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Does multidisciplin...
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Svedberg, PKarolinska Institutet
(författare)
Does multidisciplinary assessment of long-term sickness absentees result in modification of sick-listing diagnoses?
- Artikel/kapitelEngelska2010
Förlag, utgivningsår, omfång ...
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2010-06-09
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SAGE Publications,2010
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LIBRIS-ID:oai:prod.swepub.kib.ki.se:121101007
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http://kipublications.ki.se/Default.aspx?queryparsed=id:121101007URI
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https://doi.org/10.1177/1403494810373674DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Aims: The aim was to study whether sick-leave diagnoses of long-term sickness absentees were modified after a multidisciplinary assessment and if modifications differed with type of medical specialty of the latest physician to sick-list the patient. Methods: A sample of 635 long-term sickness absentees referred to a multidisciplinary assessment by Social Insurance Offices was included. Data were obtained through sickness certificates and medical records. Patients were examined by board-certified specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine. Descriptive statistics were used. Results: The multidisciplinary assessment resulted in an increase from 1—2 to 2—3 diagnoses for most patients. Forty-five per cent of the male and 47% of the female patients had only somatic diagnoses at referral. After the multidisciplinary assessment these percentages were 20% and 29%, respectively. The rate of women and men given both psychiatric and somatic diagnoses increased from 30% at referral to about 55%. The shift from either only psychiatric or only somatic diagnoses to having these diagnoses in combination was associated with type of specialty of the physician who had sick-listed the patient. Conclusions: The study indicates that many patients on long-term sick-leave with unclear diagnoses may suffer from unrecognized, and therefore probably untreated, medical disorders and co-morbidity.
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Salmi, PKarolinska Institutet
(författare)
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Hagberg, JKarolinska Institutet
(författare)
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Lundh, GKarolinska Institutet
(författare)
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Linder, JKarolinska Institutet
(författare)
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Alexanderson, KKarolinska Institutet
(författare)
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Karolinska Institutet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scandinavian journal of public health: SAGE Publications38:6, s. 657-6631651-19051403-4948
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