Low Adaptation to Management Philosophy and Refraining From Seeking Medical Care in Japanese Employees: A 1-Year Prospective Study.

Abstract

We examined the prospective association of low adaptation to management philosophy with refraining from seeking medical care (RSMC) among Japanese employees in a company with a management philosophy of "pursuing employees' well-being." We surveyed 2791 employees (2059 men and 732 women) from 2 factories of a Japanese manufacturing company following the management philosophy of "pursuing employees' well-being." Using a self-administered questionnaire, we measured adaptation to management philosophy at baseline and RSMC at a 1-year follow-up. We conducted robust Poisson regression analysis. Low adaptation to management philosophy was significantly associated with RSMC (incidence rate ratio, 1.17; 95% confidence interval, 1.03-1.35). Adaptation to management philosophy may be an important factor associated with the decision of employees working at a company following the "pursuing employees' well-being" management philosophy to seek medical care for their perceived health issues.