Scientific Studies and Articles

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Outcome Measures

At Dorn Companies, we recognize the importance of having definitive outcome measures when evaluating the effectiveness of employee health care programs. To meet this objective, we continuously engage in data-driven outcome analysis for our clients. Dorn Companies provides ongoing quantitative and qualitative data analysis so direct and indirect program cost savings, employee satisfaction, and returns on investment can be reliably determined.

Dorn Companies assists clients in measuring reductions in indirect costs through study and survey tools that measure improvements in employee lost productivity and presenteeism, absenteeism, medication usage and health plan utilization.

HARMAN STUDY
Working Through the Pain: A Controlled Study of the Impact of Persistent Pain on Performing a Computer Task.
The early detection of pain interference provides an opportunity for prevention programs to have a pre-emptive effect on work-related musculoskeletal disorders.

HIDDEN COSTS OF PAIN
Muscular Pain has a tremendous affect on our everyday lives.

LOST PRODUCTIVE TIME AND COSTS DUE TO COMMON PAIN CONDITIONS IN THE U.S. WORKFORCE
Journal of the American Medical Association - More than $61 Billion in costs and lost productivty can be directly attributed to pain.

JOEM HEALTH AND PRODUCTIVITY AS A BUSINESS STRATEGY
The objective of this study is to assess the magnitude of health-related lost productivity relative to medical and pharmacy costs for four employers and assess the business implications of a “full-cost” approach to managing health.
A more complete picture of the cost impact of health conditions emerge when medical, pharmacy, and productivity costs are combined. The top five are back/neck pain, depression, fatigue, chronic pain & sleeping problems.

JOEM MSD PAIN STUDY ARTICLE
Health and Productivity as a Business Strategy
Companies operating in challenging and competitive economic environments are turning their attention to understanding the total impact of health and wellness on their bottom line and looking for the solid business case that would enable them to justify an investment in health improvement.

COST EFFECTIVE NECK TREATMENT
Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomized controlled trial.
Study shows manual therapy is quicker and 1/3 the cost of physical therapy for neck pain.

NECK PAIN STUDY
Annals of Internal Medicine Manual Therapy, Physical Therapy, or Continued Care by a General Practitioner for Patients with Neck Pain
Results:
At 7 weeks, the success rates were;
68.3% for manual therapy,
50.8% for physical therapy and
35.9% for continued care.
Statistically significant differences

JAMA 2003-LOST PRODUCTIVE TIME
Journal of the American Medical Association Article examines The lost productive time and costs due to common pain conditions.

HEALTH AND PRODUCTIVITY ROI
The Business Case for Health and Productivity Management: What's the Return on Investment?
American College of Physicians Fifth Annual National Health Communication Conference Co-Sponsored by the Institute of Medicine National Academy of Sciences, Washington, DC, A growing body of scientific literature suggests that well-designed, evidence-based Health, Disease, and Productivity Management Programs can Improve the health of individuals; Lower their risk for disease; Save money by reducing health-related losses and limiting absence and disability; Heighten worker morale; Improve worker productivity; and Improve the financial performance of organizations instituting these programs.

HEALTH PROMOTION ECONOMIC RETURN-REVIEW
This meta-evaluation provides a systematic look at the economic return for worksite health promotion programs. The summary evidence is very strong for reductions in sick leave, health plan costs, and workers' compensation and disability costs of slightly more than 25%. This should eventually lead to the institutionalization of worksite health promotion programming

MANUAL THERAPY AND EXERCISE FOR LOW BACK
Manual Therapy and Exercise Therapy in Patients With Chronic Low Back Pain A Randomized, Controlled Trial With 1-Year Follow-up
Although significant improvements were observed in both groups, the manual therapy group showed significantly larger improvements than the exercise therapy group on all outcome variables throughout the entire experiment

WORKSITE WELLNESS
Health Promotion Worksite Initiative: A Literature Review
It is estimated that health promotion worksite programs result in overall, benefit-to-cost ratios of $3.48 in reduced health care costs and $5.82 in lower absenteeism costs per dollar invested. In addition, there is a return on investment of at least $3 to $8 per dollar invested or more within 5 years of program implementation. many health promotion worksite programs report, a high return on investment can be achieved by improving the health of a small subset of employees, especially those at risk for chronic illness.

WORK SITE HEALTH PROMOTION EVALUATION
Meta-Evaluation of Worksite Health Promotion Economic Return Study
The number of subjects in all forty-two (42) studies was 537,319 people The evidence is very strong for average reductions in sick leave, health plan costs and workers' compensation and disability costs of slightly more than 25%. This has profound implications for all American employers and should eventually lead to the institutionalization of appropriately designed and executed worksite health promotion programming

WHY INVEST - PREVENTION INVESTMENT
Why Invest? Recommendations for Improving Your Prevention Investment