The Impact of Connecticut's Paid Sick Leave Law on the Use of Preventive Services

Author(s):  
Chanup Jeung ◽  
Kyung Min Lee ◽  
Gilbert W. Gimm
Author(s):  
Ingrid Steen Rostad ◽  
Ann Fridner ◽  
Marie Gustafsson Sendén ◽  
Lise Tevik Løvseth

Recurrent international data show that physicians often attend work while ill, termed sickness presenteeism. The current study investigated if sickness presenteeism scores among European physicians varied according to national paid sick leave legislation. We hypothesized that prevalence of presenteeism was higher in countries with lower levels of paid sick leave. We used repeated cross-sectional survey data, phase I (2004/2005, N = 1326) and phase II (2012/2013, N = 1403), among senior consultants at university hospitals in Sweden, Norway, and Italy. Analyses of variances assessed cross-country differences in presenteeism. To assess the impact of country on presenteeism, we used multiple regression analyses controlled for sex, age, family status, work hours, and work content. The results from phase I supported the initial hypothesis. At phase II, presenteeism scores had decreased among the Italian and Swedish sample. The results are discussed with regard to changes in legislation on workhours and medical liability in Italy and Sweden between phase I and II.


2019 ◽  
Vol 20 (1) ◽  
pp. 6-25
Author(s):  
LeaAnne DeRigne ◽  
Patricia Stoddard-Dare

There is growing momentum toward mandating paid sick leave benefits in countries without comprehensive social insurance programs. The goal of these mandates is to protect public health and provide employees with ways to manage health and caregiving responsibilities. In an effort to inform the discussion this article reviews all the scholarly evidence on the role of paid sick leave benefits on employees and family health and public health concerns. A systemic review of the literature was conducted identifying 29 relevant articles. The research falls into four broad domains: impact on employment, work/family conflict, public health and worker health. It is clear more research is needed to evaluate the impact of paid sick leave as policy makers and employers contemplate expanding access to this employee health benefit.


Public Health ◽  
2021 ◽  
Vol 195 ◽  
pp. 142-144
Author(s):  
N. Kerman ◽  
J. Ecker ◽  
E. Tiderington ◽  
S. Gaetz ◽  
S.A. Kidd

Author(s):  
Rolando Leiva ◽  
Lise Rochaix ◽  
Noémie Kiefer ◽  
Jean-Claude K. Dupont

AbstractPurpose This study investigates the impact of an intensive case management program on sick leave days, permanent work incapacity levels and treatment costs for severe vocational injuries set up by the French National Insurance Fund in five health insurance districts. Methods The method employed relies on a four-step matching procedure combining Coarsened Exact Matching and Propensity Score Matching, based on an original administrative dataset. Average Treatment effects on the Treated were estimated using a parametric model with a large set of covariates. Results After one-year follow-up, workers in the treatment group had higher sickness absence rates, with 22 extra days, and the program led to 2.7 (95% CI 2.3–3.1) times more diagnoses of permanent work incapacity in the treatment group. With an estimated yearly operational cost of 2,722 € per treated worker, the average total extra treatment cost was 4,569 € for treated workers, which corresponds to a cost increase of 29.2% for the insurance fund. Conclusions The higher costs found for the treatment group are mainly due to longer sick leave duration for the moderate severity group, implying higher cash transfers in the form of one-off indemnities. Even though workers in the treated group have more diagnoses of permanent work incapacity, the difference of severity between groups is small. Our results on longer sick leave duration are partly to be explained by interactions between the case managers and the occupational physicians that encouraged patients to stay longer off-work for better recovery, despite the higher costs that this represented for the insurance fund and the well-documented adverse side effects of longer periods off-work.


2012 ◽  
Vol 102 (9) ◽  
pp. e59-e64 ◽  
Author(s):  
Abay Asfaw ◽  
Regina Pana-Cryan ◽  
Roger Rosa

2017 ◽  
Vol 55 ◽  
pp. 244-261 ◽  
Author(s):  
Simen Markussen ◽  
Knut Røed
Keyword(s):  

Author(s):  
Nancy A. Crowell ◽  
Alan Hanson ◽  
Louisa Boudreau ◽  
Robyn Robbins ◽  
Rosemary K. Sokas

Grocery store workers are essential workers, but often have not been provided with appropriate protection during the current pandemic. This report describes efforts made by one union local to protect workers, including negotiated paid sick leave and specific safety practices. Union representatives from 319 stores completed 1612 in-store surveys to assess compliance between 23 April 2020 and 31 August 2020. Employers provided the union with lists of workers confirmed to have COVID-19 infection through 31 December 2020. Worker infection rates were calculated using store employees represented by the union as the denominator and compared to cumulative county infection rates; outcome was dichotomized as rates higher or lower than background rates. Restrictions on reusable bags and management enforcement of customer mask usage were most strongly associated with COVID-19 rates lower than rates in the surrounding county. Stores that responded positively to worker complaints also had better outcomes. The union is currently engaging to promote improved ventilation and vaccination uptake.


2019 ◽  
Vol 40 (1) ◽  
pp. 411-421 ◽  
Author(s):  
Olena Mazurenko ◽  
Melinda J.B. Buntin ◽  
Nir Menachemi

High-deductible health plans (HDHPs) are becoming more popular owing to their potential to curb rising health care costs. Relative to traditional health insurance plans, HDHPs involve higher out-of-pocket costs for consumers, which have been associated with lower utilization of health services. We focus specifically on the impact that HDHPs have on the use of preventive services. We critique the current evidence by discussing the benefits and drawbacks of the research designs used to examine this relationship. We also summarize the findings from the most methodologically sophisticated studies. We conclude that the balance of the evidence shows that HDHPs are reducing the use of some preventive service, especially screenings. However, it is not clear if HDHPs affect all preventive services. Additional research is needed to determine why variability in conclusions exists among studies. We describe an agenda for future research that can further inform public health decision makers on the impact of HDHPs on prevention.


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