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Occupational factors in sickness certification.

G Tellnes1, D Bruusgaard, L Sandvik

  • 1Department of General Practice, University of Oslo, Norway.

Scandinavian Journal of Primary Health Care
|March 1, 1990
PubMed
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Physical and psychological work factors contribute to sickness certification in nearly half of patients. Prevention potential is highest for musculoskeletal issues, suggesting improved collaboration between occupational health and community medicine.

Area of Science:

  • Occupational health
  • Public health
  • Epidemiology

Background:

  • Sickness certification is a significant issue impacting workforce participation and healthcare costs.
  • Understanding the contributing factors to sickness certification is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To investigate the prevalence and contributing factors (physical and psychological workload) of sickness certification in a Norwegian population.
  • To assess the potential for prevention of health problems leading to sickness certification.
  • To explore variations in contributing factors based on occupation, work type, and health problems.

Main Methods:

  • A cross-sectional study involving 1413 patients certified sick by 118 general practitioners in Buskerud county, Norway.

Related Experiment Videos

  • Assessment of physical and psychological workload as contributing factors by both doctors and patients.
  • Analysis of sickness certification data stratified by occupation, work type, and health problem.

    • Main Results:

    • Physical workload was identified as a contributing factor in 48.4% of sickness certifications, while psychological factors contributed in 32.1%.
    • The potential for prevention was reported in 37.1% of cases.
    • Physical workload was particularly significant for musculoskeletal/connective tissue diseases (93.2%-94.0%), whereas psychological factors were more prominent in sedentary occupations.
    • Prevention potential was highest for musculoskeletal/connective tissue diseases.

    Conclusions:

    • Physical and psychological factors significantly contribute to sickness certification, with variations across different occupations and health conditions.
    • There is a notable potential for preventing and limiting sickness certification, especially for work-related musculoskeletal disorders.
    • Enhanced collaboration between community medicine and occupational health services could optimize prevention and limitation strategies for sickness certification.