Presenteeism in Employees with Chronic Conditions: An Analysis Using Linked Claims and Self-Reported Employee Health Risk Assessment Data
Author(s)
Elizabeth Packnett, MPH, Robert Fowler, MS, Liisa A Palmer, PhD;
Merative, Ann Arbor, MI, USA
Merative, Ann Arbor, MI, USA
OBJECTIVES: The burden of chronic conditions extends beyond healthcare resource use and cost and includes productivity loss due to work loss and decreased productivity or presenteeism. This study’s objective is to characterize presenteeism in patients with and without chronic conditions.
METHODS: This retrospective study used administrative claims from the MarketScan Commercial Database linked to self-reported productivity loss from the MarketScan Health Risk Assessment (HRA) Database. Employees included in the study were required to have a valid response to the survey item assessing lost productivity due to health problems (presenteeism) in the HRA Database: ‘In the last 4 weeks, how many days have your health problems affected productivity at work’. Employees were also required to have at least 12 months continuous enrollment prior to the response in the Commercial Database to assess presence of chronic conditions. The presence of 10 common chronic conditions was assessed during the 12 months prior to the survey response using diagnosis codes on non-rule out medical claims in the Commercial Database.
RESULTS: In total, 517,269 employees were included in the study; mean age was 45.0 years (SD: 10.7) and 44.9% were female. Chronic conditions were present in 44.5% of employees. Presenteeism was more common in employees with chronic conditions (44.7%) than in employees without chronic conditions (37.5%; p<.001). Most employees with productivity loss reported health problems affected productivity 1-2 days in the last month (47.8%), though 26.0% reported their productivity had been affected 6-10 days and 7.0% reported 11 or more days in which their productivity was affected. Among employees with a chronic condition, presenteeism was most common in those with depression (59.4%), asthma (49.9%), obesity (49.8%), and COPD (48.1%).
CONCLUSIONS: Presenteeism is common in employees with chronic conditions and may contribute significantly to the overall burden of disease in patients with chronic conditions.
METHODS: This retrospective study used administrative claims from the MarketScan Commercial Database linked to self-reported productivity loss from the MarketScan Health Risk Assessment (HRA) Database. Employees included in the study were required to have a valid response to the survey item assessing lost productivity due to health problems (presenteeism) in the HRA Database: ‘In the last 4 weeks, how many days have your health problems affected productivity at work’. Employees were also required to have at least 12 months continuous enrollment prior to the response in the Commercial Database to assess presence of chronic conditions. The presence of 10 common chronic conditions was assessed during the 12 months prior to the survey response using diagnosis codes on non-rule out medical claims in the Commercial Database.
RESULTS: In total, 517,269 employees were included in the study; mean age was 45.0 years (SD: 10.7) and 44.9% were female. Chronic conditions were present in 44.5% of employees. Presenteeism was more common in employees with chronic conditions (44.7%) than in employees without chronic conditions (37.5%; p<.001). Most employees with productivity loss reported health problems affected productivity 1-2 days in the last month (47.8%), though 26.0% reported their productivity had been affected 6-10 days and 7.0% reported 11 or more days in which their productivity was affected. Among employees with a chronic condition, presenteeism was most common in those with depression (59.4%), asthma (49.9%), obesity (49.8%), and COPD (48.1%).
CONCLUSIONS: Presenteeism is common in employees with chronic conditions and may contribute significantly to the overall burden of disease in patients with chronic conditions.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
RWD80
Topic
Real World Data & Information Systems
Disease
No Additional Disease & Conditions/Specialized Treatment Areas