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Coming to Work While Sick: An Economic Theory of Presenteeism with an Application to German Data

Author

Listed:
  • Hirsch, Boris

    (Leuphana University Lüneburg)

  • Lechmann, Daniel S. J.

    (University of Erlangen-Nuremberg)

  • Schnabel, Claus

    (University of Erlangen-Nuremberg)

Abstract

Presenteeism, i.e. attending work while sick, is widespread and associated with significant costs. Still, economic analyses of this phenomenon are rare. In a theoretical model, we show that presenteeism arises due to differences between workers in (health-related) disutility from workplace attendance. As these differences are unobservable by employers, they set wages that incentivise sick workers to attend work. Using a large representative German data set, we test several hypotheses derived from our model. In line with our predictions, we find that bad health status and stressful working conditions are positively related to presenteeism. Better dismissal protection, captured by higher tenure, is associated with slightly fewer presenteeism days, whereas the role of productivity and skills is inconclusive.

Suggested Citation

  • Hirsch, Boris & Lechmann, Daniel S. J. & Schnabel, Claus, 2015. "Coming to Work While Sick: An Economic Theory of Presenteeism with an Application to German Data," IZA Discussion Papers 9015, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp9015
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    References listed on IDEAS

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    1. Daniel S. J. Lechmann & Claus Schnabel, 2014. "Absence from Work of the Self-Employed: A Comparison with Paid Employees," Kyklos, Wiley Blackwell, vol. 67(3), pages 368-390, August.
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    Cited by:

    1. Stefan Pichler & Nicolas R. Ziebarth, 2015. "The Pros and Cons of Sick Pay Schemes: Testing for Contagious Presenteeism and Shirking Behavior," Discussion Papers of DIW Berlin 1509, DIW Berlin, German Institute for Economic Research.
    2. Boris HirschBy & Daniel S. J. Lechmann & Claus Schnabel, 2017. "Coming to work while sick: an economic theory of presenteeism with an application to German data," Oxford Economic Papers, Oxford University Press, vol. 69(4), pages 1010-1031.
    3. Kühnle, Daniel & Oberfichtner, Michael, 2017. "Does Early Child Care Attendance Influence Children's Cognitive and Non-Cognitive Skill Development?," IZA Discussion Papers 10661, Institute of Labor Economics (IZA).
    4. Arnold, Daniel & De Pinto, Marco, 2015. "How are work-related characteristics linked to sickness absence and presenteeism? Theory and data," ZEW Discussion Papers 15-077, ZEW - Leibniz Centre for European Economic Research.
    5. Bubonya, Melisa & Cobb-Clark, Deborah A. & Wooden, Mark, 2017. "Mental health and productivity at work: Does what you do matter?," Labour Economics, Elsevier, vol. 46(C), pages 150-165.
    6. Oberfichtner Michael & Schnabel Claus, 2019. "The German Model of Industrial Relations: (Where) Does It Still Exist?," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 239(1), pages 5-37, January.
    7. Mario Lackner & Hendrik Sonnabend, 2023. "Presenteeism when employers are under pressure: evidence from a high‐stakes environment," Economica, London School of Economics and Political Science, vol. 90(358), pages 477-507, April.
    8. María José Suárez & Cristina Muñiz, 2018. "Unobserved heterogeneity in work absence," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(8), pages 1137-1148, November.
    9. Mark L. Bryan & Andrew M. Bryce & Jennifer Roberts, 2022. "Dysfunctional presenteeism: Effects of physical and mental health on work performance," Manchester School, University of Manchester, vol. 90(4), pages 409-438, July.
    10. Gürtzgen, Nicole & Hiesinger, Karolin, 2020. "Dismissal protection and long-term sickness absence: First evidence from Germany," ZEW Discussion Papers 20-040, ZEW - Leibniz Centre for European Economic Research.
    11. Pichler, Stefan & Ziebarth, Nicolas R., 2017. "The pros and cons of sick pay schemes: Testing for contagious presenteeism and noncontagious absenteeism behavior," Journal of Public Economics, Elsevier, vol. 156(C), pages 14-33.
    12. Nathalie Havet & Morgane Plantier, 2023. "The links between difficult working conditions and sickness absences in the case of French workers," LABOUR, CEIS, vol. 37(1), pages 160-195, March.
    13. Vincent Vandenberghe, 2020. "The Rather Limited Role Of Mental Ill Health In Driving Work Beyond 50," LIDAM Discussion Papers IRES 2020020, Université catholique de Louvain, Institut de Recherches Economiques et Sociales (IRES).
    14. Gürtzgen, Nicole & Hiesinger, Karolin, 2020. "Dismissal Protection and Long-term Sickness Absence - First Evidence from Germany," IAB-Discussion Paper 202022, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    15. Pichler, Stefan & Ziebarth, Nicolas R., 2019. "Reprint of: The pros and cons of sick pay schemes: Testing for contagious presenteeism and noncontagious absenteeism behavior," Journal of Public Economics, Elsevier, vol. 171(C), pages 86-104.
    16. Claus Schnabel, 2022. "Presenteeism at the workplace," IZA World of Labor, Institute of Labor Economics (IZA), pages 495-495, May.
    17. Mark L. Bryan & Andrew M. Bryce & Jennifer Roberts, 2021. "The effect of mental and physical health problems on sickness absence," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(9), pages 1519-1533, December.

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    More about this item

    Keywords

    presenteeism; absenteeism; sick leave; Germany;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

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