• Med Princ Pract · Jan 2020

    Refusal to Take Sick Leave after Being Diagnosed with a Communicable Disease as an Estimate of the Phenomenon of Presenteeism in Poland.

    • Marcin Mikos, Grzegorz Juszczyk, Aleksandra Czerw, Łukasz Strzępek, Tomasz Banaś, Elżbieta Cipora, Andrzej Deptała, and Anna Badowska-Kozakiewicz.
    • Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland.
    • Med Princ Pract. 2020 Jan 1; 29 (2): 134-141.

    ObjectiveThe purpose of this study was to estimate the prevalence of presenteeism in patients with communicable diseases in Poland.Subject And MethodsThis study was based on data from the medical records of 2,529 patients aged 19-64 years. All of the patients were diagnosed with communicable diseases. The inclusion criteria were based on implementing decision concerning communicable diseases made by the Commission of the European Union. Associations between refusal to take sick leave and patients' age, gender, and diagnosis in terms of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) were tested. Linear regression analysis of the data acquired from the patients who agreed to take sick leave was further used to estimate the possible length of sick leave in patients who refused to take it.ResultsThe number of patients who refused to take sick leave was 18.1%. The presenteeism rate was related to the age of patients (periods of sick leave were longer in older patients) and the ICD-10 diagnosis (largely in bacterial intestinal infections and measles). The estimated number of days spent on sick leave in patients who refused to take it, assuming that they made a different decision and complied with it, was in the range of 4-6 days.ConclusionThe prevalence of presenteeism in the case of communicable diseases in Poland is lower than in the general population. However, as the refusals to take sick leave took place in the case of potentially contagious diseases, the negative impact on productivity may be significant.© 2019 The Author(s) Published by S. Karger AG, Basel.

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