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Related Concept Videos

Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Concepts of Health and Illness01:29

Concepts of Health and Illness

Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

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Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Sickness certification as a complex professional and collaborative activity--a qualitative study.

Anna Kiessling1, Britt Arrelöv

  • 1Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, 182 88 Stockholm, Sweden. anna.kiessling@ki.se

BMC Public Health
|August 30, 2012
PubMed
Summary

Physicians face complex challenges in sickness certification, requiring collaboration with various stakeholders beyond just medical knowledge. Improving sick-listing requires addressing all physician competencies and stakeholder interactions for better quality.

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Area of Science:

  • Medical Education
  • Public Health
  • Social Insurance Medicine

Background:

  • Sickness certification by physicians presents significant medical and insurance-related challenges.
  • Despite educational initiatives, problems in sickness certification persist, suggesting knowledge gaps are not the sole cause.
  • This study explores physicians' difficulties in sickness certification concerning their professional roles and stakeholder interactions.

Purpose of the Study:

  • To investigate the challenges physicians encounter during sickness certification.
  • To analyze these challenges in relation to physicians' professional roles and interactions with stakeholders.
  • To inform educational strategies for improving the sickness certification process.

Main Methods:

  • A sick-listing audit program involving 177 physicians in Stockholm County, Sweden.
  • Physicians identified challenges and formulated action plans; facilitators were interviewed.
  • Qualitative content analysis categorized challenges and stakeholders, relating them to the CanMEDS framework.

Main Results:

  • Seven categories of challenges were identified, including patient interaction, work capacity assessment, and administrative collaboration.
  • Challenges were linked to all seven CanMEDS professional roles.
  • Five stakeholder categories were identified, with multiple stakeholders involved in each challenge.

Conclusions:

  • Physicians experience multifaceted challenges in sickness certification, necessitating interaction with diverse medical and non-medical stakeholders.
  • Addressing these challenges requires a comprehensive approach, integrating all physician competencies and stakeholder engagement.
  • Educational programs should extend beyond social insurance medicine to encompass all professional roles and stakeholder interactions for effective sick-listing improvement.