Dew Kevin, Keefe Vera, Small Keitha
Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago, P.O. Box 7343, Wellington South, New Zealand.
Soc Sci Med. 2005 May;60(10):2273-82. doi: 10.1016/j.socscimed.2004.10.022. Epub 2004 Dec 7.
Presenteeism is a concept used to describe the phenomenon of working through illness and injury. This paper is based on interviews and focus groups undertaken at three different work sites in New Zealand: a small private hospital, a large public hospital and a small factory. The research suggests that presenteeism is a prominent phenomenon in the lives of workers at these different sites, but the way in which it is rationalised and the factors that foster presenteeism are quite distinct. Exploring the way in which presenteeism links to economic and social constraints and workplace cultures provides insights into these rationalisations. The powerful forces promoting presenteeism tempers the research community's concern with absenteeism. A presenteeism discourse needs to be more prominently articulated to oppose both the absenteeism discourse, and to moderate the views taken by some postmodernist theorists on choice in relation to health practices in workplace settings.
出勤主义是一个用于描述带病或带伤工作现象的概念。本文基于在新西兰三个不同工作场所进行的访谈和焦点小组讨论：一家小型私立医院、一家大型公立医院和一家小型工厂。研究表明，出勤主义在这些不同场所的工人生活中是一个突出现象，但对其进行合理化的方式以及助长出勤主义的因素却截然不同。探究出勤主义与经济和社会限制以及工作场所文化的联系方式，能为这些合理化解释提供见解。推动出勤主义的强大力量缓和了研究界对旷工现象的关注。需要更突出地阐明出勤主义话语，以反对旷工主义话语，并调和一些后现代主义理论家对工作场所健康行为选择的观点。
