Reasons for and factors associated with issuing sickness certificates for longer periods than necessary: results from a nationwide survey of physicians.

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Fältnamn	Indikatorer	Metadata
000		04474naa a2200409 4500
001		oai:DiVA.org:uu-245205
003		SwePub
008		150225s2013 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:126891660
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2452052 URI
024	7	a https://doi.org/10.1186/1471-2458-13-4782 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1268916602 URI
040		a (SwePub)uud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Bränström, Richardu Karolinska Institutet4 aut
245	1 0	a Reasons for and factors associated with issuing sickness certificates for longer periods than necessary :b results from a nationwide survey of physicians.
264		c 2013-05-16
264	1	b Springer Science and Business Media LLC,c 2013
338		a print2 rdacarrier
520		a BACKGROUND: Physicians' work with sickness certifications is an understudied field. Physicians' experience of sickness certifying for longer periods than necessary has been previous reported. However, the extent and frequency of such sickness certification is largely unknown. The aims of this study were: a) to explore the frequency of sickness certifying for longer periods than necessary among physicians working in different clinical settings; b) to examine main reasons for issuing sickness certificates for longer periods than necessary; and c) to examine factors associated with unnecessary issued sickness certificates.METHODS: In 2008, all physicians living and working in Sweden (a total of 36,898) were sent an invitation to participate in a questionnaire study concerning their sick-listing practices. A total of 22,349 (60.6%) returned the questionnaire. In the current study, physicians reporting handling sickness certification consultations at least weekly were included in the analyses, a total of 12,348.RESULTS: The proportion of physicians reporting issuing sickness certificates for longer periods than actually necessary varied greatly between different types of clinics, with the highest frequency among those working at: occupational medicine, orthopedic, primary health care, and psychiatry clinics; and lowest among those working in: eye, dermatology, ear/nose/throat, oncology, surgery, and infection clinics. Logistic analyses showed that sickness certifying for longer periods than necessary due to limitations in the health care system was particularly common among physicians working at occupational medicine, orthopedic, and primary health care clinics. Sickness certifying for longer periods than necessary due to patient-related factors was much more common among physicians working at psychiatric clinics. In addition to differences between clinics, frequency of sickness certificates issued for longer periods than necessary varied by age, physicians' experiences of different situations, and perceived problems.CONCLUSIONS: This study showed that physicians issued sickness certificates for longer periods than actually necessary quite frequently at some types of clinics. Differences between clinics were to a large extent associated with frequency of problems, lack of time, delicate interactions with patients, and need for more competence.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
700	1	a Arrelöv, Britt4 aut
700	1	a Gustavsson, Catharinau Karolinska Institutet,Uppsala universitet,Allmänmedicin och preventivmedicin4 aut0 (Swepub:uu)cagus254
700	1	a Kjeldgård, Linneau Karolinska Institutet4 aut
700	1	a Ljungquist, Thereseu Karolinska Institutet4 aut
700	1	a Nilsson, Gunnar Hu Karolinska Institutet4 aut
700	1	a Alexanderson, Kristinau Karolinska Institutet4 aut
710	2	a Karolinska Institutetb Allmänmedicin och preventivmedicin4 org
773	0	t BMC Public Healthd : Springer Science and Business Media LLCg 13, s. 478-q 13<478-x 1471-2458
856	4	u https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-13-478
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-245205
856	4 8	u https://doi.org/10.1186/1471-2458-13-478
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:126891660

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