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Neurologists dealing with sickness certification: Experiences of problems and need of competence
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Div Physiotherapy, Vasteras, Sweden..ORCID iD: 0000-0002-1023-2046
Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden..
Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden..
Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden..
2017 (English)In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 7, no 11, e00845Article in journal (Refereed) Published
Abstract [en]

Rationale and AimsMost studies on physicians' sickness certification practices include general practitioners (GP) while there hardly is any knowledge on this regarding neurologists although neurological diseases often involve work incapacity and need of sick leave. AimThe aim was to describe experiences among neurologists in Sweden concerning their work with sickness certification of patients. MethodA cross-sectional study of 265 neurologists' responses in a nationwide survey regarding their work with sickness certification of patients was conducted. ResultsThe majority (81.5%) had sickness certification consultations at least once a week and a third experienced problems every week in handling sickness certification. Among the 251 who at least sometimes had sickness certification consultations, the following two aspects were experienced as very or fairly problematic: assess the degree to which the reduced functional capacity limits a patient's capacity to perform his/her work assignments (67.3%) and make a long-term prognosis about the future work capacity of patients on sick leave (60.5%). At least once a week, 78.7% experienced lack of time regarding managing patient-related aspects of the sickness certification task. Moreover, 21.8% considered sickness certification to be a work environmental problem, at least once a week. In all, 84% stated that they had a large or fairly large need for more competence concerning sickness certification tasks. ConclusionsSickness certification is a common task among neurologists, involving several problematic aspects related to, e.g., lack of competence in assessing function and work capacity and of time. There is a need for improvement.

Place, publisher, year, edition, pages
WILEY , 2017. Vol. 7, no 11, e00845
Keyword [en]
insurance medicine, neurologist, physician, sick leave, sickness certification
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-37404DOI: 10.1002/brb3.845ISI: 000416063200010OAI: oai:DiVA.org:mdh-37404DiVA: diva2:1163612
Available from: 2017-12-07 Created: 2017-12-07 Last updated: 2017-12-07Bibliographically approved

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