Sickness Presence among Disabled Workers at the University Medical Centre Ljubljana / Prezentizem Med Invalidi V Univerzitetenem Kliničnem Centru Ljubljana

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Objectives. The aim of the article is to investigate the differences in sickness present and non-sickness present in the group of disabled health care professionals.

Methods. Data were gathered from all disabled health care professionals suffering from invalidity of category II or III who were identified in the research among all health care professionals at the University Medical Centre Ljubljana and who were employed there in the period between 1 January 2010 and 31 December 2010. Each employee obtained a questionnaire composed of three standardized international questionnaires.

Results. There were 248 disabled workers of the II. and III. category of invalidity among the participants. Disabled sickness present reported to have more chronic diseases than disabled non-sickness present (OR = 57.0; 95% CI = 24.4-133.2), lower salary when on sick leave (OR = 13.1; 95% CI = 5.7- 30.2) and poor self-rated health (OR = 5.8; 95% CI = 2.7-12.3).

Conclusions. The prerequisite for sickness presence among disabled workers is their chronic bad health. It is also formally recognized with the degree of disability. Economic factors are among the most important to direct disabled workers towards sickness presence. The results indicate that workplaces are not adapted to disabled workers in regard to their limitations.

1. Wright E. Sickness absence. In: Agius RM, Seatron A, editors. Practical occupational medicine. 2nd ed. London: Hodder Arnold Publishers, 2006: 186-218.

2. Aronsson G, Gustaffson K, Dallner M. Sick but yet at work: an empirical study of sickness presenteeism. J Epidem Comm Health 2000; 54: 502-9.

3. Aronsson G, Gustaffson K. Sickness presenteeism: prevalence, attendance- pressure factors, and an outline of a model for research. JOEM 2005; 47: 958-66.

4. Bergstrom G, Bodin L, Hagberg J, Lindth T, Aronsson G, Josephson M. Does sickness presenteeism have an impact on future general health? Int Arch Occup Environ Health 2009; 82: 1179-90.

5. Bergström G, Bodin L, Hagberg J, Lindth T, Aronsson G, Josephson M. Sickness presenteeism today, sickness absenteeism tomorrow? A prospective study on sickness presenteeism and future sickness absenteeism. JOEM 2009; 51: 1-10.

6. Johns G. Presenteeism in the workplace: a review and research agenda. J Organ Behav 2010; 31: 519-42.

7. The Swedish Ministry of Health and Social Affairs. The health of Swedish people. In: HS 90 Health in Sweden. Stockholm, 1982: 31-47.

8. McKevitt C, Morgan M, Dundas R, Holland WW. Sickness absence and ‚working through‘ illness: a comparison of two professional groups. J Public Health Med 1997; 19: 295-300.

9. Demerouti E, Le Blanc P, Bakker AB, Schaufeli W, Hox J. Present but sick: a three-wave study on job demands, presenteeism and burnout. CDI 2009; 14: 50-68.

10. Vahtera J, Kivimäki M, Pentti M, Linna A, Virtanen M, Virtanen P, Ferrie JE. Organizational downsizing, sickness absence, and mortality: 10- town prospective cohort study. BMJ 2004; 328: 555.

11. Johansson G, Lundberg I. Adjustment latitude and attendance requirements as determinants of sickness absence or attendance: empirical tests of the illness flexibility model. Soc Sci Med 2004; 58: 1857-68.

12. Elstad JI, Vabo M. Job stress, sickness absence and sickness presenteeism in Nordic elderly care. Scand J Public Health July 2008; 36: 467-74.

13. Rantanen I, Tuominen R. Relative magnitude of presenteeism and absenteeism and work-related factors affecting them among health care professionals. Int Arch Occup Environ Health 2011; 84: 225-30.

14. Zakon o pokojninskem in invalidskem zavarovanju. Uradni list RS 96/2012: 9817-92.

15. Zakon o zaposlitveni rehabilitaciji in zaposlovanju invalidov. Uradni list RS 63/2004: 8029-41.

16. Zakon o spremembah in dopolnitvah Zakona zaposlitveni rehabilitaciji in zaposlovanju invalidov. Uradni list RS 72/2005: 82-4.

17. Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom Res 1967; 11: 213-8.

18. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Indeks delovne zmožnosti. Helsinki: Finski inštitut za zdravje pri delu, 1998.

19. Bethge M, Radoschewski FM, Gutenbrunner C. The Work Ability Index as a screening tool to identify the need for rehabilitation: longitudinal findings from the second German sociomedical panel of employees. J Rehabil Med 2012; 44: 980-7.

20. Linden W. Development and initial validation of a Life Event Scale. Can Counsellor 1984; 18: 106-10.

21. Škerjanc A. Prezentizem v Univerzitetnem kliničnem centru Ljubljana - prospektivna študija. In: Dodič Fikfak M, editor. Sanitas et labor: znanje, izkušnje, sodelovanje II. Ljubljana 2013; 10: 7-19.

22. Dodič Fikfak M. Zdravje ljudi v času krize. Glasnik KIMDPŠ 2010; 4: 2-4.

23. Deery S, Walsh J. Absenteeism and presenteeism in an emergency services call centre. Available Oct 26, 2011 from:

24. Wang JL, Schmitz N, Smailes E, Sareen S, Patten S. Workplace characteristics, depression, and health related presenteeism in a general population sample. JOEM 2010; 52: 836-42.

25. Skinner R. Strokovna in poklicna integracija invalidov - utvara? In: Kroflič M, Uršič C, editors. Zaposlovanje invalidov v Evropski uniji v državah v tranziciji. Zbornik kongresa FIMITIC 2001. Ljubljana: Zveza delovnih invalidov Slovenije, 2002: 31-7.

26. Molan M, Molan G. Estimation actual availability. In: International conference on topical issues in nuclear safety 3-6 Sept 2001: contributed papers. Vienna: International Atomic Energy Agency, 2001: 266-71.

27. Ministrstvo za delo, družino in socialne zadeve. Pregled ukrepov za spodbujanje aktivnega staranja. Available Dec 9, 2013 from:

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