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Issue Date: September 2003

Making the Link Between Health and Productivity
This editorial outlines the topics covered in this issue of Health Care Quality Special Reports; that is, how employees' health affects their productivity while they are at work, as well as how their absence from work due to health-related causes affects their employers' overall costs.

Integrating Benefits Boosts Productivity
This article discusses research suggesting that many employers fail to recognize that "disability, medical cost, and productivity are inextricably linked." It suggests that employers may gain a better understanding of this link by including data on productivity and job absences when evaluating their health care costs, and offers suggestions on how to collect these data.

Group Finds Success Managing COPD

Pain Reduces Productivity, But Often Is Undertreated, Experts Say
This article discusses the impact employees in pain have on workplace productivity. It cites data on the cost to employers of their workers who are either absent from work or are not fully productive while at work due to their pain. It also discusses steps employers can take to understand and address this issue.

Study Shows Cost of Conditions
This article discusses the results of a study on the indirect costs to employers of absenteeism, disability programs, workers' compensation plans, employee turnover, family medical leave, and presenteeism. The research was designed to help employers make changes in their health and benefit programs.

Physicians Work for Malpractice Reform Behind the Scenes
This article discusses the steps some physicians are taking to address the skyrocketing costs of malpractice insurance, including communicating with patients, the public, and state and federal legislators about the need for tort reform.

Study Aims to Decrease Presenteeism
This article discusses the findings of a study on how musculoskeletal disorders of employees affect employers. The study attempted to quantify the direct and indirect productivity-related costs of the condition.

Report: Caps Help States Retain Physicians
This editorial discusses the results of a study by the Agency for Healthcare Research and Quality. The study results show that states that have enacted limits on noneconomic damages in medical malpractice lawsuits have more physicians per capita than states without such caps.

Hybrid EMR Accommodates Paper
In this article, Nancy Curosh, MD, discusses how her small, private internal medicine and endocrinology practice in Portland, Ore., implemented a hybrid electronic medical record system. "For us, the system offers nearly all of the functionality of an EMR, but has not required us to type or to change the way we see patients," she says.

Systems Aid Rural Health Delivery
This article discusses a report for the California HealthCare Foundation on how new technology is helping physicians deliver improved care in rural areas. Five technologies highlighted in the report are the Internet and e-mail, web portals, scanners and digital-imaging technology, video conferencing, and remote patient-monitoring systems.