Presenteeism: Are We Hurting the Patients We are Trying to Help?
Many physicians remember the Hippocratic Oath (or a modern variant) as one of the milestones in their professional development. In professing the Hippocratic Oath, physicians promise to “abstain from doing harm”. Thomas Syndeham (1624-1689) has been identified as the originator of the Latin phrase primum non nocere translated as “first do no harm”1. Healthcare professionals often face these dilemmas on a daily basis either consciously or unconsciously.
While business and industry have long recognized the costs of employee illnesses, the dominant focus has usually been on absenteeism and the resulting costs. However, many times, employees report to work for various reasons even in the face of serious illness. Presenteeism has been defined as “the problem of workers being on the job, but because of illness, not fully functioning”.2 The cost of lost employee productivity due to presenteeism is estimated to exceed $150 billion dollars in the United States alone.2 Chronic illnesses dominate ...
- Smith, , Cedric, M (2005) Origin and uses of Primum Non Nocere-Above All, Do No Harm. J Clin Pharmacol 45: pp. 371-7 CrossRef
- Hemp, P (2004) Presenteeism: at work--but out of it. Harv Bus Rev 82: pp. 49-58
- Widera E, Chang A, Chen H. Presenteeism: A Public Health Hazard. Journal of General Internal Medicine 2010; xxxxxx
- Beauchamp, T, Childress, J (2009) Principles of Biomedical Ethics. Oxford University Press, New York, NY
- Pittet, D, Mourouga, P, Perneger, TV (1999) Compliance with handwashing in a teaching hospital. Ann Intern Med 130: pp. 126-30
- Goldman D. System failure versus personal accountability-The case for good handwashing. New England Journal of Medicine 2006: volume 335 (2), 121-123
- Day, M. Doctors are told to ditch “disease spreading” neckties. British Medical Journal 2006: 332:442
- Fenelon, L, Holcroft, L, Waters, N (2009) Contamination of stethoscopes with MRSA and current disinfection practices. J. Hosp. Infection 71: pp. 378-8 CrossRef
- Center for Medicare and Medicaid Services. www.cms.gov
- Presenteeism: Are We Hurting the Patients We are Trying to Help?
Journal of General Internal Medicine
Volume 25, Issue 11 , pp 1142-1143
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- 1. Department of General Internal Medicine and Geriatrics, Tulane University School of Medicine, 1430 Tulane Avenue SL 16, New Orleans, LA, 70112, USA
- 2. Section of General Internal Medicine, Southeast Louisiana Veterans Healthcare System, New Orleans, LA, USA