Associations between chronic conditions and work performance (absenteeism, presenteeism, and critical incidents) were studied in reservation agents, customer service representatives, executives, and railroad engineers. Conditions and work performance were assessed with the World Health Organization's Health and Work Performance Questionnaire. Analysis of covariance was used to estimate associations. More work performance was lost from presenteeism than absenteeism. However, chronic conditions more consistently had negative impacts on absenteeism than presenteeism. Conditions with significant effects included arthritis, asthma, chronic obstructive pulmonary disease-emphysema, depression, and chronic headaches. Arthritis had the largest aggregate effect on absenteeism-presenteeism. Only depression affected both absenteeism-presenteeism and critical incidents. Some chronic conditions have substantial workplace effects. Disease management programs for these conditions might have a positive return on investment (ROI). Health and productivity tracking surveys are needed to evaluate ROI and provide quality assurance.
"Regional variation in the 12-month prevalence of the major depressive episodes was also noted, ranging from 2.2% in Japan to 10.45% in Brazil with similar averages of 5.5% in developed and 5.9% in developing countries . In the USA, 59% of MDD patients experi‐ ence severe degree of functional impairment, making depression the largest contributor to work loss  . Furthermore, MDD was strongly associated to self-perceived stress, childhood adversity, working status and quality of life   . "
"Illnesses, which could be cured expediently—for instance, simply by staying at home—may worsen and require more health expenses. Overall, according to several authors (Allen, Hubbard, & Sullivan, 2005; Aronsson et al., 2000; Burton, Conti, Chen, Schultz, & Edington, 2004; Collins et al., 2005; Goetzel, Hawkins, Ozminkowski & Wang, 2003a; Ozminkowski et al., 2003; Wang et al., 2003), the most chronic or episodic conditions frequently reported by nurses and other health-related professionals consisted of asthma (63%), allergies (58%) and back or neck pain (49%). Arthritis, depression , migraines and other kind of headaches, sleeping problems, gastroesophageal reflux disease or heartburn , and irritable bowel syndrome were also prevalent. "
"Therefore, reduced work ability and ill mental health may result in hospital physicians putting patient safety at risk. This idea is supported by several studies showing that mental health complaints, such as burnout and depression, increase the risk for medical mistakes and workplace failure [7,10,40]. "
[Show abstract][Hide abstract] ABSTRACT: We studied the prevalence of common mental disorders among Dutch hospital physicians and investigated whether the presence of a mental disorder was associated with insufficient self-reported work ability.
A questionnaire was sent to all (n = 958) hospital physicians of one academic medical center, using validated scales to assess burnout, work-related fatigue, stress, posttraumatic stress disorder (PTSD), anxiety and depression. Furthermore, respondents were asked to rate their current work ability against the work ability in their own best period (adapted version of the first WAI item). The prevalence of each common mental disorder was calculated. In addition, odds ratios of reporting insufficient work ability for subjects with high complaint scores compared to physicians with low complaint scores were calculated for each mental disorder.
The response rate was 51%, and 423 questionnaires were eligible for analysis. The mental disorder prevalence rates were as follows: work-related fatigue 42%, depression 29%, anxiety 24%, posttraumatic stress complaints 15%, stress complaints 15% and burnout 6%. The mean score for self-reported work ability was 8.1 (range 0-10), and 4% of respondents rated their own work ability as insufficient. Physicians with high mental health complaints were 3.5- for fatigue, 5.6- for PTSD, 7.1- for anxiety, 9.5- for burnout, 10.8- for depression and 13.6-fold for stress more likely to report their work ability as insufficient.
The prevalence of common mental disorders among hospital physicians varied from 6% for burnout to 42% for work-related fatigue. Those physicians with high complaints had significantly 4- to 14 times increased odds of reporting their own work ability as insufficient. This work suggests that to ensure future workers health and patients safety occupational health services should plan appropriate intervention strategies.
BMC Health Services Research 08/2012; 12(1):292. DOI:10.1186/1472-6963-12-292 · 1.71 Impact Factor
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