ความชุกและปัจจัยที่เกี่ยวข้องกับการทำงานขณะป่วยในแพทย์ประจำบ้านและแพทย์ใช้ทุนในโรงพยาบาลมหาวิทยาลัยแห่งหนึ่ง: ความชุกและปัจจัยที่เกี่ยวข้องกับการทำงานขณะป่วยในแพทย์ประจำบ้าน

Surawattanasakul V; Rattananupong T; Sithisarankul P

Authors

Surawattanasakul V Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Thailand
Rattananupong T Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Thailand
Sithisarankul P Department of preventive and social medicine, faculty of medicine, chulalongkorn university, Thailand

Keywords:

prevalence, presenteeism, medical residents

Abstract

Objectives This study aims to examine the prevalence and related factors of presenteeism among residents and interns in a University Hospital.

Methods A cross-sectional survey was done by a self-administered electronic questionnaire. The data of prevalence were presented as percentage. Multiple logistic regression was used to determine crude and adjusted odds ratios between human factors, occupational factors, and physical and mental health factors with presenteeism.

Results 47.7% of medical residents and interns (250 people) participated in this study, and revealed that the prevalence of presenteeism among residents and interns was 58.6% (95% CI = 52.2, 64.7). Associated factors of presenteeism included the year of residency training. The second-year residents were 3.48 times more likely to be presenteeism (95% CI = 1.72, 7.05) compared to the first-year residents. Work-life balance was also contributed to presenteesim. Those with satisfactory work-life balance were 0.30 more likely to be presenteeism (95% CI = 0.17, 0.54) compared to those with no work-life balance.

Conclusions This study revealed that the prevalence of presenteeism among residents and interns was high. Promoting work-life balance may reduce presenteeism. The second-year residents should be focused for presenteeism reduction or further research.

References

Johns G. Presenteeism in the workplace: A review and research agenda. J Organ Behav. 2010;31:519-42.

Navarro A, Salas-Nicas S, Moncada S, Llorens C, Molinero-Ruiz E. Prevalence, associated factors and reasons for sickness presenteeism: a cross-sectional nationally representative study of salaried workers in Spain, 2016. BMJ Open. 2018;8:e021212.

Widera E, Chang A, Chen HL. Presenteeism: a public health hazard. J Gen Intern Med. 2010; 25:1244-7.

Mekonnen TH, Tefera MA, Melsew YA. Sick at work: prevalence and determinants among healthcare workers, western Ethiopia: an insti-tution based cross-sectional study. Ann Occup Environ Med. 2018;30:2.

De Beer LT. The effect of presenteeism-related health conditions on employee work engagement levels: A comparison between groups. SA Journal of Human Resource Management/SA Tydskrif vir Menslikehulpbronbestuur, 2014;12, Art. #640, 8 pages [Internet]. (cited 2020 February 9]. Available from: http://dx.doi.org/10.4102/sajhrm.v12i1.640

Sanderson K, Cocker F. Presenteeism--implications and health risks. Aust Fam Physician. 2013;42:172-5.

d’Errico A, Ardito C, Leombruni R. Work organization, exposure to workplace hazards and sickness presenteeism in the European employed population. Am J Ind Med. 2016;59: 57-72.

Demerouti E, Le Blanc PM, Bakker AB, Schaufeli WB, Hox J. Present but sick: a three-wave study on job demands, presenteeism and burnout. Career Development International. 2009;14:50-68.

Pit SW, Hansen V. The relationship between lifestyle, occupational health, and work-related factors with presenteeism amongst general practitioners. Arch Environ Occup Health. 2016;71:49-56.

Tan PC, Robinson G, Jayathissa S, Weatherall M. Coming to work sick: a survey of hospital doctors in New Zealand. N Z Med J. 2014; 127:23-35.

Misra-Hebert AD, Kay R, Stoller JK. A review of physician turnover: rates, causes, and consequences. Am J Med Qual. 2004;19:56-66.

Nilchaikovit T, Sukying C, Silpakit C. Reliability and validity of the Thai version of the General Health Questionaire. J Psychiatr Assoc Thailand. 1996;41:2-17. (In Thai)

Hosmer D W, Jovanovic B, Lemeshow S. Best subsets logistic regression. Biometrics. 1989; 45:1265-70.

Rantanen I, Tuominen R. Relative magnitude of presenteeism and absenteeism and work-related factors affecting them among health care professionals. Int Arch Occup Environ Health. 2011;84:225-30.

Janssens H, Clays E, Kittel F, De Bacquer D, Casini A, Braeckman L. The association between body mass index class, sickness absence, and presenteeism. J Occup Environ Med. 2012;54: 604-9.

WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157-63.

World Health Organization. Regional Office for the Western Pacific. The Asia-Pacific perspective: redefining obesity and its treatment [Internet]. Sydney: Health Communications Australia; 2000. [cited 2019 December 15] Available from https://apps.who.int/iris/bitstream/handle/10665/206936/0957708211_eng.pdf?sequence=1&isAllowed=y.

Jena AB, Baldwin DC, Jr., Daugherty SR, Meltzer DO, Arora VM. Presenteeism among resident physicians. JAMA. 2010;304:1166-8.

Dellve L, Hadzibajramovic E, Ahlborg G, Jr. Work attendance among healthcare workers: prevalence, incentives, and long-term consequences for health and performance. J Adv Nurs. 2011;67:1918-29.