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Trends of absenteeism in Croatia: a longitudinal study from 2000 to 2012
Insights
Croatia
Area of Science:
- Public Health
- Health Policy
- Healthcare Management
Background:
- Family doctors in Croatia are solely responsible for sick leave management.
- Numerous regulations have targeted family doctors to control absenteeism levels.
- Understanding absenteeism trends is crucial for effective healthcare policy.
Purpose of the Study:
- To analyze absenteeism trends in Croatia between 2000 and 2012.
- To evaluate the impact of implemented regulations on sick leave rates.
- To assess the effectiveness of policies aimed at reducing absenteeism.
Main Methods:
- Observational and retrospective study design.
- Utilized official data from the Croatian Health Insurance Fund (CHIF).
- Analysis of sick leave days and sick leave rates over a 12-year period.
Main Results:
- The average number of sick leave days per patient was halved, decreasing from 30.58 to 15.08.
- Despite the reduction in sick leave days, the overall sick leave rate saw only a minor decrease from 3.32% to 3.11%.
- Restrictive measures did not significantly impact the total number of sick leave cases.
Conclusions:
- Restrictive regulations on family doctors did not substantially reduce overall sick leave rates.
- Evidence suggests that reducing institutional rights may be necessary to lower sick leave rates.
- Further research is needed to explore alternative strategies for effective absenteeism management.
Abstract:
The aim of this article is to determine the trends in absenteeism from 2000 to 2012 in Croatia and to examine if the observed trends could be related to the regulations implemented to keep the absenteeism on low level. In Croatia only family doctors keep the responsibility for sick leave and were always been targeted by many regulations to keep absenteeism on appropriate level. A study was observational and retrospective based on the official CHIF data available from the web-page. Although the average number of sick leave days had been bisected (from 30.58 to 15.08 days per patient) sick leave rate only slightly fell down (from 3.32% to 3.11%). It seems that the restrictive measures did not significantly affect the number of sick leave cases. Such a results and other European research studies indicates that without reduction of the institutional rights there will be no reducing of sick leave rates.
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