Work Ability as Determinant of Termination of Employment: To Resign or Be Dismissed?

J Occup Environ Med. 2019 Jun;61(6):e272-e281. doi: 10.1097/JOM.0000000000001599.

Abstract

Objective: The aim of this study was to investigate whether work ability plays a role in termination of employment (resignation or dismissal) in the short-to-medium run.

Methods: Four-year cohort study with 1060 Brazilian hospital workers. The outcome was final employment status (active, resignation, or dismissal). Multinomial models were fit.

Results: At the end of follow-up, 14.3% of the workers had resigned and 34.0% were dismissed. Impaired work ability was a risk factor for dismissal (relative risk ratio = 1.39), but not for resignation. Also, job strain, age and sex, family income, nutritional status, and workshift were associated with employment termination.

Conclusions: Impaired work ability was a risk factor for dismissal but not for resignation in the short-to-medium run. Individual and occupational characteristics also contributed to employment termination. Improvement of work ability and working conditions are recommended to prevent quitting the job.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brazil
  • Employment*
  • Female
  • Humans
  • Male
  • Occupational Health
  • Personnel Turnover*
  • Personnel, Hospital
  • Work Capacity Evaluation*