The association of medical conditions and presenteeism
The association of medical conditions and presenteeism
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DOI：
10.1097/01.jom.0000126687.49652.44
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发表时间：
2004-06-01
影响因子：
3.2
通讯作者：
Edington, DW
中科院分区：
文献类型：
--
作者：
Burton, WN;Pransky, G;Edington, DW
对一家大型金融服务公司的16,651名员工进行了基于工作限制问卷的四个工作障碍领域的自我报告测量。使用多变量模型来控制共存条件、年龄和性别，观察到医疗条件与工作绩效受损模式之间的显著关系。抑郁症与时间管理方面的工作限制（比值比[OR] = 2.05）、人际/心理功能（OR = 2.50）和总体产出（OR = 2.24）高度相关。关节炎（OR = 1.56）和腰痛（OR = 1.32）与身体功能限制有关。这两种情况与精神/人际功能限制有关，但腰痛的优势比更高（OR = 1.54 vs. 1.22）。这些结果表明，工作场所干预措施（如疾病管理计划）应根据具体医疗条件观察到的独特效果进行调整。更有针对性的项目可能对工作场所的生产力有重要的好处。
A self-reported measure of four domains of work impairment based on the Work Limitations Questionnaire was completed by 16,651 employees of a large financial services corporation. Using a multivariate model to control for coexisting conditions, age, and gender, significant relationships were observed between medical conditions and patterns of impaired work performance. Depression was highly associated with work limitations in time management (odds ratio [OR] = 2.05), interpersonal/mental functioning (OR = 2.50), and overall output (OR = 2.24). Arthritis (OR = 1.56) and low back pain (OR = 1.32) were associated with physical function limitations. These same two conditions were associated with limitations in mental/interpersonal functioning but with low back pain having the higher odds ratio (OR = 1.54 vs. 1.22). These results suggest that worksite interventions (eg, disease management programs) should be tailored to the unique effects observed with specific medical conditions. More targeted programs could have important benefits for productivity in the workplace.