]
Tel: +1-617-275-8033
www.buckconsultants.com