دورية أكاديمية
أعرض في EDS

Association between Presenteeism, Associated Factors, and Outcomes among Intern Physicians in Public Hospitals during the COVID-19 Pandemic: A Cross-Sectional Study.

التفاصيل البيبلوغرافية
العنوان: Association between Presenteeism, Associated Factors, and Outcomes among Intern Physicians in Public Hospitals during the COVID-19 Pandemic: A Cross-Sectional Study.
المؤلفون: Surawattanasakul V; Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.; Environmental and Occupational Medicine Excellence Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand., Kiratipaisarl W; Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand., Siviroj P; Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
المصدر: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2024 Jun 10; Vol. 60 (6). Date of Electronic Publication: 2024 Jun 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Basel, Switzerland : MDPI
Original Publication: Kaunas : Lietuvos gydytojų sąjunga
مواضيع طبية MeSH: COVID-19*/epidemiology , Presenteeism*/statistics & numerical data , Hospitals, Public*/statistics & numerical data, Humans ; Cross-Sectional Studies ; Female ; Male ; Adult ; Thailand/epidemiology ; Surveys and Questionnaires ; SARS-CoV-2 ; Workload/statistics & numerical data ; Pandemics ; Internship and Residency/statistics & numerical data
مستخلص: Background and Objectives: Presenteeism, when employees continue to work despite being sick, may have increased among intern physicians during the COVID-19 pandemic due to the necessity of performing unfamiliar tasks. This study aimed to investigate the prevalence of presenteeism among intern physicians (IPs) in Thailand, its associated factors, and outcomes. Material and Methods: A total of 254 IPs participated in this cross-sectional study conducted from June to July 2022. Participants completed a nationwide online questionnaire including demographics, financial status, underlying diseases, hospital location and affiliation, department, resource problems, manpower shortage, workload intensity, presenteeism, and its outcomes. IPs were recruited via various social media platforms. Statistical analysis was performed using multivariable zero-inflated Poisson regression and multivariable linear regression. Results: The average age of IPs was 25.5 years (SD 1.9), and 57.5% were female. The majority of IPs reported dealing with resource problems (74.8%), insufficient manpower (94.9%), and intense workload (83.5%). Presenteeism was prevalent among 63.8% of IPs, with the most common of the diseases being allergic rhinitis (31.3%). IPs with underlying diseases had an increased rate of presenteeism (adjusted odds ratio (aOR) 2.50, 95% confidence interval (CI) 1.33-4.55). IPs working in community hospitals during their rotations exhibited a lower rate of presenteeism (aOR 0.39, 95% CI 0.16-0.94) compared to other departments within general or regional hospitals. The IPs frequently exposed to insufficient manpower had an increased rate of presenteeism (aOR 4.35, 95% CI 1.02-20.00) compared to those not exposed. Additionally, IPs with presenteeism had more exhaustion (β 1.40, 95% CI 0.33 to 2.46), lower perceived well-being (β -0.65, 95% CI -1.26 to -0.03), and job satisfaction (β -0.33, 95% CI -0.63 to -0.03). Conclusions: During COVID-19, intern physicians in Thailand often exhibit presenteeism due to physical conditions, resource scarcity, and personnel shortages, impacting exhaustion, well-being, and job satisfaction. Recommendations include assessing healthcare workforces, allocating resources more effectively, enforcing policies to promote responsible use of sick leave, and implementing sick leave systems.
Competing Interests: The authors declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.
References: Harv Bus Rev. 2004 Oct;82(10):49-58, 155. (PMID: 15559575)
J Epidemiol Community Health. 2000 Jul;54(7):502-9. (PMID: 10846192)
Paediatr Child Health. 2017 May;22(2):84-88. (PMID: 29479187)
J Occup Environ Med. 2019 Nov;61(11):e438-e444. (PMID: 31478995)
Soc Sci Med. 2008 Sep;67(6):956-64. (PMID: 18571821)
Soc Sci Med. 2013 Jan;76(1):115-25. (PMID: 23159305)
Rev Bras Med Trab. 2020 Aug 04;18(1):97-102. (PMID: 32783010)
J Occup Environ Med. 2015 Dec;57(12):e146-52. (PMID: 26641838)
J Adv Nurs. 2011 Sep;67(9):1918-29. (PMID: 21466574)
Swiss Med Wkly. 2013 Aug 22;143:w13840. (PMID: 23986177)
Front Psychol. 2022 Jan 27;12:748053. (PMID: 35153891)
Acad Med. 2021 May 1;96(5):635-640. (PMID: 33885412)
N Z Med J. 2010 May 14;123(1314):31-42. (PMID: 20581910)
PLoS One. 2023 Dec 19;18(12):e0267996. (PMID: 38113209)
JAMA Pediatr. 2015 Sep;169(9):815-21. (PMID: 26146908)
Psychol Bull. 2015 Sep;141(5):1049-80. (PMID: 25984729)
BMJ. 2007 Oct 20;335(7624):806-8. (PMID: 17947786)
BMC Health Serv Res. 2018 Dec 19;18(1):985. (PMID: 30567547)
J Infect Public Health. 2017 Nov - Dec;10(6):711-715. (PMID: 28343794)
JAMA. 2010 Sep 15;304(11):1166-8. (PMID: 20841527)
Soc Psychiatry Psychiatr Epidemiol. 2016 Nov;51(11):1525-1537. (PMID: 27667656)
BMJ. 2011 Jun 09;342:d3446. (PMID: 21659367)
BMJ Open. 2019 Jul 30;9(7):e028844. (PMID: 31366652)
BMC Health Serv Res. 2016 Oct 5;16(1):548. (PMID: 27716317)
J Occup Health. 2013;55(4):276-83. (PMID: 23796597)
Int Arch Occup Environ Health. 2011 Feb;84(2):225-30. (PMID: 21140162)
Br Med Bull. 2019 Mar 1;129(1):69-78. (PMID: 30649219)
Int J Occup Saf Ergon. 2017 Dec;23(4):501-509. (PMID: 28004987)
Arch Environ Occup Health. 2016;71(1):49-56. (PMID: 25692305)
Front Psychiatry. 2021 Jan 08;11:584040. (PMID: 33488418)
Soc Sci Med. 2016 Jul;161:169-77. (PMID: 27310723)
Int J Soc Psychiatry. 2021 Dec;67(8):984-991. (PMID: 34240644)
Med Educ. 2021 Dec;55(12):1388-1393. (PMID: 34174116)
Environ Health Prev Med. 2023;28:13. (PMID: 36740269)
Front Public Health. 2024 Mar 22;12:1250192. (PMID: 38584930)
Int J Environ Res Public Health. 2020 Feb 26;17(5):. (PMID: 32110953)
BMC Health Serv Res. 2020 Aug 3;20(1):715. (PMID: 32746808)
BMC Public Health. 2019 Jun 21;19(1):799. (PMID: 31226966)
Geriatr Nurs. 2017 Jan - Feb;38(1):33-38. (PMID: 27492884)
Am J Infect Control. 2016 Aug 1;44(8):892-7. (PMID: 27040572)
Ann Occup Environ Med. 2016 Sep 20;28:50. (PMID: 27660717)
J Glob Health. 2021 Jan 13;11:03002. (PMID: 33643614)
Int J Occup Saf Ergon. 2015;21(1):80-5. (PMID: 26327266)
J Pers Med. 2022 Aug 07;12(8):. (PMID: 36013244)
Heliyon. 2023 Nov 10;9(12):e22097. (PMID: 38107301)
معلومات مُعتمدة: 114-2565 Faculty of Medicine, Chiang Mai University
فهرسة مساهمة: Keywords: exhaustion; intern physicians; manpower shortage; presenteeism; public hospitals; well-being
تواريخ الأحداث: Date Created: 20240627 Date Completed: 20240627 Latest Revision: 20240629
رمز التحديث: 20240629
مُعرف محوري في PubMed: PMC11205852
DOI: 10.3390/medicina60060962
PMID: 38929579
قاعدة البيانات: MEDLINE
الوصف
تدمد:1648-9144
DOI:10.3390/medicina60060962