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Development of a Virtual Reality Assessment of Everyday Living Skills
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Published on: April 23, 2014

Assessing fitness for work: GPs judgment making.

Michelle Foley1, Kevan Thorley, Marie-Claire Van Hout

  • 1Centre for Occupational and Environmental Health Research, University of Manchester , Manchester , UK.

The European Journal of General Practice
|May 23, 2013
PubMed
Summary

General practitioners (GPs) face challenges in fitness for work consultations, often feeling unprepared. Their decisions on sickness absence are influenced by diverse medical and non-medical factors.

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Area of Science:

  • Occupational Medicine
  • General Practice
  • Healthcare Management

Background:

  • Fitness for work consultations are complex and often create conflict for General Practitioners (GPs).
  • GPs frequently report feeling ill-prepared to manage these challenging consultations effectively.

Purpose of the Study:

  • To examine the consultation process in fitness for work assessments.
  • To report on GP responses to hypothetical psychological and physical work-related sickness absence cases.

Main Methods:

  • A randomized online questionnaire study involving 62 GPs in the Republic of Ireland.
  • Analysis of social/family circumstances, workplace history, and condition severity information.
  • Qualitative thematic and content analysis using NVivo 8 software.

Main Results:

  • GPs consider a wide range of factors including social, domestic, financial, and lifestyle aspects.
  • Workplace factors such as workload, job satisfaction, and staff relationships significantly influence assessments.
  • The presentation of the case can prompt specific information-seeking behaviors during the consultation.

Conclusions:

  • GPs' fitness for work evaluations are influenced by a combination of medical and non-medical factors.
  • Further research is needed to understand the determinants of GP decisions regarding sickness leave prescriptions.