Skip to main content
main-content

01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Psychiatrists′ work with sickness certification: frequency, experiences and severity of the certification tasks in a national survey in Sweden

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Gunnar H Nilsson, Britt Arrelöv, Christina Lindholm, Therese Ljungquist, Linnea Kjeldgård, Kristina Alexanderson
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-362) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

GHN had the main responsibility for design, analysis, and preparation of the manuscript. LK performed the statistical analyses. GHN, BA, CL and KA planned and developed the questionnaire. All authors participated in the analysis and drafted the manuscript. All authors read and approved the final manuscript.

Abstract

Background

Many psychiatrists are involved in sickness certification of their patients; however, there is very limited knowledge about this aspect of their work. The objective of this study was to explore frequencies of problematic issues in the sickness certification tasks and experiences of severity regarding these problematic issues among psychiatrists.

Methods

A cross-sectional nationwide questionnaire study to all physicians in Sweden. The 579 specialists in psychiatry who answered the questionnaire, were under 65 years of age, worked mainly in psychiatric care, and had consultations involving sickness certification at least once a week were included.

Results

The frequency of problematic sickness certification consultations a few times per year or more often was considered by 87.3% of the psychiatrists; 11.7% handle such cases at least once a week. A majority (60.9%) reported ‘not having enough time with the patient’ at least once a week. The psychiatrists had access to several categories of professionals in their daily work. More than one third certified unnecessarily long sick-leave periods at least once a month due to waiting times for Social Insurance Office investigations or for treatments or investigations within health care.

Conclusion

The majority found it problematic to assess the level and duration of work incapacity, but also other types of problems like unnecessarily long sick-leave periods due to different types of waiting times. The findings have implications for different kinds of organisational and managerial support and training in sickness certification issues, like guidance to assess the level and duration of work incapacity.
Zusatzmaterial
Additional file 1: Questionnaire to physicians about their sickness-certification practices.(PDF 300 KB)
12913_2012_2183_MOESM1_ESM.pdf
Authors’ original file for figure 1
12913_2012_2183_MOESM2_ESM.pdf
Authors’ original file for figure 2
12913_2012_2183_MOESM3_ESM.pdf
Authors’ original file for figure 3
12913_2012_2183_MOESM4_ESM.pdf
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

BMC Health Services Research 1/2012 Zur Ausgabe