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Views on sick-listing practice among Swedish General Practitioners--a phenomenographic study
Malin Swartling1, Stefan Peterson, Rolf Wahlström
1Department of Neurosciences, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden. malin.swartling@rehab.uu.se
BMC Family Practice
|August 1, 2007
Summary
General Practitioners (GPs) in Sweden hold diverse views on sick-listing, often experiencing conflict between patient and societal interests. Understanding these perspectives can improve GP well-being and patient care in the sickness insurance system.
Area of Science:
- Occupational Health
- Social Medicine
- General Practice
Background:
- Rising sick-leave rates in Europe necessitate understanding physician roles in sickness insurance.
- General Practitioners (GPs) act as crucial gatekeepers within the sickness insurance system.
- This study explores GPs' perceptions of their sick-listing responsibilities and practices.
Purpose of the Study:
- To investigate the variation in General Practitioners' (GPs) views on their sick-listing commission.
- To explore how GPs perceive their sick-listing practices and associated responsibilities.
- To identify factors contributing to conflict or resolution in GPs' sick-listing roles.
Main Methods:
- Conducted semi-structured interviews with 19 General Practitioners (GPs) across four Swedish counties.
- Utilized a phenomenographic approach to analyze interview transcripts.
- Focused on uncovering variations in GPs' perspectives on sick-listing commission and practice.
Main Results:
- Identified significant qualitative differences in GPs' views on sick-listing responsibilities.
- GPs perceived their commission as originating from society, patients, or an integration of both.
- Many GPs experienced conflict between patient and societal interests, with some feeling distressed by their gatekeeper role.
Conclusions:
- Understanding diverse GP views on sick-listing can inform educational strategies to improve practices.
- Enhanced understanding can benefit both GPs' work situations and patients' well-being.
- Further research into the GP's gatekeeper role and development of measurement tools are recommended.
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