Article

Medication Adherence, Comorbidities, and Health Risk Impacts on Workforce Absence and Job Performance

US Preventive Medicine Inc., Jacksonville, FL, USA.
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine (Impact Factor: 1.63). 06/2011; 53(6):595-604. DOI: 10.1097/JOM.0b013e318223470b
Source: PubMed

ABSTRACT

To understand impacts of medication adherence, comorbidities, and health risks on workforce absence and job performance.
Retrospective observational study using employees' medical/pharmacy claims and self-reported health risk appraisals.
Statin medication adherence in individuals with Coronary Artery Disease was significant predictor (P < 0.05) of decreasing absenteeism. Insulin, oral hypoglycemic, or metformin medication adherence in type 2 diabetics was significant (P < 0.05) predictor of decreasing job performance. Number of comorbidities was found as significant (P < 0.5) predictor of absenteeism in five of nine subsamples. Significant links (P < 0.05) between high health risks and lower job performance were found across all nine subsamples.
Results suggest integrated health and productivity management strategies should include an emphasis on primary and secondary prevention to reduce health risks in addition to tertiary prevention efforts of disease management and medication management.

Download full-text

Full-text

Available from: Ronald Loeppke, Oct 27, 2014
  • Source
    • "Recent studies have quantifi ed the resource implications associated with severe hypoglycaemia episodes (SHE) and non-severe hypoglycaemia episodes (NSHE) [1] [2] [3] [4] [5]. "

    Full-text · Conference Paper · Nov 2013
  • [Show abstract] [Hide abstract]
    ABSTRACT: To estimate the impact of medication adherence on absenteeism and short-term disability among employees with chronic disease. Cross-sectional analysis of administrative health care claims, absenteeism, and short-term disability data using multivariate regression and instrumental variable models for five cohorts of employees: diabetes, hypertension, congestive heart failure, dyslipidemia, and asthma/chronic obstructive pulmonary disease. Adherence was defined as possessing medication on at least 80% of days during follow-up. Adherent employees with diabetes, hypertension, dyslipidemia, and asthma/chronic obstructive pulmonary disease realized between 1.7 and 7.1 fewer days absent from work and between 1.1 and 5.0 fewer days on short-term disability. Absenteeism and short-term disability days by adherent employees with congestive heart failure were not significantly different from nonadherent employees with the condition in most specifications. Appropriate management of chronic conditions can help employers minimize losses due to missed work.
    No preview · Article · Jul 2012 · Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A growing body of literature examines the cross price elasticities between different health care services. For example, increasing the patient out of pocket price for some health care services increases the utilization of other health care services. Yet, the literature has generally ignored the connection between cost sharing for health care services and labor market outcomes. This paper examines the direction and magnitude of the reduced form relationship between patient cost-sharing and work loss following methods used to study the impact of cost-sharing and medical spending, finding a positive, quantitatively meaningful association between cost-sharing and hours absent. We find no such association between cost-sharing and the probability of incurring short-term disability days. This suggests that the cross-market ramifications of higher patient cost sharing extend beyond other health care services to include broad labor market outcomes.Institutional subscribers to the NBER working paper series, and residents of developing countries may download this paper without additional charge at www.nber.org.
    Full-text · Article · Sep 2012
Show more