Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.838
Filtrar
1.
BJS Open ; 5(2)2021 03 05.
Artigo em Inglês | MEDLINE | ID: mdl-33688956

RESUMO

BACKGROUND: During the initial COVID-19 outbreak up to 28.4 million elective operations were cancelled worldwide, in part owing to concerns that it would be unsustainable to maintain elective surgery capacity because of COVID-19-related surgeon absence. Although many hospitals are now recovering, surgical teams need strategies to prepare for future outbreaks. This study aimed to develop a framework to predict elective surgery capacity during future COVID-19 outbreaks. METHODS: An international cross-sectional study determined real-world COVID-19-related absence rates among surgeons. COVID-19-related absences included sickness, self-isolation, shielding, and caring for family. To estimate elective surgical capacity during future outbreaks, an expert elicitation study was undertaken with senior surgeons to determine the minimum surgical staff required to provide surgical services while maintaining a range of elective surgery volumes (0, 25, 50 or 75 per cent). RESULTS: Based on data from 364 hospitals across 65 countries, the COVID-19-related absence rate during the initial 6 weeks of the outbreak ranged from 20.5 to 24.7 per cent (mean average fortnightly). In weeks 7-12, this decreased to 9.2-13.8 per cent. At all times during the COVID-19 outbreak there was predicted to be sufficient surgical staff available to maintain at least 75 per cent of regular elective surgical volume. Overall, there was predicted capacity for surgeon redeployment to support the wider hospital response to COVID-19. CONCLUSION: This framework will inform elective surgical service planning during future COVID-19 outbreaks. In most settings, surgeon absence is unlikely to be the factor limiting elective surgery capacity.


Assuntos
Procedimentos Cirúrgicos Eletivos/estatística & dados numéricos , Licença para Cuidar de Pessoa da Família/estatística & dados numéricos , Mão de Obra em Saúde , Quarentena/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Cirurgiões/provisão & distribução , Centro Cirúrgico Hospitalar , Estudos Transversais , Humanos , Internacionalidade
2.
Sci Rep ; 11(1): 5160, 2021 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-33664279

RESUMO

The extent that antibodies to SARS-CoV-2 may protect against future virus-associated disease is unknown. We invited all employees (n = 15,300) at work at the Karolinska University Hospital, Stockholm, Sweden to participate in a study examining SARS-Cov-2 antibodies in relation to registered sick leave. For consenting 12,928 healthy hospital employees antibodies to SARS-CoV-2 could be determined and compared to participant sick leave records. Subjects with viral serum antibodies were not at excess risk for future sick leave (adjusted odds ratio (OR) controlling for age and sex: 0.85 [95% confidence interval (CI) (0.85 (0.43-1.68)]. By contrast, subjects with antibodies had an excess risk for sick leave in the weeks prior to testing [adjusted OR in multivariate analysis: 3.34 (2.98-3.74)]. Thus, presence of viral antibodies marks past disease and protection against excess risk of future disease. Knowledge of whether exposed subjects have had disease in the past or are at risk for future disease is essential for planning of control measures.Trial registration: First registered on 02/06/20, ClinicalTrials.gov NCT04411576.


Assuntos
Anticorpos Antivirais/sangue , /imunologia , Licença Médica/estatística & dados numéricos , Adulto , Anticorpos Antivirais/imunologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Suécia/epidemiologia
3.
J Rehabil Med ; 53(4): jrm00177, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33594444

RESUMO

OBJECTIVE: The activity ability assessment is a Swedish method for assessing general work ability, based on self-reports combined with an examination by specially trained physicians, and, if needed, extended assessments by occupational therapists, physiotherapists and/or psychologists. The aim of this study was to analyse the predictive validity of the activity ability assessment in relation to future sick leave. DESIGN: Analysis of assessments in 300 case files, in relation to register data on sick leave. SUBJECTS: People on sick leave (n =300, 32% men, 68% women; mean age 48 years; assessment at mean sick leave day 249). METHODS: Univariate and multivariate statistics. RESULTS: Self-rated work ability was the only factor with predictive value related to future sick leave. Physicians' evaluations lacked predictive value, except where the person had a limitation in vision, hearing or speech that was predictive of future decisions by the Social Insurance Agency. No sex differences were identified. CONCLUSION: The predictive value of the activity ability assessment for future sick leave is limited, and self-rated work ability is more accurate compared with an extensive insurance medical assessment. Self-rated work ability may be more holistic compared with insurance medicine assessments, which may be overly focused on individual factors. A practical implication of this is that the inclusion of contextual factors in assessment procedures needs to be improved.


Assuntos
Licença Médica/estatística & dados numéricos , Avaliação da Capacidade de Trabalho , Feminino , Humanos , Seguro , Masculino , Pessoa de Meia-Idade
4.
BMJ Open ; 11(1): e040941, 2021 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-33495252

RESUMO

OBJECTIVES: The aim was to describe the course of sickness absence (SA), disability pension (DP) and work-related economic situation defined as earnings (EA) and disposable income (DI), after spontaneous subarachnoid haemorrhage (SAH). Associations of SA, DP, EA and DI with demographic factors were also studied. DESIGN: A longitudinal cohort study of all 1932 people in Sweden who in January 2005 to December 2010 had a first time SAH when aged 17 to 64 years and survived during the 3-year follow-up. Microdata from four nationwide administrative registers were used. MAIN OUTCOME MEASURES: Primary outcome was the presence of SA and DP and how this changed during the study period of 5 years (the year before, the year of SAH and the following 3 years). The secondary outcome was the development of the income variables EA and DI. Demographic factors analysed were sex, age, source of bleeding, country of birth, family situation, educational level and type of living area. RESULTS: The year before the SAH, 7.9% of women and 4.6% of men had some SA registered (p<0.004). A model consisting of female sex, higher education and living single predicted having SA that year. At the end of the follow-up, 39.2% of women and 28.3% of men had SA and/or DP (p<0.0001). A model consisting of female sex, living in a village/ rural area and having a defined bleeding source for the SAH was predicting having SA and/or DP at end of follow-up. The levels of EA decreased, while DI increased during follow-up and were at the end of follow-up associated with age, sex, type of living area, country of birth, educational level and family situation. The women's EA was lower than the men's during all years. CONCLUSIONS: SAH influenced future SA, DP, as well as EA. Both SA, DP and the economic variables studied were predicted by models including sex.


Assuntos
Pessoas com Deficiência/estatística & dados numéricos , Pensões/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Hemorragia Subaracnóidea/psicologia , Adulto , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Gravidez , Fatores de Risco , Licença Médica/economia , Hemorragia Subaracnóidea/epidemiologia , Suécia/epidemiologia
5.
Bull Cancer ; 108(3): 272-283, 2021 Mar.
Artigo em Francês | MEDLINE | ID: mdl-33455735

RESUMO

BACKGROUND: Return-to-work after cancer depends on several factors related to the disease but also other socio-professional factors. The primary aim of this study was to identify socio-demographic, disease related and professional factors influencing the return-to-work process. METHODS: It was a prospective and descriptive study reporting the return-to-work process in 89 cancer patients, in a professional activity age, who had cancer treatment and a follow up in the Oncology department in Tahar Maamouri Teaching Hospital of Nabeul, between September 2015 to December 2019. RESULTS: Our study included 89 patients. Mean age was 45 years±8. The population was predominantly feminine (59 %). They were employees in 45 % of cases. Private professional sectors included 60 % of all patients. An open-ended contract was performed in 87 % of cases. Most frequent primary tumors were breast tumors (45 %) and colon tumors (20 %). Thirty-four patients went back to work after recovery. Seventy-nine percent of them were female patients and 70 % had breast cancer. Predictive factors identified in univariate statistical analysis and correlated to return-to-work were gender (P=0.002), occupation (P<10-3), initial duration off sick (P=0.015), fitting out measures at work (P=0.01), primary tumor origin (P=0.01), disease stage (P=0.037), treatment (P=0.014) and disease outcome after treatment (P=0.024). CONCLUSION: Our study underlined a need to create a pluridisciplinary platform unifying collaborators among oncologists and occupational health professionals in order to enhance professional reintegration process and to hold patient's professional equilibrium after cancer recovery.


Assuntos
Emprego/estatística & dados numéricos , Neoplasias/terapia , Retorno ao Trabalho/estatística & dados numéricos , Adulto , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/patologia , Neoplasias da Mama/terapia , Neoplasias do Colo/epidemiologia , Neoplasias do Colo/patologia , Neoplasias do Colo/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Neoplasias/patologia , Ocupações , Fatores Sexuais , Licença Médica/estatística & dados numéricos , Tunísia/epidemiologia
6.
Am J Ind Med ; 64(2): 73-77, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33355943

RESUMO

Globally, migrant and immigrant workers have borne the brunt of the COVID-19 pandemic as essential workers. They might be a Bulgarian worker at a meat processing plant in Germany, a Central American farmworker in the fields of California, or a Filipino worker at an aged-care facility in Australia. What they have in common is they are all essential workers who have worked throughout the coronavirus pandemic and have been infected with coronavirus at work. COVID-19 has highlighted the inequitable working conditions of these workers. In many instances, they are employed precariously, and so are ineligible for sick leave or social security, or COVID-19 special payments. If these are essential workers, they should get at least the same health and safety benefits of all nonessential workers. Improving the working and living conditions of migrant workers can and should be a positive outcome of the coronavirus pandemic.


Assuntos
/epidemiologia , Doenças Profissionais/epidemiologia , Migrantes/estatística & dados numéricos , /transmissão , Estudos Transversais , Saúde Global/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Benefícios do Seguro/estatística & dados numéricos , Saúde do Trabalhador/estatística & dados numéricos , Serviços de Saúde do Trabalhador/provisão & distribução , Fatores de Risco , Licença Médica/estatística & dados numéricos , Previdência Social/estatística & dados numéricos , Valores Sociais , Fatores Socioeconômicos
7.
Rehabilitación (Madr., Ed. impr.) ; 54(4): 244-248, oct.-dic. 2020. graf
Artigo em Espanhol | IBECS | ID: ibc-200259

RESUMO

INTRODUCCIÓN: La fibromialgia es una enfermedad crónica caracterizada por la presencia de dolor musculoesquelético, usualmente asociada a otros síntomas como depresión, fatiga y trastornos del sueño, entre otros. Los conceptos y las percepciones sobre el diagnóstico y el tratamiento de la fibromialgia, entre los médicos especialistas en medicina física y rehabilitación, no se conocen objetivamente. El propósito de este estudio es describir los conceptos y percepciones sobre el diagnóstico y tratamiento de la fibromialgia entre un grupo de especialistas en medicina física y rehabilitación en Colombia. MÉTODOS: Estudio descriptivo de corte transversal. A través de un grupo focal en el que participaron 2 reumatólogos, un especialista en medicina física y rehabilitación y un experto en métodos de investigación cualitativa, se diseñó una encuesta para evaluar las percepciones y conceptos que los especialistas en medicina física y rehabilitación tienen sobre el diagnóstico y el tratamiento de la fibromialgia. La encuesta se aplicó de forma autoadministrada y anónima durante las reuniones de la Asociación Colombiana de Medicina Física y Rehabilitación. RESULTADOS: Encuesta aplicada a 99 médicos especialistas en medicina física y rehabilitación. El 17,1% (n=17) de los médicos no cree que haya suficiente evidencia para considerar la fibromialgia como una enfermedad, el 86,8% (n=86) usa criterios ACR de 1990 para diagnosticar pacientes con fibromialgia y el 33,3% (n=33) manifestó emplear los criterios de clasificación de 2010. Los medicamentos más formulados para el manejo de la fibromialgia son los antidepresivos, prescritos por el 84,8% de los encuestados, seguidos de analgésicos (75,7%) y anticonvulsivantes (66,6%). En cuanto al manejo multidisciplinario, se encontró que el 50,6% de los médicos rehabilitadores remite estos pacientes a reumatología y el 40,7% a psiquiatría. El 77,2% de los médicos rehabilitadores considera que el paciente con fibromialgia debe ser manejado por su especialidad. CONCLUSIÓN: El presente estudio muestra información acerca de las percepciones sobre el diagnóstico y tratamiento de la fibromialgia entre un grupo de médicos rehabilitadores colombianos, documentándose un frecuente uso de los criterios de clasificación ACR 1990. En cuanto al tratamiento, se observa un alto porcentaje de uso de medicamentos, en especial antidepresivos y analgésicos. La mayoría de los médicos rehabilitadores considera que debe ser el tratante del paciente con fibromialgia


INTRODUCTION: Fibromyalgia is a chronic disease characterised by the presence of musculoskeletal pain, usually associated with other symptoms, including depression, fatigue, and sleep disorders. There is no objective information on the beliefs and perceptions of the diagnosis and treatment of fibromyalgia among rehabilitation and physical medicine specialists. The aim of this study was to describe these beliefs and perceptions among a group of physical medicine and rehabilitation specialists in Colombia. METHODS: We performed a cross-sectional study. A focus group was held with the participation of 2 rheumatologists, one physical medicine and rehabilitation specialist and an expert in qualitative research. The group designed a survey to assess the beliefs and perceptions of physical medicine and rehabilitation specialists of the diagnosis and treatment of fibromyalgia. The self-administered, anonymous questionnaire was completed during meetings of the Colombian Association of Physical Medicine and Rehabilitation. RESULTS: The questionnaire was completed by 99 physical medicine and rehabilitation specialists. Of these, 17.1% (n=17) believed there was insufficient evidence to consider fibromyalgia a disease, 86.8% (n=86) used the ACR 1990 criteria to diagnose patients with fibromyalgia, and 33.3% (n=33) used the criteria of the 2010 classification. The most commonly used drugs for the management of fibromyalgia were antidepressants, prescribed by 84.8% of the surveyed physicians, followed by analgesics (75.7%) and anticonvulsants (66.6%). Concerning multidisciplinary management, 50.6% referred these patients to a rheumatologist and 40.7% to a psychiatrist. In all, 77.2% of rehabilitation specialists believed that patients with fibromyalgia should be managed by their specialty. CONCLUSION: This study provides information on perceptions of the diagnosis and treatment of fibromyalgia among a group of Colombian rehabilitation specialists and found frequent use of the ACR 1990 classification. Among these physicians, the use of drugs, especially antidepressants and analgesics, was high. Most believed that patients with fibromyalgia should be treated by rehabilitation specialists


Assuntos
Humanos , Masculino , Feminino , Fibromialgia/reabilitação , Nível de Saúde , Qualidade de Vida/psicologia , Terapia por Exercício/psicologia , Fibromialgia/psicologia , Impacto Psicossocial , Estudos Transversais , Licença Médica/estatística & dados numéricos , Relações Familiares , Entrevista Psicológica/métodos
9.
An. psicol ; 36(3): 503-511, oct. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-195667

RESUMO

El propósito de esta investigación es analizar las relaciones entre las condiciones de contratación y el absentismo laboral en una muestra de 5524 trabajadores, con el fin de identificar qué segmentos (por tipo de contrato y jornada, tiempo contratado, antigüedad en la empresa y bajas por enfermedad común ocurridas en los tres últimos años) están más relacionados con la posibilidad de sufrir un proceso de incapacidad temporal en el año 2017. Se realizaron análisis descriptivos, la prueba chi-cuadrado Para tablas de contingencia con dos muestras independientes y los árboles de decisión, basados en el algoritmo CHAID (Chi-squared Automatic Interaction Detection), para detectar las variables más importantes en la identificación de perfiles con una mayor probabilidad de sufrir una incapacidad temporal derivada de contingencias comunes. Los resultados ponen de manifiesto la existencia de diferencias entre las variables estudiadas. Se considera la modalidad de contratación un factor de riesgo importante del absentismo laboral


The purpose of this research is to analyze the relationship between hiring conditions and work absenteeism in a sample of 5.524 workers in order to identify which segments (by type of contract and workday, time hired, seniority in the company and sick leaves occurred in the last three years) are more related to the possibility of suffering a disease process in 2017. Descriptive analyzes, the chi-square test for contingency tables with two independent samples, and the decision trees based on the CHAID algorithm (Chi-squared Automatic Interaction Detection) were carried out to detect the most important variables in the identification of profiles with a greater probability of suffering a temporary disability. The results show the existence of differences between the variables studied. The hiring modality is considered an important risk factor for work absenteeism


Assuntos
Humanos , Masculino , Feminino , Absenteísmo , Condições de Trabalho , Contratos , Carga de Trabalho/psicologia , Fatores de Tempo , Curva ROC , Fatores de Risco , Distribuição de Qui-Quadrado , Doenças Profissionais , Licença Médica/estatística & dados numéricos , Árvores de Decisões
10.
Lancet Psychiatry ; 7(10): 893-910, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32949521

RESUMO

Mental illness and substance use disorders in the workplace have been increasingly recognised as a problem in most countries; however, evidence is scarce on which solutions provide the highest return on investment. We searched academic and grey literature databases and additional sources for studies that included a workplace intervention for mental health or substance abuse, or both, and that did an economic analysis. We analysed the papers we found to identify the highest yielding and most cost-effective interventions by disorder. On the basis of 56 studies, we found moderate strength of evidence that cognitive behavioural therapy is cost-saving (and in some cases cost-effective) to address depression. We observed strong evidence that regular and active involvement of occupational health professionals is cost-saving and cost-effective in reducing sick leave related to mental health and in encouraging return to work. We identified moderate evidence that coverage for pharmacotherapy and brief counselling for smoking cessation are both cost-saving and cost-effective. Addressing mental health and substance misuse in the workplace improves workers' wellbeing and productivity, and benefits employers' bottom line (ie, profit). Future economic analyses would benefit from the consideration of subgroup analyses, examination of longer follow-ups, inclusion of statistical and sensitivity analyses and discussion around uncertainty, and consideration of potential for bias.


Assuntos
Serviços de Saúde do Trabalhador/economia , Serviços de Saúde do Trabalhador/métodos , Terapia Ocupacional/economia , Terapia Ocupacional/métodos , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Terapia Cognitivo-Comportamental/economia , Terapia Cognitivo-Comportamental/métodos , Análise Custo-Benefício , Economia Médica , Humanos , Saúde Mental , Ensaios Clínicos Controlados Aleatórios como Assunto , Licença Médica/estatística & dados numéricos , Local de Trabalho
11.
PLoS One ; 15(9): e0238981, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32931519

RESUMO

The identification of sick leave determinants could positively influence decision making to improve worker quality of life and to reduce consequently costs for society. Sick leave is a research topic of interest in economics, psychology, health and social behaviour. The question of choosing an appropriate statistical tool to analyse sick leave data can be challenging. In fact, sick leave data have a complex structure, characterized by two dimensions: frequency and duration, and involve numerous features related to individual and environmental factors. We conducted a scoping review to characterize statistical approaches to analyse individual sick leave data in order to synthesise key insights from the extensive literature, as well as to identify gaps in research. We followed the PRISMA methodology for scoping reviews and searched Medline, World of Science, Science Direct, Psycinfo and EconLit for publications using statistical modeling for explaining or predicting sick leave at the individual level. We selected 469 articles from the 5983 retrieved, dated from 1981 to 2019. In total, three types of model were identified: univariate outcome modeling using for the most part count models (438 articles), bivariate outcome modeling (14 articles), such as multistate models and structural equation modeling (22 articles). The review shows that there was a lack of evaluation of the models as predictive accuracy was only evaluated in 18 articles and the explanatory accuracy in 43 articles. Further research based on joint models could bring more insights on sick leave spells, considering both their frequency and duration.


Assuntos
Coleta de Dados/métodos , Licença Médica/estatística & dados numéricos , Licença Médica/tendências , Absenteísmo , Feminino , Humanos , Masculino , Modelos Estatísticos , Qualidade de Vida , Local de Trabalho
12.
Aliment Pharmacol Ther ; 52(4): 655-668, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32902894

RESUMO

BACKGROUND: There are limited data on population-wide assessment of cost in Crohn's disease (CD) and ulcerative colitis (UC). AIM: To estimate the societal cost of actively treated CD and UC in Sweden. METHODS: We identified 10 117 prevalent CD and 19 762 prevalent UC patients, aged ≥18 years on 1 January 2014 and 4028 adult incident CD cases and 8659 adult incident UC cases (2010-2013) from Swedish Patient Register. Each case was matched to five population comparators. Healthcare costs were calculated from medications, outpatient visits, hospitalisations and surgery. Cost of productivity losses was derived from disability pension and sick leave. RESULTS: The mean annual societal costs per working-age patient (18-64 years) with CD and UC were $22 813 (vs $7533 per comparator) and $14 136 (vs $7351 per comparator), respectively. In patients aged ≥65 years, the mean annual costs of CD and UC were $9726 and $8072 vs $3875 and $4016 per comparator, respectively. The majority of cost for both CD (56%) and UC (59%) patients originated from productivity losses. Higher societal cost of working-age CD patients as compared to UC patients was related to greater utilisation of anti-TNF (22.2% vs 7.4%) and increased annual disability pension (44 days vs 25 days). Among incident CD and UC patients, the mean total cost over the first year per patient was over three times higher than comparators. CONCLUSION: In Sweden, the societal cost of incident and prevalent CD and UC patients was consistently two to three times higher than the general population.


Assuntos
Colite Ulcerativa , Doença de Crohn , Custos de Cuidados de Saúde , Recursos em Saúde , Licença Médica , Absenteísmo , Adolescente , Adulto , Colite Ulcerativa/economia , Colite Ulcerativa/epidemiologia , Colite Ulcerativa/terapia , Doença de Crohn/economia , Doença de Crohn/epidemiologia , Doença de Crohn/terapia , Feminino , Custos de Cuidados de Saúde/estatística & dados numéricos , Recursos em Saúde/economia , Recursos em Saúde/estatística & dados numéricos , Hospitalização/economia , Hospitalização/estatística & dados numéricos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Prevalência , Licença Médica/economia , Licença Médica/estatística & dados numéricos , Suécia/epidemiologia , Fator de Necrose Tumoral alfa/uso terapêutico , Trabalho/economia , Trabalho/estatística & dados numéricos , Adulto Jovem
13.
PLoS One ; 15(8): e0237794, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32845930

RESUMO

AIMS: This study explores the differences in sickness absence trends in women according to reproductive age group and medical diagnoses. METHODS: Data were obtained from two administrative registries: the Continuous Working Life Sample and the Catalonian Institute of Medical Evaluations from 2012 to 2014, containing 47,879 female employees. Incidence rates and incidence risk ratios derived from Poisson and negative binomial models were calculated to compare sickness absence trends among reproductive age groups based on Catalonian birthrates: early-reproductive (25-34 years old), middle-reproductive (35-44) and late-reproductive (45-54), according to diagnostic groups, selected diseases, type of contract, occupational category, and country of origin. RESULTS: Younger women show a higher incidence of overall sickness absence compared to late-reproductive-aged women. Incidence risk ratios of sickness absence decreased significantly from early-reproductive to late-reproductive age for low back pain, hemorrhage in early pregnancy, nausea and vomiting, and abdominal and pelvic pain. DISCUSSION: The higher incidence of sickness absence due to pregnancy-related health conditions in early-reproductive women compared to other reproductive age groups, may explain the sickness absence differences by age in women. Proper management of sickness absence related to pregnancy should be a goal to reduce the sickness absence gap between younger and older women.


Assuntos
Coeficiente de Natalidade , Complicações na Gravidez/epidemiologia , Comportamento Reprodutivo/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Adulto , Fatores Etários , Estudos de Coortes , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Gravidez , Sistema de Registros/estatística & dados numéricos , Espanha
14.
Occup Environ Med ; 77(11): 782-789, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32764106

RESUMO

OBJECTIVES: Increasing sickness absence (SA) has been reported among healthcare workers in Sweden. Our aim was to analyse the impact of work environment factors on short-term and long-term SA based on musculoskeletal and psychiatric diagnoses among healthcare workers. METHODS: The study sample consisted of healthcare workers (n=12 452) drawn from representative samples of workers aged 16 to 64, who participated in the Swedish Work Environment Surveys (SWES) between 1993 and 2013. The outcomes were either short-term (≤28 days) or long-term (>104 days) SA between 1994 and 2016. HRs and 95% CIs were calculated for the impact of physical and psychosocial working conditions on risk of subsequent short-term or long-term SA for 3 years after participation in SWES. RESULTS: Heavy physical work and strenuous work postures showed elevated HRs for short-term and long-term SA compared with those without these work exposures. Similarly, high job demands and low job control each increased the risk for both short-term and long-term SA compared with employees with low job demands and high job control. Low job support increased the risk for short-term SA compared with those with high job support. Working conditions were strongly related to short-term SA due to musculoskeletal diagnoses but not to short-term SA due to psychiatric diagnoses. None of the work characteristics, except strenuous postures, elevated the risk for long-term SA due to psychiatric diagnosis compared with employees without these characteristics. CONCLUSIONS: Ergonomic improvements and stress reduction among healthcare workers are likely to reduce the prevalence of SA foremost due to musculoskeletal diagnoses.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Adolescente , Adulto , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Estudos Prospectivos , Fatores de Risco , Suécia/epidemiologia , Adulto Jovem
15.
PLoS One ; 15(8): e0236029, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32760082

RESUMO

Health is a critical factor for the generation of value by workers. Companies bear substantial costs associated with absenteeism and presenteeism among their employees. This study investigates the impact of the environmental conditions in the workplace on the health and job satisfaction of employees, as core factors of productivity. We provide evidence based on a natural experiment, in which 70% of the workforce of a municipality in the Netherlands was relocated to a building with a design focused on sustainability and health and well-being. We construct a longitudinal dataset based on individual surveys of the entire municipality workforce and include measures before and after the move. The estimation results show a significant improvement in the perceived environmental conditions, as well as in the health and well-being of the relocated workers, measured by the drop in incidence of sick building syndrome symptoms. Results are heterogeneous based on age: older groups of employees enjoy larger health impacts. The relocation effects remain persistent in the medium term (two years after the moving date). Importantly, a mediation analysis suggests that the achieved improvements in health and well-being lead to significantly enhanced job satisfaction and a 2% reduction in the prevalence of sick leave.


Assuntos
Arquitetura de Instituições de Saúde , Satisfação no Emprego , Saúde do Trabalhador/economia , Síndrome do Edifício Doente/epidemiologia , Local de Trabalho , Absenteísmo , Adulto , Feminino , Nível de Saúde , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Presenteísmo/economia , Presenteísmo/estatística & dados numéricos , Síndrome do Edifício Doente/economia , Licença Médica/economia , Licença Médica/estatística & dados numéricos , Desenvolvimento Sustentável
17.
Public Health ; 185: 235-242, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32682182

RESUMO

OBJECTIVES: Sick leave imposes large costs on society, and job strain is one of the factors leading to sick leave. A systematic review and meta-analysis of longitudinal studies was conducted to address job strain and its association with sick leave. STUDY DESIGN: This is a systematic review and meta-analysis. METHODS: PubMed and Scopus databases were reviewed, in addition to searches in Google Scholar and ResearchGate to ensure the inclusion of any grey literature articles. After screening the studies, using Preferred Reporting Items for Systematic Reviews and Meta-Analyses principles, articles with longitudinal design were found desirable for meta-analysis. The risk ratio (RR) and 95% confidence interval (CI) were calculated, and publication bias was examined. RESULTS: Eighteen longitudinal cohort studies were selected. Job strain and sick leave were found to be associated, and the RR of this association was equal to 1.44. Risk of sick leave based on job strain in men and women was equal to 1.66 (95% CI: 1.15-2.40) and 1.16 (95% CI: 1.08-1.24), respectively. The results showed no publication bias as per Begg's test. CONCLUSIONS: Job strain was associated with an increased risk of sick leave. Occupational conditions have significant effects on the risk of sick leave-one of which is job strain. Therefore, improving organisational conditions can have a significant impact on reducing sick leave.


Assuntos
Estresse Ocupacional/epidemiologia , Licença Médica/estatística & dados numéricos , Adulto , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Razão de Chances , Estudos Prospectivos , Fatores de Risco
18.
S Afr Med J ; 110(5): 389-395, 2020 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-32657723

RESUMO

BACKGROUND: Given the elevated risk of tuberculosis (TB), including drug-resistant disease, experienced by health workers in South Africa (SA), effective workers' compensation for occupational TB is a legal right and an essential social benefit. OBJECTIVES: To investigate the experience of the workers' compensation system among health workers who suffered from TB while working in public service facilities in Western Cape Province, SA. METHODS: In this case series with a qualitative component, 300 claims for occupational TB in health workers were sampled from the provincial health department database of claims submitted. Claim status for each case was ascertained. An attempt was made to contact each health worker for a telephonic interview consisting of both closed- and open-ended (qualitative) questions. Fifty-one interviews were completed. RESULTS: In nearly half of the cases, there was no record of claim status on the state Compensation Fund website. Of the 51 interviewees, only one had received all the compensation benefits for their particular claim circumstances. Health workers' experience of having their cases reported for compensation purposes was marred by perception of poor communication and administration. The experience of contracting TB was further characterised by surprise, perceptions of stigma, financial burden and ongoing ill-health. CONCLUSIONS: Affected health workers' experience of the workers' compensation system was mostly negative, adding to the burden of being ill with TB. Education of management and clinicians, improvement in communication, and timeous and regular checking of claim status and of payment of applicable compensation are required at the provincial level. Dedicated facility-based occupational health units are needed, with a staff complement of knowledgeable persons trusted by their colleagues. However, the effectiveness of the system is ultimately dependent on the ability of the Compensation Fund to register and display claims timeously and administer compensation expeditiously.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Tuberculose/epidemiologia , Indenização aos Trabalhadores/estatística & dados numéricos , Adulto , Bases de Dados Factuais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/economia , Exposição Ocupacional/economia , Exposição Ocupacional/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , África do Sul/epidemiologia , Indenização aos Trabalhadores/economia
19.
BMC Public Health ; 20(1): 1078, 2020 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-32641015

RESUMO

BACKGROUND: It is well documented that sickness absence is strongly associated with disability retirement. A long-term sickness absence (LTSA) in particular increases the risk of disability retirement, but little is known about the variation of this risk across diagnostic causes. Further, as occupational classes differ in their diagnostic profiles, it is likely that the role of diagnosis in the pathway from LTSA to disability retirement varies between occupational classes. We examined how LTSA of different diagnostic causes predicts all-cause disability retirement and disability retirement due to the same diagnostic group or due to some other diagnostic group than that which caused the LTSA spell in different occupational classes. METHODS: Cox proportional hazards models were used to analyse a 70% random sample of all employed Finns aged 25-62 Finns in 2006 (N = 1,458,288). Disability retirement was followed from 2007 to 2014. The risk of disability retirement was compared between occupational classes with at least one LTSA spell due to musculoskeletal diseases, mental disorders, respiratory diseases, or circulatory diseases and those who had no LTSA spells due to these diagnostic groups during 2005. RESULTS: Those who had LTSA due to musculoskeletal diseases or mental disorders transferred more often to disability retirement due to same diagnostic group, whereas those who had LTSA due to respiratory or circulatory diseases transferred more often to disability retirement due to some other diagnostic group. The largest occupational class differences in all-cause disability retirement were found among those with LTSA due to mental disorders. For men, the hazard ratios (HR) varied from HR 5.70 (95% confidence interval (CI) 5.00-6.52) in upper non-manual employees to 2.70 (95% CI 2.50-2.92) in manual workers. For women, the corresponding HRs were 3.74 (95% CI 3.37-4.14) in upper non-manual employees and 2.32 (95% 2.17-2.50) in manual workers. CONCLUSIONS: The association between LTSA and disability retirement varies between diagnostic groups, and the strength of this association further depends on the person's occupational class and gender.


Assuntos
Pessoas com Deficiência/estatística & dados numéricos , Ocupações/estatística & dados numéricos , Aposentadoria/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Adulto , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Modelos de Riscos Proporcionais
20.
MMWR Morb Mortal Wkly Rep ; 69(27): 853-858, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32644979

RESUMO

During a pandemic, syndromic methods for monitoring illness outside of health care settings, such as tracking absenteeism trends in schools and workplaces, can be useful adjuncts to conventional disease reporting (1,2). Each month, CDC's National Institute for Occupational Safety and Health (NIOSH) monitors the prevalence of health-related workplace absenteeism among currently employed full-time workers in the United States, overall and by demographic and occupational subgroups, using data from the Current Population Survey (CPS).* This report describes trends in absenteeism during October 2019-April 2020, including March and April 2020, the period of rapidly accelerating transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). Overall, the prevalence of health-related workplace absenteeism in March and April 2020 were similar to their 5-year baselines. However, compared with occupation-specific baselines, absenteeism among workers in several occupational groups that define or contain essential critical infrastructure workforce† categories was significantly higher than expected in April. Significant increases in absenteeism were observed in personal care and service§ (includes child care workers and personal care aides); healthcare support¶; and production** (includes meat, poultry, and fish processing workers). Although health-related workplace absenteeism remained relatively unchanged or decreased in other groups, the increase in absenteeism among workers in occupational groups less able to avoid exposure to SARS-CoV-2 (3) highlights the potential impact of COVID-19 on the essential critical infrastructure workforce because of the risks and concerns of occupational transmission of SARS-CoV-2. More widespread and complete collection of occupational data in COVID-19 surveillance is required to fully understand workers' occupational risks and inform intervention strategies. Employers should follow available recommendations to protect workers' health.


Assuntos
Absenteísmo , Infecções por Coronavirus/epidemiologia , Ocupações/estatística & dados numéricos , Pandemias , Pneumonia Viral/epidemiologia , Licença Médica/estatística & dados numéricos , Adolescente , Adulto , Feminino , Humanos , Masculino , Estados Unidos/epidemiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...