التفاصيل البيبلوغرافية
| العنوان: |
Sickness certification of patients—a work environment problem among physicians? |
| المؤلفون: |
Ljungquist, T., Hinas, E., Arrelöv, B., Lindholm, C., Wilteus, A. L., Nilsson, G. H., Alexanderson, K. |
| المصدر: |
Occupational Medicine; Jan2013, Vol. 63 Issue 1, p23-29, 7p, 4 Charts |
| مصطلحات موضوعية: |
OCCUPATIONAL diseases, INDUSTRIAL hygiene, WORK environment, OCCUPATIONAL physicians, JOB stress, ORTHOPEDICS |
| مستخلص: |
Background According to several studies, physicians find sickness certification of patients to be problematic, and some smaller studies suggest that this is a psychosocial work environment problem (WEP). Aims To explore to what extent physicians experience sickness certification as a WEP and the associations of this with the type of clinic and other workplace factors. Methods Analyses of data from a questionnaire sent to all physicians who were living and working in Sweden. The study group consisted of physicans aged <65 years who performed sickness certification tasks (SCTs). Prevalence rates (PR) and 95% confidence intervals (CI) of finding SCTs as a WEP in relation to background factors were calculated. Results The response rate was 61%. The final study group consisted of 14 210 responders. Half of the physicians (50%) experienced SCTs as a WEP, and 11% found them as a WEP to a great extent. The proportion of physicians experiencing certification tasks as a WEP varied with the type of clinic and were highest in general practice (73%), orthopaedics (68%), rheumatology (67%), neurology (59%) and psychiatry (58%). Using internal medicine as a reference group, the PRs for finding SCTs as a WEP to a great extent were 4.05 (95% CI 3.23–5.09) in general practice, 2.67 (2.05–3.47) in psychiatry and 2.66 (2.04–3.47) in orthopaedics, after adjusting for educational level and frequency of sickness certification consultations. In ear, nose and throat clinics, the PR was 0.43 (0.21–0.88). Conclusions The findings underline the importance of measures to improve the work situation for physicians regarding sickness certification practices. [ABSTRACT FROM PUBLISHER] |
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| قاعدة البيانات: |
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