職場健康資產管理－潛在健康生產力損失推估模型之建立

Objectives: Workers' physical and mental health problems negatively affect their work performance as well as their employers' daily business operations; coming to work sick lowers productivity and sick leave increases labor costs. In this article, we establish a "potential health-related productivity loss model" that uses the concept of "presenteeism" (the psychological tendency to feel obligated to be present at work despite experiencing physical or psychological stress overload or suffering from symptoms of an illness) and days of sick leave to estimate labor costs incurred by a company because of employee health conditions and analyze influencing factors. Methods: Data were obtained from 326 questionnaires collected by corporate health check clients of a health management institution between February and September 2017. Government labor statistics were also included in the model and were used together with questionnaire data to estimate potential health productivity losses. Results: Close correlations were identified between sickness presenteeism and symptoms of physical/psychological discomfort related to common colds; headaches; musculoskeletal conditions; digestive disorders; and skin, mood, and sleep problems. Potential health productivity loss was significant among workers with these symptoms compared with the productivity of workers without these health conditions. After including the salary and working hour parameters reported by the Taiwan Directorate General of Budget, Accounting and Statistics, the mean potential health productivity loss of the survey respondents was calculated to be NT$2,038.84 per month. The results of the multiple linear regression analysis indicated that employees' age, degree of work and life conflict, and number of illnesses and physical/mental symptoms were positively related to the monetary value of potential health productivity loss. Conclusions: The estimation model established in this study can be used as an indicator to evaluate the cost/benefit of workplace health promotion intervention programs, and empirical evidence concerning presenteeism-related risk factors can encourage companies to provide occupational health services and prioritize health promotion. (Taiwan J Public Health. 20!9;38(3):305-315).