Financial expense incurred by medical leaves of health professionals in Rondonia public hospitals, Brazil

Abstract

The study investigates the additional payroll expense caused by absenteeism due to illness among nursing professionals and physicians at two public hospitals at Cacoal, Rondonia, Brazil. Non-programmed absences of up to 15 days which occurred at the hospital units between 2004 to 2007 were verified in the database of the institutions' human resource sector. From 1,704 non-programmed absences, 1,486 were justified by medical declarations.It was verified that absenteeism caused by illness was responsible for 87.2% of all nonprogrammed absences. When these data are grouped by professional categories, it was observed that the nurse absenteeism due to illness reached 83.3%, when compared with 16.7% for physicians. The general absenteeism index, adding up nurses and physicians, corresponded to 0.85%, resulting in an additional payroll expense of 5.2% and 7.4% in the salaries of nursing professionals and physicians, respectively. son justificadas con certificados médicos. Se verificó que el absentismo por motivo de enfermedad fue responsable por 87,2% de las ausencias no programadas. Si fuese descrito por categoría profesional, el absentismo enfermedad de los profesionales de enfermería alcanzaría el índice de 83,3% y el de los médicos 16,7%. El índice de absentismo general de los profesionales de enfermería y médicos fue de 0,85%, en cuanto que el gasto adicional en la planilla de pago en el período alcanzó 5,2% en los salarios de los profesionales de enfermería y 7,4% de los médicos.

Absenteeism amongst health workers – developing a typology to support empiric work in low-income countries and characterizing reported associations

“…Unplanned absence, on the other hand, occurs when an employee does not go to work and the employer actually expects him/her to be at work [23]. Sickness absence is the most common form of such absence studied (for examples see [28] and [16,29-32]).…”

Notificação de problemas de saúde em trabalhadores de enfermagem de hospitais universitário

“…These problems may also be associated with the high demands of the work, leading to a reduction in the immune response of the workers. According to a study on financial expenditures for medical leave among health professionals, 12% of the expenditure with absenteeism-disease is related to biological strains, especially tonsillitis (21) . Health professionals are exposed to pathogenic microorganisms, including the human immunodeficiency virus (HIV) which presents a risk of transmission of 0.3% after exposure to infected blood.…”

“…In China the prevalence of primary headache in nurses is higher than in the general population (25) . In relation to the financial impact, headache accounts for approximately 20% of the absenteeism-disease in Brazilian health institutions (21) . Problems related to the genitourinary system are expressed through disorders of the urinary tract, with 52% of the notifications, an aspect that is also evidenced in other studies (1,4) .…”

“…Research on expenditures related to absenteeism-disease in health professionals reported major losses related to musculoskeletal diseases (48%) and mental and behavioral disorders; depression alone accounted for 15% of the losses (21) . Corroborating these data, another study on absenteeismdisease in nursing workers found that the group of musculoskeletal system diseases and mental and behavioral disorders, with 41.5% (4,957) and 28.4% (3,393) respectively, represented the two groups with the greatest impact on the number of days of leave.…”

Sinais E Sintomas Osteomusculares Relacionadas Ao Trabalho Em Profissionais De Enfermagem

“…A gestão do trabalho pode influenciar na ausência do trabalho (absenteísmo), no afastamento por auxílio-doença e no remanejamento de recursos humanos, ocasionando grande problema de pessoal para as organizações e seus gestores. Pode gerar também o aumento nos custos em saúde do trabalhador e ainda afetar a qualidade dos serviços prestados 3 .…”