StayWell Health Management , Eagan, Minnesota, USA.
Popul Health Manag. 2010 Dec;13(6):297-307. doi: 10.1089/pop.2009.0073.
The objective of this study was to assess the validity of 3 scoring techniques for presenteeism measures by exploring their relationship with patient activation, health, job satisfaction, and socioeconomic characteristics. The sample consisted of 631 employees from 2 predominantly white-collar employee groups in the northern Midwest. Employees completed the World Health Organization's Health and Work Performance Questionnaire, a wellness profile, and the Patient Activation Measure. Absolute measures reflect self-rated performance, while relative and stratified measures compare self-rated performance to that of co-workers. Multivariate analyses were used to validate scoring measures. All measures of presenteeism were positively correlated with being nonwhite, income, and smoking. The significance of age, employment, mental health, and patient activation depends on how presenteeism is defined. Practitioners must carefully consider which scoring method best addresses their program goals and objectives. Clearer measurement guidelines are needed.
本研究旨在通过探讨与患者积极性、健康状况、工作满意度和社会经济特征的关系来评估三种现患率评估计分技术的有效性。该样本由来自中西部北部的两个主要白领员工群体的 631 名员工组成。员工填写了世界卫生组织的健康与工作绩效问卷、健康概况和患者积极性量表。绝对指标反映自我评估绩效，而相对和分层指标则将自我评估绩效与同事进行比较。采用多变量分析验证计分方法。现患率的所有衡量标准都与非白人、收入和吸烟呈正相关。年龄、就业、心理健康和患者积极性的意义取决于如何定义现患率。从业者必须仔细考虑哪种计分方法最能满足他们的计划目标。需要更明确的测量准则。
