Toseva Elka Ilieva, Stoyanova Rumyana, Turnovska Tanya
Medical University of Plovdiv, Plovdiv, Bulgaria (Department of Hygiene and Ecomedicine, Faculty of Public Health).
Medical University of Plovdiv, Plovdiv, Bulgaria (Department of Health Management and Health Economics, Faculty of Public Health).
Med Pr. 2018 Mar 9;69(2):129-141. doi: 10.13075/mp.5893.00577. Epub 2018 Jan 12.
The compensatory mechanisms of social security include expenses for sick leave. The aim of the study is to determine the economic cost due to sick leave among workers in wastewater treatment plants (WWTPs), comparing with the same economic indicators of the National Social Security Institute (NSSI) in Bulgaria.
The sick leave of 111 workers at 3 WWTPs was studied in the period 2012-2014 on the grounds of registered absences from work due to temporary incapacity for work. The economic indicators of the NSSI, the gross salary at WWTPs, payable social security contributions and compensatory payments for sick leave have been used for economic cost calculation for temporary incapacity of the workers.
The frequency of cases and the frequency of lost days due to temporary incapacity were increased in the observed period at WWTPs and in Bulgaria, and it is significantly higher for the employed at WWTPs. The percentage share of workers equivalent to 1.66% at WWTPs have not worked for an entire year as a result of temporary incapacity in 2012, 2.76% - in 2013, and 4.61% - in 2014. The economic burden due to sick leave at WWTPs was raised from EUR 4913.02 in 2012 to EUR 16 895.80 for 2014 for employers and the NSSI.
The frequency of cases and the frequency of lost days due to temporary incapacity were increased in the observed period at WWTPs and in Bulgaria, and it is significantly higher for the employed at WWTPs. The economic burden was equally distributed between employers and the NSSI. Med Pr 2018;69(2):129-141.
社会保障的补偿机制包括病假费用。本研究的目的是确定污水处理厂（WWTPs）工人病假造成的经济成本，并与保加利亚国家社会保障研究所（NSSI）的相同经济指标进行比较。
基于因临时丧失工作能力而登记的缺勤情况，对2012 - 2014年期间3个污水处理厂的111名工人的病假情况进行了研究。NSSI的经济指标、污水处理厂的总工资、应付社会保障缴款以及病假补偿付款已用于计算工人临时丧失工作能力的经济成本。
在观察期内，污水处理厂和保加利亚因临时丧失工作能力导致的病例频率和损失天数频率均有所增加，且污水处理厂员工的这一情况明显更高。2012年，污水处理厂相当于1.66%的工人因临时丧失工作能力一整年未工作；2013年为2.76%；2014年为4.61%。污水处理厂病假给雇主和NSSI带来的经济负担从2012年的4913.02欧元增加到2014年的16895.80欧元。
在观察期内，污水处理厂和保加利亚因临时丧失工作能力导致的病例频率和损失天数频率均有所增加，且污水处理厂员工的这一情况明显更高。经济负担在雇主和NSSI之间平均分配。《医学实践》2018年；69(2):129 - 141。
