Thomson Reuters, Ann Arbor, MI, USA.
J Occup Environ Med. 2012 Jul;54(7):792-805. doi: 10.1097/JOM.0b013e31825463e9.
To estimate the impact of medication adherence on absenteeism and short-term disability among employees with chronic disease.
Cross-sectional analysis of administrative health care claims, absenteeism, and short-term disability data using multivariate regression and instrumental variable models for five cohorts of employees: diabetes, hypertension, congestive heart failure, dyslipidemia, and asthma/chronic obstructive pulmonary disease. Adherence was defined as possessing medication on at least 80% of days during follow-up.
Adherent employees with diabetes, hypertension, dyslipidemia, and asthma/chronic obstructive pulmonary disease realized between 1.7 and 7.1 fewer days absent from work and between 1.1 and 5.0 fewer days on short-term disability. Absenteeism and short-term disability days by adherent employees with congestive heart failure were not significantly different from nonadherent employees with the condition in most specifications.
Appropriate management of chronic conditions can help employers minimize losses due to missed work.
评估药物依从性对慢性病员工缺勤和短期残疾的影响。
使用多元回归和工具变量模型对五组员工（糖尿病、高血压、充血性心力衰竭、血脂异常和哮喘/慢性阻塞性肺疾病）的行政医疗保健索赔、缺勤和短期残疾数据进行横断面分析。依从性定义为在随访期间至少有 80%的天数服用药物。
糖尿病、高血压、血脂异常和哮喘/慢性阻塞性肺疾病的依从性员工缺勤天数减少 1.7 至 7.1 天，短期残疾天数减少 1.1 至 5.0 天。在大多数情况下，充血性心力衰竭的依从性员工的缺勤和短期残疾天数与该疾病的非依从性员工没有显著差异。
适当管理慢性病有助于雇主最大限度地减少因旷工造成的损失。
