Abstract

BackgroundThis study investigated the association between presenteeism and the perceived availability of social support among hospital doctors in China.MethodsA questionnaire was administered by doctors randomly selected from 13 hospital in Hangzhou China using stratified sampling. Logit model was used for data analysis.ResultsThe overall response rate was 88.16%. Among hospital doctors, for each unit increase of the perceived availability of social support, the prevalence of presenteeism was decreased by 8.3% (OR = 0.91, P = 0.000). In particular, if the doctors perceived availability of appraisal support, belonging support and tangible support as sufficient, the act of presenteeism was reduced by 20.2% (OR = 0.806, P = 0.000) 20.4% (OR = 0.803, P = 0.000) and 21.0% (OR = 0.799, P = 0.000) respectively with statistical differences.ConclusionIn China, appraisal support, belonging support and tangible support, compared to other social support, had a stronger negative correlation with presenteeism among hospital doctors. The benefits of social support in alleviating doctors’ presenteeism warrant further investigation.

Highlights

  • IntroductionPresenteeism describes the behavior of going to work despite the need to rest after becoming ill [1]

  • This study investigated the association between presenteeism and the perceived availability of social support among hospital doctors in China

  • The sample composition is basically consistent with the overall doctor workforce in China

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Summary

Introduction

Presenteeism describes the behavior of going to work despite the need to rest after becoming ill [1]. It became a subject of interest since the 1970s and was initially portrayed as a positive organizational behavior as it was a common belief that excellent attendance indicated excellent performance [2]. This was until 1990s when, during the economic depression, a reduced productivity was observed when employees continued to go to work despite. It has been estimated that, across all residents working in the USA, there was an added cost of more than USD 1.2 million attributable to depression related presenteeism, suggesting that residents’ mental illness was a hidden but significant source of healthcare costs nationwide [20]

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