Presenteeism vs. absenteeism: What’s behind it and how do they affect companies?

In everyday working life, we repeatedly encounter two phenomena that have a significant impact on productivity and the working atmosphere: Presenteeism and absenteeism. But what exactly are these phenomena, how widespread are they – also in Austria and Europe – and what advantages and disadvantages do they entail? In this article, we will give you a comprehensive overview and show you how you can recognize and tackle these challenges.

What is presenteeism?

Presenteeism describes the behavior of employees who come to work despite illness or health restrictions. Although they are physically present, they are often unable to perform to their full potential. Reasons include fear of losing their job, high pressure to perform or a strong identification with the job.

What is absenteeism?

Absenteeism refers to frequent and unexcused absences from work. It is the opposite of presenteeism: employees are absent even though they are actually fit for work. The causes can be dissatisfaction, lack of motivation or personal problems.

How widespread are presenteeism and absenteeism in Austria?

In Austria, studies show that presenteeism is a widespread phenomenon. According to a study by the Austrian Chamber of Labor, around 60% of respondents stated that they had been sick at work at least once. The productivity losses caused by presenteeism are estimated to be considerable – often higher than those caused by absenteeism.

Absenteeism in Austria averages around 4 to 6% of working hours across all industries. Industries with high levels of physical stress and time pressure are particularly affected.

Sectors with particularly high presenteeism and absenteeism

  • Healthcare: Presenteeism is common here, as employees do not want to miss work despite being ill – out of concern for patients. At the same time, absenteeism is also high due to physical and mental stress.
  • Education sector: Teachers often show presenteeism in order to avoid missing lessons, while at the same time absenteeism is also increased due to stress and burnout.
  • Industry and production: High time pressure and shift work lead to both phenomena, with absenteeism due to physical stress being particularly pronounced.
  • Service sector: Both presenteeism and absenteeism due to mental stress and high customer demands are relevant here.

Presenteeism and absenteeism in Europe: a country overview

Presenteeism and absenteeism are widespread throughout Europe, but the manifestations vary greatly from country to country – influenced by cultural, economic and labor law conditions.

CountryPresenteeism (proportion of employees who go to work sick)Absenteeism (absenteeism rate %)Special features
NetherlandsApprox. 30 %Approx. 3 %Low presenteeism and absenteeism rates, strong promotion of work-life balance and health management
GermanyApprox. 60-70 %Approx. 4-5 %High presenteeism, moderate absenteeism, high pressure to perform
AustriaApprox. 60 %Approx. 4-6 %Similar to Germany, particularly affected: Healthcare, education
FranceApprox. 40-50 %Approx. 5-6 %Moderate presenteeism, relatively high absenteeism due to illness
SwedenApprox. 35 %Approx. 6-7 %Higher absenteeism rates, but lower presenteeism, good social security system
SpainApprox. 50-60 %Approx. 3-4 %Relatively high presenteeism, lower absenteeism rate
ItalyApprox. 45%Approx. 6.7%Moderate presenteeism rates, higher absenteeism due to illness

What explains the differences?

Work culture: Presenteeism is particularly pronounced in countries with strong pressure to perform and compete, such as Germany and Austria.

Labor law and social insurance: Countries with generous sickness regulations (e.g. Sweden) tend to have higher absenteeism rates, but lower presenteeism.

Health awareness and corporate culture: Countries with a stronger focus on health and prevention (e.g. the Netherlands) have lower rates of both phenomena

Advantages and disadvantages of presenteeism

Advantages:

  • Important deadlines can be met at short notice.

Disadvantages:

  • In the long term, productivity decreases due to reduced performance.
  • Increased risk of prolonged illness.
  • Endangering the health of colleagues.
  • Negative effects on the team climate and the quality of work.

Tips: How do you recognize presenteeism and absenteeism in your company?

Recognize presenteeism:
– Employees appear tired, unfocused or less productive.
– Frequent signs of illness that do not lead to absenteeism.
– Overtime despite health complaints.
– Feedback interviews and surveys
Recognize absenteeism:
– Frequent and unexcused absences.
– Patterns in absenteeism, e.g. always on Mondays or Fridays.
– Negative mood or dissatisfaction in the team.
– Increased workload and overtime for other employees.

Tips for reducing presenteeism and absenteeism in the company

1. create a health-promoting corporate culture
Promote a working environment in which health and well-being are highly valued. This also means that employees have the confidence to stay home sick without fearing negative consequences.

2. offer flexible working models
Home office, flexitime or part-time models can help to reduce stress and relieve employees. This allows them to remain productive even if they have minor health problems, without overexerting themselves.

3. clear communication and leadership training
Managers should be trained to recognize signs of overwork at an early stage and talk openly with employees about health issues. Appreciative and supportive leadership promotes trust.

4. establish preventive health measures
Offer regular health checks, ergonomic workplace design, stress management workshops or exercise programs. Prevention helps to prevent illness and maintain performance.

5. manage absences transparently and fairly
Analyze absenteeism patterns and speak to employees at an early stage if abnormalities occur. At the same time, there should be clear rules that regulate absences fairly and transparently.

6. manage workload realistically
Overwork is a major cause of presenteeism and absenteeism. Ensure a balanced distribution of work and realistic objectives to prevent burnout and exhaustion.

7. offer support for mental stress
Mental health is often underestimated. Provide access to counseling or Employee Assistance Programs (EAP) to support employees with stress, anxiety or other issues.

Conclusion: Both presenteeism and absenteeism are challenges for companies – also in Austria and throughout Europe. While presenteeism often results from fear and pressure, absenteeism can be a sign of dissatisfaction. An open corporate culture that promotes health and well-being is the key to reducing both phenomena. In this way, employees and companies benefit equally from a healthy working environment.

Sources

Austrian Chamber of Labor (2022): Presenteeism in Austria – causes and effects

Health Promotion Switzerland (2021): Study on presenteeism and absenteeism in Switzerland and Austria

Federal Ministry of Labor, Social Affairs, Health and Consumer Protection Austria (BMASGK) (2023): Working climate and absenteeism in Austria

Eurofound (2020): Absenteeism and Presenteeism in Europe: Patterns and Implications

European Agency for Safety and Health at Work (EU-OSHA) (2019): Work-related Stress, Absenteeism and Presenteeism in Europe

OECD (2021): Sickness Absence and Labor Market Outcomes Moderate presenteeism rates, higher absenteeism due to illness