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The Employer & Research-Based Healthcare Evidence Wayne N. Burton M.D. Former Chief Medical Officer American Express Todays Discussion 2 Employers approach to using the best research evidence Reference: The Center For Workforce


  1. The Employer & Research-Based Healthcare Evidence Wayne N. Burton M.D. Former Chief Medical Officer American Express

  2. Today’s Discussion 2

  3. Employer’s approach to using the best research evidence Reference: The Center For Workforce Health and Performance PCORI funded study. 2018 3

  4. The importance of evidence beyond medical treatment on the impact of employer costs Edington & Burton. 2004 4

  5. PCORI Funded Research Aligns with Employer Mental & Behavioral Health Initiatives • PCORI • Employer Research • 43 Million adults in the US had a • Employee Assistance Program mental health condition in 2015 counselors commonly present at the workplace and integrated in • $467 billion est. cost of mental worksite health clinics health disorders in 2012 • PCORI invested $510 M on 127 CER studies related to mental health Burton et al. JOEM. 2007; 13: 105-112 5

  6. Addressing Health Disparities • PCORI • Employer Research “Eliminating disparities in health & healthcare could save the US over $250 Billion annually in direct medical costs. Disparities lead to preventable suffering” Burton et al. J Occup Environ Med. 2013;55 (8) 873 6

  7. PCORI Research on Obesity Aligns with Employer Initiatives • PCORI • Employer Research • 1 in 6 (37%) Americans is obese • 18 CER studies funded • Programs for effective weight loss • Role of weight loss surgeries Burton et al. J Occup Environ Med. 1998; 40:786 7

  8. 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 8

  9. 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 9

  10. Thank You! Wayne Burton, MD Former Chief Medical Officer American Express wayneburtonmd@gmail.com September 20, 2019 10

  11. Questions? 11

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