Health-related workplace productivity measurement: general and migraine-specific recommendations from the ACOEM Expert Panel

J Occup Environ Med. 2003 Apr;45(4):349-59. doi: 10.1097/01.jom.0000063619.37065.e2.


An establishment of health-related productivity measurements and critical evaluation of health-related productivity tools is needed. An expert panel was created. A literature search was conducted to identify health-related productivity measurement tools. Each instrument was reviewed for: 1) supporting scientific evidence (e.g., reliability and validity); 2) applicability to various types of occupations, diseases, and level of severity of disease; 3) ability to translate data into a monetary unit; and 4) practicality. A modified Delphi technique was used to build consensus. The expert panel recommended absenteeism, presenteeism, and employee turnover/replacement costs as key elements of workplace health-related productivity measurement. The panel also recommended that productivity instruments should: 1) have supporting scientific evidence, 2) be applicable to the particular work setting, 3) be supportive of effective business decision-making, and 4) be practical. Six productivity measurement tools were reviewed. The panel recommended necessary elements of workplace health-related productivity measurement, key characteristics for evaluating instruments, and tools for measuring work loss. Continued research, validation, and on-going evaluation of health-related productivity instruments are needed.

Publication types

  • Consensus Development Conference
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Absenteeism
  • Efficiency, Organizational*
  • Health Status Indicators
  • Humans
  • Migraine Disorders
  • Occupational Health*
  • Personnel Turnover
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Workplace