Doctor's presenteeism and its relationship with anxiety and depression: a cross-sectional survey study in China

BMJ Open
Xiaoyu XiCarolina Oi Lam Ung

Abstract

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. A cross-sectional anonymous survey study was conducted between 2017 and 2018. 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. 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. 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. 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 depres...Continue Reading

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