Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota.
Infect Control Hosp Epidemiol. 2021 Apr;42(4):388-391. doi: 10.1017/ice.2020.453. Epub 2020 Oct 26.
Presenteeism is an expensive and challenging problem in the healthcare industry. In anticipation of the staffing challenges expected with the COVID-19 pandemic, we examined a decade of payroll data for a healthcare workforce. We aimed to determine the effect of seasonal influenza-like illness (ILI) on absences to support COVID-19 staffing plans.
Retrospective cohort study.
Large academic medical center in the United States.
Employees of the academic medical center who were on payroll between the years of 2009 and 2019.
Biweekly institutional payroll data was evaluated for unscheduled absences as a marker for acute illness-related work absences. Linear regression models, stratified by payroll status (salaried vs hourly employees) were developed for unscheduled absences as a function of local ILI.
Both hours worked and unscheduled absences were significantly related to the community prevalence of influenza-like illness in our cohort. These effects were stronger in hourly employees.
Organizations should target their messaging at encouraging salaried staff to stay home when ill.
出勤主义是医疗保健行业中一个代价高昂且具有挑战性的问题。为应对预计将因 COVID-19 大流行而出现的人员配备挑战，我们对医疗保健劳动力的十年薪资数据进行了研究。我们旨在确定季节性流感样疾病（ILI）对缺勤的影响，以支持 COVID-19 的人员配备计划。
回顾性队列研究。
美国的一家大型学术医疗中心。
2009 年至 2019 年期间在学术医疗中心领薪的员工。
对机构薪资的每两周的非计划性缺勤数据进行评估，作为急性疾病相关工作缺勤的指标。按薪资状况（薪工制与小时工制）分层，建立非计划性缺勤与本地 ILI 之间的线性回归模型。
在我们的队列中，工作时间和非计划性缺勤都与社区流感样疾病的流行程度显著相关。小时工制员工的这种影响更为明显。
各组织应向薪工制员工传达生病时应留在家中的信息。
