The Cost of Depression-Related Presenteeism in Resident Physicians.
The Cost of Depression-Related Presenteeism in Resident Physicians.
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DOI：
10.1007/s40596-017-0867-1
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Sen S
中科院分区：
文献类型：
--
作者：
Rosen T;Zivin K;Eisenberg D;Guille C;Sen S
作者的目的是评估与实习生抑郁有关的出勤率水平，并确定相关的经济成本。出勤率的定义是员工在场但没有充分发挥作用。来自全国55所大学的实习生收到了参加一项前瞻性纵向研究的邀请。作者使用九项患者健康问卷(PHQ-9)评估了参与者在住院前和12个月时的抑郁症状。他们使用健康和工作表现问卷评估了住院12个月时与出勤相关的表现。这项研究招募了3127名实习生。平均生活质量评分从入院前的2.74分显著增加到入院12个月时的5.33分(p=0.26，p<；0.001)。PHQ得分在10或以上与住院期间的出勤显著相关(p=-1.00，p<；0.0001)。随着抑郁严重程度从轻度抑郁(74.8%)增加到轻度(68.9%)、中度(64.8%)、中度(59.8%)和重度(56.3%)，平均表现水平下降(即出勤率增加)。如果抑郁症的严重程度与基线保持不变，住院期间的平均出勤率将降低3.5%。据估计，住院医生的年生产率价值为29.6万美元，生产率价值每提高3.5%，所有住院医生每年将获得12亿美元的收益。出勤与居住导致的抑郁症相关的经济成本是巨大的。当住院医师计划、机构和认证机构权衡干预措施和系统改变以减少住院医师抑郁的成本和收益时，他们应该考虑抑郁症的隐性生产力成本。
The authors aimed to assess the level of presenteeism, defined as a worker being present but not functioning at full capacity, related to depression among interns and determine the associated economic cost. Interns from 55 universities nationwide received an invitation to participate in a prospective longitudinal study. The authors assessed participants’ depressive symptoms before residency and at 12 months using the nine-item Patient Health Questionnaire (PHQ-9). They assessed performance associated with presenteeism at 12 months of residency using the Health and Work Performance Questionnaire. The study enrolled 3127 interns. Mean PHQ score increased significantly from 2.74 before residency to 5.33 at 12 months of residency (p=0.26, p<0.001). A PHQ score of 10 or above correlated significantly with presenteeism during residency (p=-1.00, p<0.0001). Mean performance levels decreased (i.e., presenteeism increased) as depression severity levels increased from minimal depression (74.8%) to mild (68.9%), moderate (64.8%), moderately severe (59.8%) and severe depression (56.3%). If depression severity levels were unchanged from baseline, the mean presenteeism would have been 3.5% lower during residency. With the annual productivity of residents estimated to have a value of $296,000, a 3.5% increase in productivity value would result in a $1.2 billion gain across all resident physicians practicing each year. The economic cost of presenteeism associated with depression caused by residency is substantial. As residency programs, institutions, and accrediting agencies weigh the costs and benefits of interventions and system changes to reduce depression in residency, they should consider the hidden productivity cost of depression.
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影响因子：
25.8
作者：
Guille C;Zhao Z;Krystal J;Nichols B;Brady K;Sen S
通讯作者：
Sen S
DOI：
10.1097/01.jom.0000052967.43131.51
发表时间：
2003-02-01
影响因子：
3.2
作者：
Kessler, RC;Barber, C;Wang, P
通讯作者：
Wang, P
影响因子：
9.7
作者：
GREEN, BA;JOHNSON, T
通讯作者：
JOHNSON, T
影响因子：
--
作者：
Daskivich, Timothy J;Jardine, Dinchen A;Harwood, Jared L
通讯作者：
Harwood, Jared L
影响因子：
3.4
作者：
Rosvold, EO;Bjertness, E
通讯作者：
Bjertness, E