Med Decis Making - Exploring the validity of HPQ-based presenteeism measures to estimate productivity losses in the health and education sectors.


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CKGROUND: Illness-related presenteeism (suboptimal work performance) may be a significant factor in worker productivity. Until now, there has been no generally accepted best method of measuring presenteeism across different industries and occupations. This study sought to validate the Health and Work Performance Questionnaire (HPQ)-based measure of presenteeism across occupations and industries and assess the most appropriate method for data analysis.METHODS: . Work performance was measured using the modified version of the HPQ conducted in workforce samples from the education and health workforce in Queensland, Australia (N = 30,870) during 2005 and 2006. Three approaches to data analysis of presenteeism measures were assessed using absolute performance, the ratio of own performance to others' performance, and the difference between others' and own performance. The best measure is judged by its sensitivity to changes in health indicators.RESULTS: . The measure that best correlated to health indicators was absolute presenteeism. For example, in the health sector, correlations between physical health status and absolute presenteeism were 4 to 5 times greater than the ratio or difference approaches, and in the education sector, these correlations were twice as large. Using this approach, the estimated cost of presenteeism in 2006 was $Aus8338 and $Aus8092 per worker per annum for the health and education sectors, respectively.CONCLUSIONS: . The HPQ is a valid measure of presenteeism. Transforming responses by perceived performance of peers is unnecessary as absolute presenteeism correlated best with health indicators. Absolute presenteeism was more insightful for ascertaining the cost of presenteeism.

Resumo Limpo

ckground illnessrel presente suboptim work perform may signific factor worker product now general accept best method measur presente across differ industri occup studi sought valid health work perform questionnair hpqbase measur presente across occup industri assess appropri method data analysismethod work perform measur use modifi version hpq conduct workforc sampl educ health workforc queensland australia n three approach data analysi presente measur assess use absolut perform ratio perform other perform differ other perform best measur judg sensit chang health indicatorsresult measur best correl health indic absolut presente exampl health sector correl physic health status absolut presente time greater ratio differ approach educ sector correl twice larg use approach estim cost presente aus aus per worker per annum health educ sector respectivelyconclus hpq valid measur presente transform respons perceiv perform peer unnecessari absolut presente correl best health indic absolut presente insight ascertain cost presente

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