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Doctor’s presenteeism and its relationship with anxiety and depression: a cross-sectional survey study in China
Xiaoyu Xi1; Qianni Lu1; Tian Wo1; Pei Pei1; Guohua Lin1; Hao Hu2; Carolina Oi Lam Ung2
2019-08
Source PublicationBMJ OPEN
ISSN2044-6055
Volume9Issue:7
Abstract

Objectives The impact of presenteeism on doctors’ health, quality of patient care and overall performance of health institutions has been reported. The study aimed to investigate the prevalence of presenteeism among doctors, the association between presenteeism and anxiety/depression, and aspects that can help alleviate presenteeism.

Design A cross-sectional anonymous survey study was conducted between 2017 and 2018.

Setting 30 hospitals in Hangzhou city, Zhejiang Province, China including 10 category 1 hospitals (20–99 beds), 10 category 2 hospitals (100–499 beds) and 10 category 3 hospitals (> 500 beds) which had the highest population coverage.

Participants At least 3 doctors from each department in the studied hospitals participated. Each participant received a gift worth around US$5 at completion of the survey.

Primary and secondary outcome measures The prevalence of presenteeism and its relationship with anxiety or depression were evaluated as the primary outcomes. Secondary outcomes included the prevalence of abnormal cases of anxiety and depression.

Results The survey was completed by 1153/1309 hospital doctors (response rate 88.1%). Presenteeism was reported by 66.4% of participants. Using the Hospital Anxiety and Depression Scale, 68.8% and 72.3% of participants had abnormal cases of anxiety and depression, respectively. Logistic regression analysis showed that participants with abnormal cases of anxiety, borderline cases of depression or abnormal cases of depression were more likely to practice presenteeism (all p<0.05). Other significant work-related contributing factors included: time working at the current hospital, management duty, monthly salary and ease of replacement (all p<0.05).

Conclusion Presenteeism was prevalent among doctors in China and the association of presenteeism with abnormal cases of anxiety or depression was significant. Considering the modifiable work-related contributing factors, appropriate measures at the healthcare institutions to support doctors’ mental health, help them develop and reinforce management skills, and ensure appropriate manpower are important to alleviate presenteeism behaviour.

DOI10.1136/bmjopen-2018-028844
Indexed BySSCI ; SSCI
Language英语
WOS Research AreaGeneral & Internal Medicine
WOS SubjectMedicine, General & Internal
WOS IDWOS:000485269700035
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Cited Times [WOS]:0   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
Corresponding AuthorCarolina Oi Lam Ung
Affiliation1.The Research Center of National Drug Policy and Ecosystem, China Pharmaceutical University, Nanjing, China
2.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau SAR, China
Corresponding Author AffilicationInstitute of Chinese Medical Sciences
Recommended Citation
GB/T 7714
Xiaoyu Xi,Qianni Lu,Tian Wo,et al. Doctor’s presenteeism and its relationship with anxiety and depression: a cross-sectional survey study in China[J]. BMJ OPEN,2019,9(7).
APA Xiaoyu Xi.,Qianni Lu.,Tian Wo.,Pei Pei.,Guohua Lin.,...&Carolina Oi Lam Ung.(2019).Doctor’s presenteeism and its relationship with anxiety and depression: a cross-sectional survey study in China.BMJ OPEN,9(7).
MLA Xiaoyu Xi,et al."Doctor’s presenteeism and its relationship with anxiety and depression: a cross-sectional survey study in China".BMJ OPEN 9.7(2019).
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