Prospective cohort study of the characteristics of absenteeism in the public administration: medical and dental attestation in the health of the server

• Grant number: 13/26103-0
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: April 01, 2014
• End date: March 31, 2015
• Field of knowledge: Health Sciences - Dentistry - Social and Preventive Dentistry
• Principal Investigator: Arsenio Sales Peres
• Grantee: Giovana Zanoni Lanfranchi
• Host Institution: Faculdade de Odontologia de Bauru (FOB). Universidade de São Paulo (USP). Bauru , SP, Brazil

Abstract

Since the antiquity the relationship between the work and the conditions of health or of the human diseases has been established. This relationship, between work and disease, implies the individual's health, which is directly linked to the health of a population. Thus, the occupational health is directly related to the welfare, productivity and quality of the worker's life. Absenteeism is considered as the lack or the chronic absence to the work, or to other obligations because of disease, and Presenteeism, or absenteeism of the type II, as the presence, however with smaller working power and lacking of concentration. The absenteeism with origin in medical and dental pathologies has been considered responsible for a significant number of lost hours that results in economic damage to both private and public companies. A preliminary study retrospective, transverse, descriptive and analytic exploratory type was accomplished with the purpose of settling down the relationship between absenteeism and diseases, with medical or dental origin, which can represent a profile of Absenteeism in the Public Administration. The strategy involved a sample of 340 functional handbooks of municipal public servers of a city of the interior of the State of São Paulo, Brazil, in an universe of 973 active servers, that was submitted to a 11 years and 5 months retrospective traverse evaluation, in the period of January 01, 2001 to May 31, 2012. The evaluation was made through the analysis of the Previous Medical and Dental History of the certificates joined to justify the absences or removals. These are legal documents that prove the reason of the absenteeism. Starting from this epidemic rising, based in Prevalence, it intends a continuity through a 1 year and 6 months prospective cohort study, with the same parameters and sample, in the established period of June 01, 2012 to November 30, 2013, whose intention is to shimmering an unequivocal panorama, that considers the shortage of investigations concerning the theme and with the peculiarities attributed to the studies of Incidence. Besides, such evaluation will also look for a correlation among the amount of attestations presented before and after the full consolidation of the implantation and standardization of a system of clock digital point of frequency control, initiate in 2009, obligatory and it activates in all the clerkships of the municipal administration in this period of 18 months from the proposal of the research, when compared previously to the period studied, of 11 years and 5 months, where other forms of frequency registration were also used. The collected data will be submitted to pertinent statistical treatment looking for suppling subsidies for discussion and conclusion of the work, lifting subjects to be analyzed and later informed to the municipal administration, as suggestion for improvement of the life quality and the server's health inside of the work atmosphere, contributing to the reduction of the absenteeism and increase the productivity, and consequently increment the quality of the installment of the public service. Then, as secondary objective, an updating of the revision of the literature will be led with fulcrum in the legal, ethical, normative and scientific aspects, in which plays to the attestations of health conditions.