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Inter-doctor variation in sickness certification.

G Tellnes1, L Sandvik, T Moum

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

Scandinavian Journal of Primary Health Care
|March 1, 1990
PubMed
Summary
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Doctor attitudes did not affect sickness certification duration. However, older general practitioners (GPs) certified patients for longer periods, while specialists and part-time industrial medical officers certified for shorter durations.

Area of Science:

  • Public Health
  • Occupational Medicine
  • General Practice

Background:

  • Sickness certification is a common practice in general practice, influencing work absence duration.
  • Understanding factors affecting certification duration is crucial for healthcare management and economic impact.

Purpose of the Study:

  • To investigate whether doctor-related factors, specifically attitudes and practice characteristics, influence the duration of sickness certification episodes.

Main Methods:

  • Analysis of 2,999 sickness certification episodes from 107 general practitioners in Norway.
  • Doctor attitudes measured using a Likert scale index derived from 12 statements, weighted by principal component analysis.
  • Sickness certification duration analyzed using Cox regression, controlling for doctor-related variables.

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Main Results:

  • No significant association was found between general practitioners' attitudes toward sickness certification and the duration of certified episodes.
  • Patients of older general practitioners experienced significantly longer sickness certification durations.
  • Patients of general practitioners who were specialists in general practice or worked part-time as industrial medical officers had shorter certification durations.

Conclusions:

  • Doctor attitudes do not appear to influence sickness certification duration.
  • Doctoral age and specialization/additional roles are associated with variations in sickness certification duration.
  • Further research into practice characteristics and their impact on sickness certification is warranted.