Preventing Chronic Disease | Health-Plan and Employer-Based Wellness Programs to Reduce Diabetes Risk: The Kaiser Permanente Northern California NEXT-D Study – CDC

Perfect example of what wellness should not be…this is just managed care all dressed up to seem like something bright, shiny, and new.  The study participants are obese (i.e., at least one risk factor and probably multiple ones have already emerged) and were giving one-on-one coaching.  In other words, they were treated with a conventional medical model.  And, there is almost zero chance of ever returning these people to a state of risk-free good health.  The best that this MANAGED CARE PLAN can hope to do, because it is in their and their employer customers’ financial interests, is to prevent complications.  That’s primary prevention.

Wellness must center on primoridal prevention, which is to prevent the emergence of risk factors in the first place.  Admittedly, the population eligible for this gets smaller everyday, but that is really where the pool of modifiable population attributable risk lies.  There is not a mention in this article of helping employers to modify environments, policies, practices, standards, or employee education/training as they relate to good health.

Preventing Chronic Disease | Health-Plan and Employer-Based Wellness Programs to Reduce Diabetes Risk: The Kaiser Permanente Northern California NEXT-D Study – CDC.

Comments

  1. I agree that overall health should begin with prevention in the first place…healthy eating habits and exercise…just a healthy lifestyle in general. However, I also see nothing wrong with these insurance/employer based wellness programs to help those who HAVEN’T engaged in healthy practices to improve their quality of health and life. What I DO have a problem with is the potential for discrimination by insurance companies and employers alike based on results which may be obtained from wellness testing/blood testing results which may be obtained during the course of these programs. Think about it…wouldn’t it be easier for a company that is self-insured (provides their own health insurance) to weed out those who are costing the company more in healthcare by obtaining these results….especially in this era of “bean counting” and layoffs?

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