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确定土耳其医院工作人员因病出勤的程度和成本。

Determining the level and cost of sickness presenteeism among hospital staff in Turkey.

作者信息

Aysun Kandemir, Bayram Şahin

机构信息

a Department of Health Care Management , Kırıkkale University , Turkey.

b Department of Health Administration , Hacettepe University , Turkey.

出版信息

Int J Occup Saf Ergon. 2017 Dec;23(4):501-509. doi: 10.1080/10803548.2016.1274159. Epub 2017 Jan 19.

Abstract

OBJECTIVE

This study aimed to determine the associations between sickness presenteeism and socio-demographic factors, perceived health status and health complaints among hospital staff and to calculate the cost burdens and productivity losses attributed to presenteeism.

METHODS

A cross-sectional study was conducted using 951 hospital staff, including physicians, nurses, midwives, other health personnel and administrative staff working in two hospitals located in Kırıkkale province in Turkey. The health and work performance questionnaire developed by Kessler et al. was revised to measure sickness presenteeism.

RESULTS

After performing Student's t test and a one-way analysis of variance, presenteeism was mostly observed in women, nurse-midwives, young employees, university health staff and health workers with low health status. Average productivity loss and cost of lost productivity per staff member were calculated as 19.92 h/TRY 315.57 for 2 weeks and 478.08 h/TRY 7573.68 for 1 year.

CONCLUSIONS

The problem of sickness presenteeism is mostly observed in women and nurses. It causes both financial burdens and productivity losses for hospitals. These survey results are thus expected to provide critically important information on presenteeism for decision-makers and healthcare managers.

摘要

目的

本研究旨在确定医院工作人员中疾病出勤主义与社会人口学因素、感知健康状况和健康投诉之间的关联,并计算疾病出勤主义造成的成本负担和生产力损失。

方法

采用横断面研究方法,对土耳其基尔卡莱省两家医院的951名医院工作人员进行了调查,这些人员包括医生、护士、助产士、其他卫生人员和行政人员。对凯斯勒等人编制的健康与工作绩效问卷进行了修订,以衡量疾病出勤主义。

结果

在进行学生t检验和单因素方差分析后发现,疾病出勤主义在女性、助产护士、年轻员工、大学卫生工作人员以及健康状况较差的卫生工作者中最为常见。计算得出,每名工作人员在两周内的平均生产力损失和生产力损失成本分别为19.92小时/315.57土耳其里拉,一年中的平均生产力损失和生产力损失成本分别为478.08小时/7573.68土耳其里拉。

结论

疾病出勤主义问题在女性和护士中最为常见。它给医院带来了经济负担和生产力损失。因此,预计这些调查结果将为决策者和医疗管理者提供有关出勤主义的至关重要的信息。

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