Eldercare Programs Can Improve Productivity

Companies that have corporate eldercare programs in place to assist employees in managing their care responsibilities for older family members have seen an improvement in engagement levels among these workers, according to a study released by work/life benefits consultancy, LifeCare Inc.

The study, “Corporate Eldercare Programs: Their Impact, Effective-ness, and the Implications for Employers,” was conducted for LifeCare by the National Alliance of Caregiving and Center for Productive Aging, Towson University. The 18-month study examined the extent to which workplace caregiving programs helped the employees who used them by making a positive difference in their own health and on-the-job performance. The findings were based on several surveys of workers with access to geriatric care management (GCM) and eldercare resource and referral programs, with a focus specifically on employees with caregiving responsibilities for an elderly family member.

Most employees reported first contacting the resource and referral program after a crisis had occurred in their caregiving situation, with rel-atively few having researched the program before needing help. The study found that, overall, users valued the program and had few complaints about their experiences. Many users expressed gratitude at having a source of information about the options available to them and said the programmade them feel less alone in their struggles. Employees who used GCMservices also said they appreciated the support the program provided in helping them manage the care of an elderly relative. However, some users of GCM programs also expressed a desire for more extensive services.

While caregivers who took advan-tage of these eldercare programs continued to struggle with their responsibilities, they tended to be healthier and more productive at workthan caregivers who had not accessedthe programs, according to the study.Results showed that users of eldercare programs reported a greater improvementover time in their ability to be focused and on-task at work than employees who used no programs for assistance. The study also found that users of GCM programs were more likely than non-users to report being in good health themselves.

The study’s authors recommended that employers that have eldercare programs in place educate employees about their availability and train supervisors to become more proactive in identifyingworkers who may benefit from using these programs. In particular, researchersemphasized, employees should be encouraged to take advantage of caregiving resources as early as possible to maximize their effectiveness.

“Employees must be made aware of the likelihood of becoming caregivers at some point in their lives,” the report said. “Educational materials, seminars, and workshops are potential methods for reaching large numbers of employees on an ongoing basis.”

In addition to training managers and supervisors to offer support to caregivingemployees, the study suggested that em-ployers consider creating a mentor system, asking employees with experience in deal-ing with these issues to advise co-workers who are in the process of taking on new caregiving roles and responsibilities.

Companies Not Doing Enough To Ease Workplace Stress

Despite the fact that stress is the most frequently cited reason among U.S. workers for quitting a job, most employers fail to acknowledge the link between employee stress levels and business performance, and relatively few take action to reduce stress in the workplace, a report published by human resources consultancy Watson Wyatt has warned.

Based on the results of two surveys conducted by Watson Wyatt, the study found that 40% of employees cite stress as one of the top three reasons why they would leave an employer, but employers tend to believe that workers quit their jobs for other reasons, including insufficient pay, lack of career development, and poor supervisor relationships.

“Many companies don’t appear to appreciate how stress is affecting their business,” said Shelly Wolff, national practice director of health and productivity at Watson Wyatt. “Too much stress from heavy demands, poorly defined priorities, and little on-the-job flexibility can add to health issues. By leaving stress unaddressed, employers invite an increase in unscheduled time off, absence rates, and health care costs—all of which hurt a company’s bottom line.”

Nearly half (48%) of the employers surveyed conceded that asking employees to work long hours and do more with lesscould have a negative impact on the com-pany’s performance. When asked to identify other causes of employee stress that could affect business results, 32% of employers cited a lack of work/life balance; 29%, technologies that expand employee availability; 24%, managers’ inability to recognize stress; and 20%, managers’ inability to find solutions for stress.

However, the study also found that veryfew employers are doing anything to address these problems. According to the survey findings, just 5% of employers are taking strong action to correct the problemof long hours and the pressure to do more with less, and only 6% of employersare taking steps to minimize the stress associated with increased availability due to new technologies. Meanwhile, 16% of employers reported taking action to help workers achieve work/life balance, and 14% said they are encouraging managers to find ways to reduce stress levels.

“Pay alone is not enough to retain and engage today’s workers,” said Laura Sejen, global director of strategic rewards at Watson Wyatt. “To remain competitive, companies need to understand fully whatcauses employees to join or leave and what causes them to be productive if they stay. A total rewards approach that includes both monetary and non-monetary rewards is more meaningful for employees and more effective for employers.”

Lack Of Health Insurance Leads To Late Cancer Diagnosis

While cancer sufferers in the United States without health insurance are usually able to get treatment eventually, they are significantly more likely than those with private insurance to receive their cancer diagnosis at a more advanced stage of the disease, according to an article by researchers from the American Cancer Society (ACS) that appeared in the March issue of the medical journal The Lancet Oncology.

The article, “Association of insurancestatus and ethnicity with cancer stage at diagnosis for 12 cancer sites: a retrospective analysis,” was written by a group of researchers led by Michael Halpern, M.D., Ph.D., strategic director of health services research at ACS. The study com-pared insurance status and stage of diag-nosis among cancer patients using the National Cancer Database, a hospital-based registry containing patient information from some 1,430 medical facilities. The analysis included data about adult patients diagnosed with any of 12 cancers between 1998 and 2004.

Compared to patients with private insurance, uninsured patients were found to have significantly increased likelihoodsof being diagnosed with cancer at more advanced stages. The greatest risk for being diagnosed with moderately advancedcancer (stage II), instead of at the earliest stage (stage I), was found to be among uninsured colorectal cancer patients. Meanwhile, uninsured breast cancer sufferers faced the highest risk of receiving their first diagnosis at stages III or IV.

The gaps between patients with differ-ent insurance statuses were found to begreatest for cancer sites that are part ofroutine screening, such as breast and colorectal cancer, and cancer types forwhich symptoms present at early stages, such as melanoma and urinary bladdercancer. On the other hand, the study found no major differences in the chancesof being diagnosed with later stages of cancer among forms of the disease for which no screening tests are available, such as ovarian and pancreatic cancers.

The analysis also showed that patientsinsured through Medicaid faced a higher risk of late diagnosis than patients with private insurance. Researchers noted, however, that many of these Medicaidpatients were likely to have been enrolledafter diagnosis, and they may have been previously uninsured. Additionally, the study found that African American patients were significantly more likely than other ethnic groups to be diagnosed with cancer at a more advanced stage.

“The findings of this major study are critical, not only for the 47 million Americans who have no health insurance,but also for our nation,” said John R. Seffrin, Ph.D., chief executive officer for the American Cancer Society. “The fact is, too many cancer patients are being diagnosed too late, when treatment is harder, more expensive, and has less chance of saving lives. We must begin toremove the barriers that stand in the wayof early diagnosis and timely access to medical care if we are to give all cancer patients an equal chance in the fight.”