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What makes physicians go to work while sick: A comparative STUDY of Sickness presenteeism in four European countries (HOUPE)
Stockholm University / Karolinska Institutet.ORCID iD: 0000-0001-5398-2894
St Olav’s University Hospital, Trondheim, Norway.
Karolinska Institutet.
Stockholm University / Karolinska Institutet.
2013 (English)In: Swiss Medical Weekly, ISSN 1424-7860, E-ISSN 1424-3997, Vol. 143, article id 13840Article in journal (Refereed) Published
Abstract [en]

QUESTIONS UNDER STUDY: Sickness presenteeism is common in the health sector, especially among physicians, leading to high costs in terms of medical errors and loss in productivity. This study investigates predictors of sickness presenteeism in university hospitals, which might be especially exposed to competitive presenteeism. The study included comparisons of university hospitals in four European countries. METHODS: A cross-sectional survey analysis of factors related to sickness behaviour and work patterns in the field of academic medicine was performed among permanently employed physicians from the HOUPE (Health and Organisation among University Physicians Europe) study: (Sweden n = 1,031, Norway n= 354, Iceland n = 242, Italy n = 369). The outcome measure was sickness presenteeism. RESULTS: Sickness presence was more common among Italian physicians (86%) compared with physicians in other countries (70%-76%). Country-stratified analyses showed that sickness presenteeism was associated with sickness behaviour and role conflicts in all countries. Competition in the form of publishing articles was a predictor in Italy and Sweden. Organisational care for physician well-being reduced sickness presenteeism in all countries. CONCLUSION: Sickness presenteeism in university hospitals is part of a larger behavioural pattern where physicians seem to neglect or hide their own illness. Factors associated with competitive climate and myths about a healthy doctor might contribute to these behaviours. Importantly, it is suggested that managers and organisations should work actively to address these questions since organisational care might reduce the extent of these behaviours.

Place, publisher, year, edition, pages
2013. Vol. 143, article id 13840
Keywords [en]
Academic medicine, Physician health, Sickness presenteeism, Work organisation, absenteeism, adult, article, comparative study, controlled study, female, human, Iceland, Italy, male, medical error, Norway, outcome assessment, physician attitude, productivity, publishing, university hospital, wellbeing, work, work environment, cross-sectional study, medical leave, middle aged, occupational health, patient attitude, physician, questionnaire, statistics, Sweden, Cross-Sectional Studies, Efficiency, Hospitals, University, Humans, Physician's Role, Physicians, Questionnaires, Sick Leave, Sick Role
National Category
Psychology
Identifiers
URN: urn:nbn:se:sh:diva-37650DOI: 10.4414/smw.2013.13840ISI: 000328359100004PubMedID: 23986177Scopus ID: 2-s2.0-84883893045OAI: oai:DiVA.org:sh-37650DiVA, id: diva2:1287560
Available from: 2019-02-11 Created: 2019-02-11 Last updated: 2019-02-11Bibliographically approved

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Gustafsson Sendén, Marie

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