Mental Health Expenditures: Association With Workplace Incivility and Bullying Among Hospital Patient Care Workers.
Mental Health Expenditures: Association With Workplace Incivility and Bullying Among Hospital Patient Care Workers.
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DOI：
10.1097/jom.0000000000001322
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发表时间：
2018-08
影响因子：
3.2
通讯作者：
Sorensen G
中科院分区：
文献类型：
--
作者：
Sabbath EL;Williams JAR;Boden LI;Tempesti T;Wagner GR;Hopcia K;Hashimoto D;Sorensen G
受欺凌的工人自我报告的心理健康状况较差;欺凌暴露的金钱成本尚不清楚。我们测试了欺凌和心理健康诊断的健康计划索赔之间的关联。我们使用了793名医院工作人员的数据，他们在一项调查中回答了有关欺凌的问题，并订阅了团体健康计划。我们使用两部分模型来测试不文明/欺凌类型与心理健康支出之间的关联。经历不礼貌或欺凌的工人有更大的可能性提出任何精神健康索赔。在索赔人中，未暴露的工人花费了792美元，那些经历一种类型的不文明或欺凌花费了1，557美元（与未暴露的差异p =0.016），那些经历两种类型的花费了928美元（p=0.503），那些经历三种类型的花费了1，446美元（p=0.040）。工作场所的无礼和欺凌行为可能会给雇主带来金钱损失，这可以通过改变工作环境来控制。
Bullied workers have poor self-reported mental health; monetary costs of bullying exposure are unknown. We tested associations between bullying and health plan claims for mental health diagnoses. We used data from 793 hospital workers who answered questions about bullying in a survey and subscribed to the group health plan. We used two-part models to test associations between types of incivility/bullying and mental health expenditures. Workers experiencing incivility or bullying had greater odds of any mental health claims. Among claimants, unexposed workers spent $792, those experiencing one type of incivility or bullying spent $1,557 (p for difference from unexposed=0.016), those experiencing two types spent $928 (p=0.503), and those experiencing three types spent $1,446 (p=0.040). Workplace incivility and bullying may carry monetary costs to employers, which could be controlled through work environment modification.