Health and Productivity Management (HPM) in Small and Medium Enterprises (SMEs) is one of the important topics at occupational health. In this study, we evaluated the utility of HPM in SMEs, from the two viewpoints of company presidents’ recognition and employees’ health indicators and health-related productivity. Among the SMEs that had no experience in practicing HPM, three presidents and 149 employees from three companies were recruited. Interviews with the presidents and self-reported questionnaires to employees were conducted. There were no statistically significant differences between before and after HPM in all quantitative indicators. In two companies with fewer than 50 employees, presenteeism showed a downward trend (
p = 0.13). Health indicators were also slightly improved. The interview survey showed that three presidents’ recognition to HPM changed from negative towards positive. At first, they thought employees had to manage their health condition by themselves without the support of the company; however, subsequently they turned to think that company’s intervention to employees’ health promotion was not costs, but the investment that could provide returns. Together, our findings indicated that in the smaller company it may take a shorter time to reveal quantitative indicators change than in more than 50 employees company.
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