Evidence map›Paper›PMID 42909283›Full record

ArticleAIMS public health2026

Presenteeism among healthcare professionals in Mongolia: A mixed-method multicenter study.

Oyundari Batsaikhan, Odgerel Chimed-Ochir, Delgerjargal Dorjbal, Erdmaa Tserendondov, Otgontogoo Oidovsuren, Yumiya Yui, Ami Fukunaga, Yoshihisa Fujino, Bayasgalanmunkh Baatar, Tatsuhiko Kubo

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Article in AIMS public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Oyundari BatsaikhanDepartment of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan.
Odgerel Chimed-OchirDepartment of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan.
Delgerjargal DorjbalDepartment of Rehabilitation Medicine, Fujita Health University, Toyoake, Aichi, Japan.
Erdmaa TserendondovDarkhan-Uul Medical School, Mongolian National University of Medical Sciences, Darkhan-Uul province, Mongolia.
Otgontogoo OidovsurenDarkhan-Uul Medical School, Mongolian National University of Medical Sciences, Darkhan-Uul province, Mongolia.
Yumiya YuiDepartment of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan.
Ami FukunagaDepartment of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan.
Yoshihisa FujinoDepartment of Environmental Epidemiology, University of Occupational and Environmental Health, Kitakyushu, Japan.
Bayasgalanmunkh BaatarDarkhan-Uul Medical School, Mongolian National University of Medical Sciences, Darkhan-Uul province, Mongolia.
Tatsuhiko KuboDepartment of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Presenteeism, defined as attending work while ill, is a growing concern among healthcare professionals due to its impact on well-being, work function, and the quality of care. Despite extensive global research, evidence from Mongolia remains limited, where workforce shortages and systemic constraints uniquely shape presenteeism. We examined factors associated with presenteeism among Mongolian healthcare professionals. Methods: This study used an explanatory sequential mixed-method design. The quantitative phase consisted of a cross-sectional online survey of physicians and nurses at three referral-level state hospitals, who were selected by convenience sampling. The qualitative phase consisted of semi-structured interviews with clinician managers, selected through purposeful sampling until thematic saturation was reached. Data were thematically analyzed, and the findings were integrated through triangulation. Results: A total of 465 survey respondents (physicians and nurses) participated in the quantitative phase, of which 64.5% reported presenteeism. The factors significantly associated with presenteeism were psycho-physical health complaints (AOR = 4.51, p < 0.001), coworkers' support (AOR = 2.38, p < 0.001), and workload (AOR = 2.08, p < 0.001). Qualitative analysis of 14 interviews with clinician managers identified five interrelated themes: inadequate occupational health policy, shortcomings of occupational infrastructure, staff shortages and heavy workloads, informal workplace practices and professional norms, and unaddressed health burdens. Integration of quantitative and qualitative findings indicates that these associations are shaped by underlying organizational and structural conditions. Qualitative data explain how heavy workload, staff shortages, and informal workplace norms compel healthcare professionals to work despite illness, while strained coworker relationships reflect peer pressure and team-based expectations. Taken together, similar to the existing global literature, the results reveal that structural and organizational challenges, rather than individual health-related behaviors, are the primary drivers of presenteeism in this context. Conclusions: The findings suggest that addressing presenteeism among healthcare professionals in Mongolia and similar low-resource settings requires coordinated national efforts targeting workplace conditions, organizational support, and occupational health policies to promote workforce well-being.

Indexed as

healthcare personnelMongoliaoccupational healthpilot projectpresenteeism

Identifiers

PMID42909283
PMCPMC13684083

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.