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Does multidisciplin...
Does multidisciplinary assessment of long-term sickness absentees result in modification of sick-listing diagnoses?
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- Svedberg, P (författare)
- Karolinska Institutet
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- Salmi, P (författare)
- Karolinska Institutet
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- Hagberg, J (författare)
- Karolinska Institutet
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- Lundh, G (författare)
- Karolinska Institutet
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- Linder, J (författare)
- Karolinska Institutet
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- Alexanderson, K (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2010-06-09
- 2010
- Engelska.
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 38:6, s. 657-663
- Relaterad länk:
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http://kipublication...
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https://doi.org/10.1...
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Abstract
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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.
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