CIGNA Working Well (2000)

Critique

Reviewers found this an excellent overall program, with strong data for effectiveness and cost-effectiveness of the breast-feeding and flu shot programs particularly. There is good participant and company buy-in. The program is directed at specific cost-reduction areas. The local site coordination is a strength. Papers have been accepted at several conferences. The flu shot program showed an RDI of 3:1. Study was well-designed, with an intervention and two control groups, with external study by UCLA.

Reviewers found evidence for the osteoporosis program not as strong, and participation rates in some programs to be low and to need attention. Self-selection bias may have been present. Many other areas, such as self-management, low birth weight babies, and a self-efficacy component could well be included. Additional formal external study would be useful.

Overall, a strong, focused program with excellent documentation of effectiveness in some areas.