Skip to main navigation menu Skip to main content Skip to site footer
FrancoAngeli Journals

Saggi

No. 124 (2022)

The cost of productivity loss of hospital’s healthcare professionals: An economic evaluation applied to a prevention intervention

DOI
https://doi.org/10.3280/mesa2022-124oa16062
Submitted
giugno 16, 2023
Published
2023-11-16

Abstract

In the paper, the economic evaluation method is applied to a prevention intervention for healthcare workers. The intervention consists in wearing a compression stocking to avoid the risk of chronic venous insufficiency. The economic evaluation estimates the loss of productivity due to inability at work (presenteeism) and the efficacy when prevention is adopted. The results of the randomised controlled trial showed that, in the long-run, intervention group suffer less for inability due to prolonged standing posture. Consequently, the productivity loss due to presenteeism is lower compared to the control group, thanks to the compression stocking. Prevention, in this regard, can reduce the costs for presenteeism considering both the social and the National Healthcare Service perspectives.

References

  1. Adinolfi P., Annarumma C., Matonti G., Palumbo R., Piscopo G. (2017). I costi della sicurezza e della non sicurezza in sanità: un’analisi esplorativa. Mecosan, 103: 9-30. DOI: 10.3280/MESA2017-103002.
  2. Agle C.G., Sá C.K.C.D., Amorim D.S., Figueiredo, M.A.D.M. (2020). Evaluation of the effectiveness of wearing compression stockings for prevention of occupational edema in hairdressers. Jornal Vascular Brasileiro, 19: e20190028. DOI: 10.1590/1677-5449.190028.
  3. Allemann A., Siebenhüner K., Hämmig O. (2019). Predictors of presenteeism among hospital employees – A cross-sectional questionnaire-based study in Switzerland. Journal of Occupational and Environmental Medicine, 61(12): 1004-1010. DOI: 10.1097/JOM.0000000000001721.
  4. Allen D., Hines E.W., Pazdernik V., Konecny L.T., Breitenbach E. (2018). Four-year review of presenteeism data among employees of a large United States health care system: a retrospective prevalence study. Human Resources For Health, 16(1): 1-10. DOI: 10.1186/s12960-018-0321-9.
  5. Aronsson G., Gustafsson K., Dallner M. (2000). Sick but yet at work. An empirical study of sickness presenteeism. Journal of Epidemiology & Community Health, 54: 502-509. DOI: 10.1136/jech.54.7.502.
  6. Aysun K., Bayram Ş. (2017). Determining the level and cost of sickness presenteeism among hospital staff in Turkey. International Journal of Occupational Safety and Ergonomics, 23(4): 501-509. DOI: 10.1080/10803548.2016.1274159.
  7. Belcaro G., Dugall M., Luzzi R., Corsi M., Ledda A., Ricci A., Pellegrini L., Cesarone M.R., Hosoi M., Errichi B.M., Cornelli U., Cotellese R., Agus G., Feragalli B. (2017). Management of varicose veins and chronic venous insufficiency in a comparative registry with nine venoactive products in comparison with stockings. International Journal of Angiology, 26(03): 170-178. DOI: 10.1055/s-0036-1597756.
  8. Borgonovi E. (2019). Un microrganismo costringe a ripensare al rapporto ordinedisordine. Mecosan, 111(3): 3-6. DOI: 10.3280/MESA2019-111001.
  9. Callen B.L., Lindley L.C., Niederhauser V.P. (2013). Health risk factors associated with presenteeism in the workplace. Journal of Occupational and Environmental Medicine, 55(11): 1312-1317. DOI: 10.1097/JOM.0b013e3182a200f4.
  10. Cancelliere C., Cassidy J.D., Ammendolia C, Côté P. (2011). Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature. BMC Public Health, May, 26(11): 395. DOI: 10.1186/1471-2458-11-395.
  11. Christensen J.R., Overgaard K., Hansen K., Søgaard K., Holtermann A. (2013). Effects on presenteeism and absenteeism from a 1-year workplace randomized controlled trial among health care workers. Journal of Occupational and Environmental Medicine, 55(10): 1186-1190. DOI: 10.1097/JOM.0b013e31829b2816.
  12. Cires-Drouet R.S., Fangyang L., Rosenberger S., Startzel M., Kidwell M., Yokemick J., McDonald T., Carlin M., Sharma J., Sorkin J. D., Lal B.K. (2020). High prevalence of chronic venous disease among health care workers in the United States. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 8(2): 224-230. DOI: 10.1016/j.jvsv.2019.10.017.
  13. Costa E., De Pietro C., Quatrini A. (2007). Monitoraggio delle assenze e carichi di lavoro nell’Azienda ospedaliera di Reggio Emilia. Mecosan, 16(62): 135-150.
  14. Crawford J.O, Shafrir A., Graveling R., Dixon K., Cowie H. (2009). A systematic review of the health of health practitioners. Edinburgh: Institute of Occupational Medicine. (Strategic Consulting Report: 603-00525).
  15. De Simone S., Tomo A. (2019). Benessere organizzativo in sanità: una review della letteratura. Mecosan, 110(2): 45-66. DOI: 10.3280/MESA2019-110003.
  16. Drummond M.F., Sculpher M.J., Claxton K., Stoddart G.L., Torrance G.W. (2015). Methods for the economic evaluation of health care programmes (4th Edition). Oxford: Oxford University Press.
  17. Ferreira A.I., da Costa Ferreira P., Cooper C.L., Oliveira D. (2019). How daily negative affect and emotional exhaustion correlates with work engagement and presenteeism-constrained productivity. International Journal of Stress Management, 26(3): 261-271. DOI: 10.1037/str0000114.
  18. Field A. (2013). Discovering statistics using IBM SPSS statistics (4th Edition). London: Sage Publications Ltd.
  19. Flore R., Gerardino L., Santoliquido A., Catananti C., Pola P., Tondi P. (2007). Reduction of oxidative stress by compression stockings in standing workers. Occupational Medicine, 57(5): 337-341. DOI: 10.1093/occmed/kqm021.
  20. Flore R., Gerardino L., Santoliquido A., Pola R., Flex A., Di Campli C., Pola P., Tondi P. (2004). Enhanced oxidative stress in workers with a standing occupation. Occupational and Environmental Medicine, 61(6): 548-550. DOI: 10.1136/oem.2003.008805.
  21. Gosselin E., Lemyre L., Corneil W. (2013). Presenteeism and absenteeism: differentiated understanding of related phenomena. Journal of Occupational Health Psychology, 18(1): 75-86. DOI: 10.1037/a0030932.
  22. Hemp P. (2004). Presenteeism: at work-but out of it. Harvard Business Review, 82(10): 49-58.
  23. Hubens K., Krol M., Coast J., Drummond M.F., Brouwer W.B., Uyl-de Groot C.A., Hakkaart-van Roijen L. (2021). Measurement instruments of productivity loss of paid and unpaid work: a systematic review and assessment of suitability for health economic evaluations from a societal perspective. Value in Health, 24(11): 1686-1699. DOI: 10.1016/j.jval.2021.05.002.
  24. Johns G. (2010). Presenteeism in the workplace: A review and research agenda. Journal of Organizational Behavior, 31(4): 519-542. DOI: 10.1002/job.630.
  25. Kigozi J., Jowett S., Lewis M., Barton P., Coast J. (2017). The estimation and inclusion of presenteeism costs in applied economic evaluation: a systematic review. Value in Health, 20(3): 496-506. DOI: 10.1016/j.jval.2016.12.006.
  26. Kim Y., Png C.M., Sumpio B.J., DeCarlo C.S., Dua A. (2021). Defining the human and health care costs of chronic venous insufficiency. Seminars in Vascular Surgery, 34(1): 59-64. DOI: 10.1053/j.semvascsurg.2021.02.007.
  27. Kimura K., Nagata T., Ohtani M., Nagata M., Kajiki S., Fujino Y., Mori K. (2020). Cardiovascular and cerebrovascular diseases risk associated with the incidence of presenteeism and the costs of presenteeism. Journal of Occupational Health, 62(1): e12167. DOI: 10.1002/1348-9585.12167.
  28. Liu B., Lu Q. (2020). Creating a sustainable workplace environment: influence of workplace safety climate on Chinese healthcare employees’ presenteeism from the perspective of affect and cognition. Sustainability, 12(6): 2414. DOI: 10.3390/su12062414.
  29. Lui J.N.M., Andres E.B., Johnston J.M. (2018). Presenteeism exposures and outcomes amongst hospital doctors and nurses: a systematic review. BMC Health Services Research, 18(1): 1-15. DOI: 10.1186/s12913-018-3789-z.
  30. Paty J., Turner-Bowker D.M., Elash C.A., Wright D. (2016). The VVSymQ® instrument: Use of a new patient-reported outcome measure for assessment of varicose vein symptoms. Phlebology, 31(7): 481-488. DOI: 10.1177%2F0268355515595193.
  31. Reilly M.C., Zbrozek A.S., 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.
  32. Robertson L., Yeoh S.E., Kolbach D.N. (2013). Non-pharmacological interventions for preventing venous insufficiency in a standing worker population. Cochrane Database of Systematic Reviews, 10: CD006345. DOI: 10.1002/14651858.CD006345.pub3.
  33. Ruhle S.A., Breitsohl H., Aboagye E., Baba V., Biron C., Correia Leal C., Dietz C., Ferreira A.I., Gerich J., Johns G., Karanika-Murray R., Lohaus D., Løkke A., Lopes S.L., Martinez L.F., Miraglia M., Muschalla B., Poethke U., Sarwat N., Schade H., Steidelmüller C., Vinberg S., Whysall Z., Yang T. (2019). “To work, or not to work, that is the question” – Recent trends and avenues for research on presenteeism. European Journal of Work and Organizational Psychology, 29(3): 344-363. DOI: 10.1080/1359432X.2019.1704734.
  34. Schultz A.B., Edington D.W. (2007). Employee health and presenteeism: a systematic review. Journal of Occupational Rehabilitation, 17(3): 547-579. DOI: 10.1007/s10926-007-9096-x.
  35. Tessari M., Gianesini, S., Menegatti E., Zuolo M., Malagoni A.M., Vannini M.E., Zamboni P. (2015). Elastic stockings effect on leg volume variability in healthy workers under prolonged gravitational gradient exposure. Veins and Lymphatics, 4: 48-52, 5182. DOI:10.4081/vl.2015.5182.
  36. Thompson B.J., Stock M.S., Banuelas V.K. (2017). Effects of accumulating work shifts on performance-based fatigue using multiple strength measurements in day and night shift nurses and aides. Human Factors, 59(3): 346-356. DOI: 10.1177/2F0018720816677814.
  37. Waters T.R., Dick R.B. (2015). Evidence of health risks associated with prolonged standing at work and intervention effectiveness. Rehabilitation Nursing, 40(3): 148-165. DOI: 10.1002/rnj.166.
  38. Weiss R.A., Duffy D. (1999). Clinical benefits of lightweight compression: Reduction of venousrelated symptoms by ready‐to‐wear lightweight gradient compression hosiery. Dermatologic Surgery, 25(9): 701‐704. DOI: 10.1046/j.1524-4725.1999.99064.x.
  39. Xiang Y., Zhou Q., Wu Z., Gou J. (2022). Chronic Venous Insufficiency in A Selected Nurse Population: A Cross-Sectional Study. Angiology. DOI: 10.1177/00033197221130571.

Metrics

Metrics Loading ...