Sanderson Kristy, Cocker Fiona
Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania.
Aust Fam Physician. 2013 Apr;42(4):172-5.
Presenteeism - or working while ill - is commonly seen as just an economic indicator of disease burden. Emerging evidence suggests it may best be conceptualised as a behaviour that has implications for the person and their employer, and one that can be clinically managed.
This article presents an overview of the phenomenon of presenteeism in the workforce and its clinical implications. It focuses on evidence relevant to the management of day-to-day, short term decisions on whether an individual should go into work while sick or take a day or more of work absence. This discussion is separate to the management of compensation and return to work issues.
Certain patients will be at risk of presenteeism, even when absence may be clinically advisable, due to personal or job characteristics. Presenteeism behaviour has potential positive and negative consequences for the patient's own health, their job performance and tenure and their workplace, and these should be weighed up when helping patients to manage their work responsibilities.
带病出勤——即生病时仍坚持工作——通常仅被视为疾病负担的一个经济指标。新出现的证据表明，最好将其概念化为一种对个人及其雇主都有影响的行为，并且是一种可以进行临床管理的行为。
本文概述了劳动力中的带病出勤现象及其临床意义。它重点关注与日常短期决策管理相关的证据，这些决策涉及个人生病时是否应该去上班，还是休一天或多天的病假。此讨论与薪酬管理和重返工作岗位问题无关。
由于个人或工作特点，某些患者即使从临床角度看缺勤是可取的，仍有带病出勤的风险。带病出勤行为对患者自身健康、工作表现和任期以及工作场所都有潜在的积极和消极影响，在帮助患者管理工作职责时应权衡这些影响。
