ASSOCIATIONS AMONG WORK PRODUCTIVITY, EMERGENCY-CARE UTILIZATION AND INDIVIDUAL FACTORS IN EMPLOYEES WITH CHRONIC DISEASES

Abstract

Aim: The aim of this study was to evaluate associations among work productivity, emergency-care utilization and individual factors regarding employees with chronic diseases by using mediation analysis. Methods: This cross-sectional study involved 143 employees with chronic diseases. Data were collected with a questionnaire including questions and statements about healthcare utilization (emergency-care and hospitalization history), daily medication use, Work Productivity and Activity Impairment (WPAI) scale, State-Trait Anxiety Inventory (STAI) and Fear of inability to carry out duties. After preliminary analyses, potential mediators and independent variables were selected for WPAI subgroups. Then, mediation analyses were performed to clarify the relation between causal and outcome variables by applying a mediator variable describing the underlying mechanism. Results: In Mediation analyses, Presenteeism score as an outcome variable was associated with the emergency-care service in the direct path (P=0.0000). Increases in T-STAI score was found to be a mediator for the Presenteeism score in the indirect path (P=0.0001). Conclusion: Emergency-care utilization and increases in Trait-STAI scores were predictive factors for Presenteeism in employees with chronic diseases within the limits of the study.

Keywords

• Employee
• Chronic diseases
• Work productivity
• Presenteeism
• Emergency-care utilization.

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