Presenteeism-the case for action

There is evidence that presenteeism (working while sick) is commonplace and is increasing, especially among homeworkers. Working while not fully fit can be therapeutic and functional, but growing knowledge of its wide-ranging impact means that it can be a potentially high-risk behaviour. This editorial presents an overview of the factors that encourage people to work while sick and the wide-ranging implications for their health and functioning. Also provided is evidence-informed guidance on the actions that organizations can take to reduce dysfunctional presenteeism and develop a 'healthier' sickness absence culture.