General practitioners' use of sickness certification guidelines in Sweden at introduction and four years later: a survey study

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Gustavsson, Catharina,1961-Uppsala universitet,Centrum för klinisk forskning Dalarna,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, SE-17177 Stockholm, Sweden (författare)

General practitioners' use of sickness certification guidelines in Sweden at introduction and four years later : a survey study

Artikel/kapitelEngelska2018

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2018-03-24
OXFORD UNIV PRESS,2018
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LIBRIS-ID:oai:DiVA.org:uu-361096
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-361096URI
https://doi.org/10.1093/intqhc/mzy044DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:138724890URI

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Språk:engelska
Sammanfattning på:engelska

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Objective: National sickness certification guidelines were introduced in Sweden in 2007, comprising both overarching and diagnoses-specific recommendations. This study aimed to investigate how general practitioners (GP) used and perceived the usefulness of these guidelines in the sickness certification process close after introduction and 4 years later. Design: Two nationwide cross-sectional surveys in 2008 and 2012. Setting: Swedish healthcare. Participants: Physicians working in primary healthcare and having sickness certification consultations at least a few times per year (n = 4214 in 2008, and n = 4067 in 2012). Main Outcome Measures: Frequency of use and perceived usefulness of the sickness certification guidelines. Results: Most GPs used the guidelines at least a few times per year (in 2008 74.6%; in 2012 85.2%). In 2008, 44.1% reported a need to develop competence in using the guidelines, compared with 23.3% in 2012. Of those using the guidelines, 36.7% in 2008 and 44.6% in 2012 reported it problematic to write sickness certificates in accordance with the guidelines. Most GPs (89.2% in 2008 and 88.8% in 2012) valued the guidelines beneficial to ensure quality in sickness certification consultations. A larger proportion in 2012 compared with 2008 reported that the guidelines facilitated contacts with patients (61.2%, respectively, 55.6%), as well as with other stakeholders. Conclusions: The guidelines were perceived as useful and beneficial to ensure high quality in sickness certification consultations, and facilitated contacts with patients as well as other stakeholders. In 2012, still one-fourth reported a need to develop more competence in using the sickness certification guidelines.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
General practitioner
insurance medicine
physicians
primary healthcare
sickness certification guidelines
sick leave

Biuppslag (personer, institutioner, konferenser, titlar ...)

Hinas, ElinKarolinska Inst, Div Insurance Med, Dept Clin Neurosci, SE-17177 Stockholm, Sweden (författare)
Ljungquist, ThereseKarolinska Institutet (författare)
Alexanderson, KristinaKarolinska Institutet (författare)
Uppsala universitetCentrum för klinisk forskning Dalarna (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Journal for Quality in Health Care: OXFORD UNIV PRESS30:6, s. 429-4361353-45051464-3677

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Av författaren/redakt...: Gustavsson, Cath ...; Hinas, Elin; Ljungquist, Ther ...; Alexanderson, Kr ...

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Av lärosätet: Uppsala universitet; Karolinska Institutet

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