ASSOCIATIONS AMONG WORK PRODUCTIVITY, EMERGENCY-CARE UTILIZATION AND INDIVIDUAL FACTORS IN EMPLOYEES WITH CHRONIC DISEASES
Yıl 2022,
Cilt: 7 Sayı: 3, 288 - 304, 20.11.2022
Ebru Pala Çelik
Tuğba Emine Beyhan
Pınar Kılıç Aksu
Okan Cem Kitapçı
Nur Şişman Kitapçı
Leyla Köksal
Ümit Karaçaylı
Nevsun İnanç
Haner Direskenli
Meral Yay
Gonca Mumcu
Öz
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.
Kaynakça
- Adepoju, O. E., Bolin, J. N., Ohsfeldt, R. L., Phillips, C. D., Zhao, H., Ory, M. G., and Forjuoh, S. N. (2014). Can chronic disease management programs for patients with type 2 diabetes reduce productivity-related indirect costs of the disease? Evidence from a randomized controlled trial. Popul Health Manag, 17(2), 112-120. doi:10.1089/pop.2013.0029
- Baptista, M. C., Burton, W. N., Nahas, A. K., Wang, Y. P., Viana, M. C., and Andrade, L. H. (2019). Absenteeism and Presenteeism Associated With Common Health Conditions in Brazilian Workers. J Occup
Environ Med, 61(4), 303-313. doi:10.1097/JOM.0000000000001538
- Basaran, B., Soylu, G. N., and Yilmaz Civan, M. (2020). Concentration of phthalate esters in indoor and outdoor dust in Kocaeli, Turkey: implications for human exposure and risk. Environ Sci Pollut Res Int, 27(2), 1808-1824. doi:10.1007/s11356-019-06815-2
- Bose, J. (2013). Promoting successful diabetes management in the workplace. International Journal of Workplace Health Management, 6(3), 205-226. doi:10.1108/IJWHM-11-2010- 0037
301
- Bronckers, I., van Geel, M. J., van de Kerkhof, P. C. M., de Jong, E., and Seyger, M. M. B. (2019). A cross-sectional study in young adults with psoriasis: potential determining factors in quality of life, life course and work productivity. J Dermatolog Treat, 30(3), 208-215. doi:10.1080/09546634.2018.1506077
- CDC. (2020). Center for Disease Control and Prevention. Chronic diseases. https://www.cdc.gov/chronicdisease/about/index.htm (Accessed 15 August 2020).
- CHRODIS PLUS. (2020). CHRODIS PLUS Joint Action, European Union, in the framework of the Health Programme. http://chrodis.eu/ (Accessed 22 April 2020).
- Detaille, S. I., Heerkens, Y. F., Engels, J. A., van der Gulden, J. W., and van Dijk, F. J. (2009). Common prognostic factors of work disability among employees with a chronic somatic disease: a systematic review of cohort studies. Scand J Work Environ Health, 35(4), 261- 281. doi:10.5271/sjweh.1337
- Edington, D. W., and Schultz, A. B. (2008). The total value of health: a review of literature. International Journal of Workplace Health Management, 1(1), 8-19. doi:10.1108/17538350810865569
Fouad, A. M., Waheed, A., Gamal, A., Amer, S. A., Abdellah, R. F., and Shebl, F. M. (2017). Effect of Chronic Diseases on Work Productivity: A Propensity Score Analysis. J Occup Environ Med, 59(5), 480-485. doi:10.1097/JOM.0000000000000981
- Hassard, J., Teoh, K. R. H., Visockaite, G., Dewe, P., and Cox, T. (2018). The cost of work-related stress to society: A systematic review. J Occup Health Psychol, 23(1), 1-17. doi:10.1037/ocp0000069
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach: Guilford publications.
- Hemp, P. (2004). Presenteeism: at work--but out of it. Harv Bus Rev, 82(10), 49-58, 155. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/15559575
- Hui, S. K., and Grandner, M. A. (2015). Trouble Sleeping Associated With Lower Work Performance and Greater Health Care Costs: Longitudinal Data From Kansas State Employee Wellness Program. J Occup Environ Med, 57(10), 1031-1038. doi:10.1097/JOM.0000000000000534
- Johns, G. (2010). Presenteeism in the workplace: A review and research agenda. Journal of Organizational Behavior, 31 519–542. doi:10.1002/job.630
Karacayli, U., Adesanya, A., Aksoy, A., Belem, J., Cardin, N. B., Sarı, F. B., . . . Mumcu, G. (2022). The assessment of presenteeism and activity impairment in Behçet's syndrome and recurrent aphthous stomatitis: a multicentre study. Rheumatology (Oxford), 61(4), 1538- 1547. doi:10.1093/rheumatology/keab581
- Kim, D., Kaneko, Y., and Takeuchi, T. (2017). Importance of Obtaining Remission for Work Productivity and Activity of Patients with Rheumatoid Arthritis. J Rheumatol, 44(8), 1112- 1117. doi:10.3899/jrheum.161404
- Kirsten, W. (2008). Health and productivity management in Europe. International Journal of Workplace Health Management, 1(2), 136-144. doi:10.1108/17538350810893928
- Lerner, D., Adler, D. A., Chang, H., Berndt, E. R., Irish, J. T., Lapitsky, L., . . . Rogers, W. H. (2004). The clinical and occupational correlates of work productivity loss among employed patients with depression. J Occup Environ Med, 46(6 Suppl), S46-55. doi:10.1097/01.jom.0000126684.82825.0a
- Lohaus, D., and Habermann, W. (2019). Presenteeism: A review and research directions. Human Resource Management Review, 29(1), 43-58. doi:https://doi.org/10.1016/j.hrmr.2018.02.010
- Mumcu, G., Lehimci, F., Fidan, O., Guk, H., Alpar, U., Unal, A. U., . . . Direskeneli, R. H. (2017). The assessment of work productivity and activity impairment in Behcet's disease. Turk J Med Sci, 47(2), 535-541. doi:10.3906/sag-1603-161
- Mumcu, G., Yay, M., Aksoy, A., Tas, M. N., Armagan, B., Sari, A., . . . Direskeneli, H. (2020). Predictive factors for work-day loss in Behcet's syndrome: A multi-center study. Int J Rheum Dis, 23(2), 240-246. doi:10.1111/1756-185X.13771
- Nakata, K., Tsuji, T., Vietri, J., and Jaffe, D. H. (2018). Work impairment, osteoarthritis, and health-related quality of life among employees in Japan. Health Qual Life Outcomes, 16(1), 64. doi:10.1186/s12955-018-0896-9
- Öner N, L. W. (1985). State-trait anxiety inventory handbook. Boğaziçi University Publications. Prasad, M., Wahlqvist, P., Shikiar, R., and Shih, Y. C. (2004). A review of self-report instruments measuring health-related work productivity: a patient-reported outcomes perspective.
- Pharmacoeconomics, 22(4), 225-244. doi:10.2165/00019053-200422040-00002
- Rai, K. K., Adab, P., Ayres, J. G., and Jordan, R. E. (2018). Systematic review: chronic obstructive pulmonary disease and work-related outcomes. Occup Med (Lond), 68(2), 99-108.
doi:10.1093/occmed/kqy012
- Redfern, N., and Macphee, G. J. A. (2018). Mentoring in occupational medicine: where might it
fit in? Occup Med (Lond), 68(7), 425-427. doi:10.1093/occmed/kqy100
- Reilly, M. (2022). Retrieved from http://www.reillyassociates.net/WPAI_GH.html (Access date:
16th October 2022)
- Reilly, M. C., Zbrozek, A. S., and Dukes, E. M. (1993). The validity and reproducibility of a work
productivity and activity impairment instrument. Pharmacoeconomics, 4(5), 353-365.
doi:10.2165/00019053-199304050-00006
- Rhodes, S. M., and Collins, S. K. (2015). The Organizational Impact of Presenteeism. Radiol
Manage, 37(5), 27-32; quiz 33-24. Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/26571971
- Silvaggi, F., Leonardi, M., Guastafierro, E., Quintas, R., Toppo, C., Foucaud, J., . . . Scaratti, C. (2019). Chronic Diseases & Employment: An Overview of Existing Training Tools for Employers. Int J Environ Res Public Health, 16(5). doi:10.3390/ijerph16050718
- Smith, S., Makrides, L., Schryer Lebel, F., Allt, J., Montgomerie, D., Farquharson, J., . . . Szpilfogel, C. (2012). The Healthy Lifeworks Project: the role of organisational health in the personal health of employees. International Journal of Workplace Health Management, 5(3), 194-209. doi:10.1108/17538351211268854
- Tsuji, T., Matsudaira, K., Sato, H., Vietri, J., and Jaffe, D. H. (2018). Association between presenteeism and health-related quality of life among Japanese adults with chronic lower back pain: a retrospective observational study. BMJ Open, 8(6), e021160. doi:10.1136/bmjopen-2017-021160
- Varekamp, I., and van Dijk, F. J. (2010). Workplace problems and solutions for employees with chronic diseases. Occup Med (Lond), 60(4), 287-293. doi:10.1093/occmed/kqq078 Vooijs, M., Leensen, M. C. J.,
- Hoving, J. L., Wind, H., and Frings-Dresen, M. H. W. (2018). Value
of work for employees with a chronic disease. Occup Med (Lond), 68(1), 26-31. doi:10.1093/occmed/kqx178
- WHO. (2020). Noncommmunicable Diseases Progress Monitor.
https://www.who.int/publications/i/item/ncd-progress-monitor-2020 (Accessed 18 May
2020).
- Zhang, W., Bansback, N., Boonen, A., Young, A., Singh, A., and Anis, A. H. (2010). Validity of
the work productivity and activity impairment questionnaire--general health version in
patients with rheumatoid arthritis. Arthritis Res Ther, 12(5), R177. doi:10.1186/ar3141.
- Zhang, W., McLeod, C., and Koehoorn, M. (2016). The relationship between chronic conditions and absenteeism and associated costs in Canada. Scand J Work Environ Health, 42(5), 413-
422. doi:10.5271/sjweh.3583.
Yıl 2022,
Cilt: 7 Sayı: 3, 288 - 304, 20.11.2022
Ebru Pala Çelik
Tuğba Emine Beyhan
Pınar Kılıç Aksu
Okan Cem Kitapçı
Nur Şişman Kitapçı
Leyla Köksal
Ümit Karaçaylı
Nevsun İnanç
Haner Direskenli
Meral Yay
Gonca Mumcu
Kaynakça
- Adepoju, O. E., Bolin, J. N., Ohsfeldt, R. L., Phillips, C. D., Zhao, H., Ory, M. G., and Forjuoh, S. N. (2014). Can chronic disease management programs for patients with type 2 diabetes reduce productivity-related indirect costs of the disease? Evidence from a randomized controlled trial. Popul Health Manag, 17(2), 112-120. doi:10.1089/pop.2013.0029
- Baptista, M. C., Burton, W. N., Nahas, A. K., Wang, Y. P., Viana, M. C., and Andrade, L. H. (2019). Absenteeism and Presenteeism Associated With Common Health Conditions in Brazilian Workers. J Occup
Environ Med, 61(4), 303-313. doi:10.1097/JOM.0000000000001538
- Basaran, B., Soylu, G. N., and Yilmaz Civan, M. (2020). Concentration of phthalate esters in indoor and outdoor dust in Kocaeli, Turkey: implications for human exposure and risk. Environ Sci Pollut Res Int, 27(2), 1808-1824. doi:10.1007/s11356-019-06815-2
- Bose, J. (2013). Promoting successful diabetes management in the workplace. International Journal of Workplace Health Management, 6(3), 205-226. doi:10.1108/IJWHM-11-2010- 0037
301
- Bronckers, I., van Geel, M. J., van de Kerkhof, P. C. M., de Jong, E., and Seyger, M. M. B. (2019). A cross-sectional study in young adults with psoriasis: potential determining factors in quality of life, life course and work productivity. J Dermatolog Treat, 30(3), 208-215. doi:10.1080/09546634.2018.1506077
- CDC. (2020). Center for Disease Control and Prevention. Chronic diseases. https://www.cdc.gov/chronicdisease/about/index.htm (Accessed 15 August 2020).
- CHRODIS PLUS. (2020). CHRODIS PLUS Joint Action, European Union, in the framework of the Health Programme. http://chrodis.eu/ (Accessed 22 April 2020).
- Detaille, S. I., Heerkens, Y. F., Engels, J. A., van der Gulden, J. W., and van Dijk, F. J. (2009). Common prognostic factors of work disability among employees with a chronic somatic disease: a systematic review of cohort studies. Scand J Work Environ Health, 35(4), 261- 281. doi:10.5271/sjweh.1337
- Edington, D. W., and Schultz, A. B. (2008). The total value of health: a review of literature. International Journal of Workplace Health Management, 1(1), 8-19. doi:10.1108/17538350810865569
Fouad, A. M., Waheed, A., Gamal, A., Amer, S. A., Abdellah, R. F., and Shebl, F. M. (2017). Effect of Chronic Diseases on Work Productivity: A Propensity Score Analysis. J Occup Environ Med, 59(5), 480-485. doi:10.1097/JOM.0000000000000981
- Hassard, J., Teoh, K. R. H., Visockaite, G., Dewe, P., and Cox, T. (2018). The cost of work-related stress to society: A systematic review. J Occup Health Psychol, 23(1), 1-17. doi:10.1037/ocp0000069
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach: Guilford publications.
- Hemp, P. (2004). Presenteeism: at work--but out of it. Harv Bus Rev, 82(10), 49-58, 155. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/15559575
- Hui, S. K., and Grandner, M. A. (2015). Trouble Sleeping Associated With Lower Work Performance and Greater Health Care Costs: Longitudinal Data From Kansas State Employee Wellness Program. J Occup Environ Med, 57(10), 1031-1038. doi:10.1097/JOM.0000000000000534
- Johns, G. (2010). Presenteeism in the workplace: A review and research agenda. Journal of Organizational Behavior, 31 519–542. doi:10.1002/job.630
Karacayli, U., Adesanya, A., Aksoy, A., Belem, J., Cardin, N. B., Sarı, F. B., . . . Mumcu, G. (2022). The assessment of presenteeism and activity impairment in Behçet's syndrome and recurrent aphthous stomatitis: a multicentre study. Rheumatology (Oxford), 61(4), 1538- 1547. doi:10.1093/rheumatology/keab581
- Kim, D., Kaneko, Y., and Takeuchi, T. (2017). Importance of Obtaining Remission for Work Productivity and Activity of Patients with Rheumatoid Arthritis. J Rheumatol, 44(8), 1112- 1117. doi:10.3899/jrheum.161404
- Kirsten, W. (2008). Health and productivity management in Europe. International Journal of Workplace Health Management, 1(2), 136-144. doi:10.1108/17538350810893928
- Lerner, D., Adler, D. A., Chang, H., Berndt, E. R., Irish, J. T., Lapitsky, L., . . . Rogers, W. H. (2004). The clinical and occupational correlates of work productivity loss among employed patients with depression. J Occup Environ Med, 46(6 Suppl), S46-55. doi:10.1097/01.jom.0000126684.82825.0a
- Lohaus, D., and Habermann, W. (2019). Presenteeism: A review and research directions. Human Resource Management Review, 29(1), 43-58. doi:https://doi.org/10.1016/j.hrmr.2018.02.010
- Mumcu, G., Lehimci, F., Fidan, O., Guk, H., Alpar, U., Unal, A. U., . . . Direskeneli, R. H. (2017). The assessment of work productivity and activity impairment in Behcet's disease. Turk J Med Sci, 47(2), 535-541. doi:10.3906/sag-1603-161
- Mumcu, G., Yay, M., Aksoy, A., Tas, M. N., Armagan, B., Sari, A., . . . Direskeneli, H. (2020). Predictive factors for work-day loss in Behcet's syndrome: A multi-center study. Int J Rheum Dis, 23(2), 240-246. doi:10.1111/1756-185X.13771
- Nakata, K., Tsuji, T., Vietri, J., and Jaffe, D. H. (2018). Work impairment, osteoarthritis, and health-related quality of life among employees in Japan. Health Qual Life Outcomes, 16(1), 64. doi:10.1186/s12955-018-0896-9
- Öner N, L. W. (1985). State-trait anxiety inventory handbook. Boğaziçi University Publications. Prasad, M., Wahlqvist, P., Shikiar, R., and Shih, Y. C. (2004). A review of self-report instruments measuring health-related work productivity: a patient-reported outcomes perspective.
- Pharmacoeconomics, 22(4), 225-244. doi:10.2165/00019053-200422040-00002
- Rai, K. K., Adab, P., Ayres, J. G., and Jordan, R. E. (2018). Systematic review: chronic obstructive pulmonary disease and work-related outcomes. Occup Med (Lond), 68(2), 99-108.
doi:10.1093/occmed/kqy012
- Redfern, N., and Macphee, G. J. A. (2018). Mentoring in occupational medicine: where might it
fit in? Occup Med (Lond), 68(7), 425-427. doi:10.1093/occmed/kqy100
- Reilly, M. (2022). Retrieved from http://www.reillyassociates.net/WPAI_GH.html (Access date:
16th October 2022)
- Reilly, M. C., Zbrozek, A. S., and Dukes, E. M. (1993). The validity and reproducibility of a work
productivity and activity impairment instrument. Pharmacoeconomics, 4(5), 353-365.
doi:10.2165/00019053-199304050-00006
- Rhodes, S. M., and Collins, S. K. (2015). The Organizational Impact of Presenteeism. Radiol
Manage, 37(5), 27-32; quiz 33-24. Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/26571971
- Silvaggi, F., Leonardi, M., Guastafierro, E., Quintas, R., Toppo, C., Foucaud, J., . . . Scaratti, C. (2019). Chronic Diseases & Employment: An Overview of Existing Training Tools for Employers. Int J Environ Res Public Health, 16(5). doi:10.3390/ijerph16050718
- Smith, S., Makrides, L., Schryer Lebel, F., Allt, J., Montgomerie, D., Farquharson, J., . . . Szpilfogel, C. (2012). The Healthy Lifeworks Project: the role of organisational health in the personal health of employees. International Journal of Workplace Health Management, 5(3), 194-209. doi:10.1108/17538351211268854
- Tsuji, T., Matsudaira, K., Sato, H., Vietri, J., and Jaffe, D. H. (2018). Association between presenteeism and health-related quality of life among Japanese adults with chronic lower back pain: a retrospective observational study. BMJ Open, 8(6), e021160. doi:10.1136/bmjopen-2017-021160
- Varekamp, I., and van Dijk, F. J. (2010). Workplace problems and solutions for employees with chronic diseases. Occup Med (Lond), 60(4), 287-293. doi:10.1093/occmed/kqq078 Vooijs, M., Leensen, M. C. J.,
- Hoving, J. L., Wind, H., and Frings-Dresen, M. H. W. (2018). Value
of work for employees with a chronic disease. Occup Med (Lond), 68(1), 26-31. doi:10.1093/occmed/kqx178
- WHO. (2020). Noncommmunicable Diseases Progress Monitor.
https://www.who.int/publications/i/item/ncd-progress-monitor-2020 (Accessed 18 May
2020).
- Zhang, W., Bansback, N., Boonen, A., Young, A., Singh, A., and Anis, A. H. (2010). Validity of
the work productivity and activity impairment questionnaire--general health version in
patients with rheumatoid arthritis. Arthritis Res Ther, 12(5), R177. doi:10.1186/ar3141.
- Zhang, W., McLeod, C., and Koehoorn, M. (2016). The relationship between chronic conditions and absenteeism and associated costs in Canada. Scand J Work Environ Health, 42(5), 413-
422. doi:10.5271/sjweh.3583.