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首页> 外文期刊>Occupational and environmental medicine >Does transfer of work from a public sector organisation to a commercial enterprise without staff reductions increase risk of long-term sickness absence among the staff? A cohort study of laboratory and radiology employees
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Does transfer of work from a public sector organisation to a commercial enterprise without staff reductions increase risk of long-term sickness absence among the staff? A cohort study of laboratory and radiology employees

机译：在不减少人员的情况下将工作从公共部门组织转移到商业企业是否会增加员工长期缺勤的风险？实验室和放射科员工的队列研究

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Background: Privatisations of public sector organisations are not uncommon, and some studies suggest that such organisational changes may adversely affect employee health. In this study, we examined whether transfer of work from public sector hospital units to commercial enterprises, without major staff reductions, was associated with an increased risk of long-term sickness absence among employees. Methods: A cohort study of 962 employees from four public hospital laboratory and radiology units in three hospitals which were privatised during the follow-up and 1832 employees from similar units without such organisational changes. Records of new long-term sick leaves (>90 days) were obtained from national health registers and were linked to the data. Mean follow-up was 9.2 years. Results: Age- and sex-adjusted HR for long-term sickness absence after privatisation was 0.83 (95% CI 0.68 to 1.00) among employees whose work unit underwent a change from a public organisation to a commercial enterprise compared with employees in unchanged work units. Further adjustments for occupation, socioeconomic status, type of job contract, size of residence and sick leaves before privatisation had little impact on the observed association. A sensitivity analysis with harmonised occupations across the two groups replicated the finding (multivariable adjusted HR 0.92 (0.70-1.20)). Conclusions: In this study, transfer of work from public organisation to commercial enterprise did not increase the risk of long-term sickness absence among employees.
机译：背景：公共部门组织的私有化并不少见，一些研究表明，这种组织变革可能会对员工的健康产生不利影响。在这项研究中，我们研究了在没有大量裁员的情况下将工作从公共部门医院单位转移到商业企业是否与员工长期缺勤的风险增加有关。方法：一项队列研究对随访期间被私有化的三家医院的四个公立医院实验室和放射科的962名员工和类似组织的1832名员工进行了无组织变更。从国家卫生登记处获得了新的长期病假（> 90天）的记录，并将其与数据关联。平均随访时间为9。2年。结果：与工作单位不变的员工相比，私有化之后的年龄和性别调整后的长期私有化HR为0.83（95％CI为0.68至1.00），其工作单位从公共组织改为商业企业。私有化之前，对职业，社会经济地位，工作合同类型，居住面积和病假的进一步调整对所观察到的关联几乎没有影响。两组之间职业统一的敏感性分析重复了这一发现（多变量校正后的HR 0.92（0.70-1.20））。结论：在这项研究中，工作从公共组织转移到商业企业并没有增加员工长期缺勤的风险。

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